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The Association of Social Determinants of Health and Type II Diabetes Self-Management Among Persons Living With Physical Disability (Mobility & Visual Impairments)
The Association of Social Determinants of Health and Type II Diabetes Self-Management Amon...
The Association of Social Determinants of Health and Type II Diabetes Self-Management Among Persons Living With Physical Disability (Mobility & Visual Impairments)

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자료유형  
 학위논문 서양
최종처리일시  
20260311091509.5
ISBN  
9798315795469
DDC  
362
저자명  
Aboagye, Anita
서명/저자  
The Association of Social Determinants of Health and Type II Diabetes Self-Management Among Persons Living With Physical Disability (Mobility & Visual Impairments) / Anita Aboagye
발행사항  
[Sl] : The University of Alabama at Birmingham, 2025
형태사항  
1 electronic resource (349 pages)
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisors: Wilkinson, Larrell L. Committee members: Amamoo, M. Ahinee; Evans, Retta; Sallese, Mary Rose; Thirumalai, Mohanraj.
학위논문주기  
- Ph.D. : The University of Alabama at Birmingham, 2025.
초록/해제  
요약Type II Diabetes (T2D) management yield positive outcomes in glycemic control, lifestyle behaviors, knowledge enhancement, and self-care. Persons with disability (PWDs) - regardless of disability type - are faced with additional challenges in diabetes self- management. Moreover, PWDs exhibit adverse outcomes across various measures of social determinants of health (SDOH) compared to individuals without disabilities. This dissertation explored four research aims to examine the impact of adverse SDOH experiences on T2D self- management among persons with physical disability utilizing a preprint/reprint format - with each aim leading to a manuscript. Secondary data analysis using the 2022 Behavioral Risk Factor Surveillance System (BRFSS) was conducted for three of the aims and a qualitative study was utilized for the fourth aim.The first aim examined the association between SDOH experiences and disability status. Findings from the first aim indicated that PWDs and T2D are more likely to be socially isolated, stress, unable to pay their bills and more likely to lack reliable transportation. The second aim investigated the relationship between A1c check and experiences of adverse conditions of SDOH. Findings from the second aim indicated that persons with vision impairments and T2D who lack health insurance or have lost their employment or have reduced work hours are less likely to get their A1c checked by a healthcare professional at least twice a year. The third aim examined the association between getting an annual diabetes-related eye exam and experiences of adverse conditions of SDOH. Findings from the third aim indicated that persons with mobility impairments and T2D who experience loss of employment or reduced work hours have a decreased likelihood of getting an annual diabetes-related eye exam. The fourth aim was a qualitative study that explored the perceptions of persons with mobility disability and T2DM on the impact of SDOH on their self-diabetes management. Findings indicated that adverse SDOH experiences like lack of reliable transportation hindered effective diabetes self-management while non-adverse SDOH experiences like access to health insurance promoted diabetes self-management. Subsequently, our findings suggest that effective diabetes self-management for persons with vision and mobility impairments requires addressing related environmental and sociocultural barriers.
언어주기  
English
일반주제명  
Health education
일반주제명  
Public health
일반주제명  
Epidemiology
키워드  
Diabetes management
키워드  
Mobility impairment
키워드  
Social determinants of health (sdoh)
키워드  
Type II Diabetes
키워드  
Visual impairment
기타저자  
The University of Alabama at Birmingham Health Education/Promotion (Education)
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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MARC

 008260311s2025        us                                    eng  d
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■020    ▼a9798315795469
■040    ▼aMiAaPQD▼beng▼cMiAaPQD▼erda
■082    ▼a362
■1001  ▼aAboagye,  Anita▼eauthor.
