Maternal shift-and-persist coping, SES, and adolescent type 1 diabetes management. Issue 1 (2nd January 2020)

• Record Type: Journal Article
• Authors: Mello, Daniel; Wiebe, Deborah; Berg, Cynthia
• Is Part Of: Children's health care. Volume 49:Issue 1(2020)
• Page Start: 100
• Page End: 114
• Publication Date: 2020-01-02
• Subjects: Children -- Hospital care -- Periodicals; Child health services -- Periodicals; Children -- Preparation for medical care -- Periodicals; 362.19892
• DOI: 10.1080/02739615.2019.1570465
• Languages: English
• ISSNs: 0273-9615

Abstract

ABSTRACT: We examined if maternal shift-and-persist coping buffers the relationship between lower socioeconomic status (SES) and adverse type 1 diabetes (T1D) outcomes during adolescence. Mothers reported annual household income and completed measures of shift-and-persist. Adolescents (N = 145, ages 12 to 17; 52% female) with T1D completed measures of adherence. Glycemic control was indexed via medical records. The association of lower SES with poorer adherence was weaker when mothers had higher shift-and-persist. This buffering effect of maternal shift-and-persist was significant only for older adolescents. Maternal shift-and-persist coping may be an important resilience resource for lower income families managing T1D during adolescence.