■24510▼aThe  Association  of  Social  Determinants  of  Health  and  Type  II  Diabetes  Self-Management  Among  Persons  Living  With  Physical  Disability  (Mobility  &  Visual  Impairments)  ▼cAnita  Aboagye
■260    ▼a[Sl]▼bThe  University  of  Alabama  at  Birmingham▼c2025
■264  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a1  electronic  resource  (349  pages)
■336    ▼atext▼btxt▼2rdacontent
■337    ▼acomputer▼bc▼2rdamedia
■338    ▼aonline  resource▼bcr▼2rdacarrier
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisors:  Wilkinson,  Larrell  L.    Committee  members:  Amamoo,  M.  Ahinee;  Evans,  Retta;  Sallese,  Mary  Rose;  Thirumalai,  Mohanraj.
■5021  ▼bPh.D.▼cThe  University  of  Alabama  at  Birmingham▼d2025.
■520    ▼aType  II  Diabetes  (T2D)  management  yield  positive  outcomes  in  glycemic  control,  lifestyle  behaviors,  knowledge  enhancement,  and  self-care.  Persons  with  disability  (PWDs)  -  regardless  of  disability  type  -  are  faced  with  additional  challenges  in  diabetes  self-  management.  Moreover,  PWDs  exhibit  adverse  outcomes  across  various  measures  of  social  determinants  of  health  (SDOH)  compared  to  individuals  without  disabilities.  This  dissertation  explored  four  research  aims  to  examine  the  impact  of  adverse  SDOH  experiences  on  T2D  self-  management  among  persons  with  physical  disability  utilizing  a  preprint/reprint  format  -  with  each  aim  leading  to  a  manuscript.  Secondary  data  analysis  using  the  2022  Behavioral  Risk  Factor  Surveillance  System  (BRFSS)  was  conducted  for  three  of  the  aims  and  a  qualitative  study  was  utilized  for  the  fourth  aim.The  first  aim  examined  the  association  between  SDOH  experiences  and  disability  status.  Findings  from  the  first  aim  indicated  that  PWDs  and  T2D  are  more  likely  to  be  socially  isolated,  stress,  unable  to  pay  their  bills  and  more  likely  to  lack  reliable  transportation.  The  second  aim  investigated  the  relationship  between  A1c  check  and  experiences  of  adverse  conditions  of  SDOH.  Findings  from  the  second  aim  indicated  that  persons  with  vision  impairments  and  T2D  who  lack  health  insurance  or  have  lost  their  employment  or  have  reduced  work  hours  are  less  likely  to  get  their  A1c  checked  by  a  healthcare  professional  at  least  twice  a  year.  The  third  aim  examined  the  association  between  getting  an  annual  diabetes-related  eye  exam  and  experiences  of  adverse  conditions  of  SDOH.  Findings  from  the  third  aim  indicated  that  persons  with  mobility  impairments  and  T2D  who  experience  loss  of  employment  or  reduced  work  hours  have  a  decreased  likelihood  of  getting  an  annual  diabetes-related  eye  exam.  The  fourth  aim  was  a  qualitative  study  that  explored  the  perceptions  of  persons  with  mobility  disability  and  T2DM  on  the  impact  of  SDOH  on  their  self-diabetes  management.  Findings  indicated  that  adverse  SDOH  experiences  like  lack  of  reliable  transportation  hindered  effective  diabetes  self-management  while  non-adverse  SDOH  experiences  like  access  to  health  insurance  promoted  diabetes  self-management.  Subsequently,  our  findings  suggest  that  effective  diabetes  self-management  for  persons  with  vision  and  mobility  impairments  requires  addressing  related  environmental  and  sociocultural  barriers.
■546    ▼aEnglish
■590    ▼aSchool  code:  0005
■650  4▼aHealth  education
■650  4▼aPublic  health
■650  4▼aEpidemiology
■653    ▼aDiabetes  management
■653    ▼aMobility  impairment
■653    ▼aSocial  determinants  of  health  (sdoh)
■653    ▼aType  II  Diabetes
■653    ▼aVisual  impairment
■7102  ▼aThe  University  of  Alabama  at  Birmingham▼bHealth  Education/Promotion  (Education).▼edegree  granting  institution.
■7201  ▼aWilkinson,  Larrell  L.▼edegree  supervisor.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357031▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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