Project: Research project

Project Details


Because minority adults with diabetes have significantly greater morbidity
and mortality than whites and higher incidence of diabetic end-stage renal
disease, it is important to be concerned with the health status of minority
children with diabetes. Although not conclusive, research indicates that
metabolic control is an important factor in diabetes management and
prevention of complications. Recent studies suggest that African-American
diabetic children are in worse metabolic control than whites. Little is
known, however, about Hispanic youths with diabetes. Regimen compliance is
assumed to be an important determinant of metabolic control, yet studies
show that compliance is generally poor. Little is known, however, about
factors affecting compliance in minority youths. Furthermore, although
research indicates that compliance can be improved with behavioral
interventions, findings are limited by the small numbers of patients
treated, the lack of long-term follow-up, the modest effects on metabolic
control, and the lack of studies with minority inner-city youths. There is
a need for studies of regimen compliance and metabolic control among low-
SES minority youths that can identify the special needs of such
populations, including cultural factors that may impede or facilitate
behavioral interventions. The Specific Aims of this research are: 1) to
determine the demographic, psychosocial, and behavioral factors that
contribute to metabolic control problems of African-American and Hispanic
youths with Type I diabetes; 2) to identify the determinants of regimen
compliance problems; and 3) to utilize the results of these studies to
guide the development of interventions to improve compliance and metabolic
control of minority youths. The multicultural setting of the University of
Miami is advantageous for study of these issues, with over 200
predominantly low-SES African-American and Hispanic diabetic youths
followed in the outpatient clinics. We will recruit 120 10-17 year old
youths (40 African-American, 40 Hispanic, 40 white) and conduct assessments
of demographic and psychosocial factors, regimen compliance, and metabolic
control using standardized measures. The results of this research will
contribute toward a better understanding of factors affecting regimen
compliance and metabolic control of young minority patients with diabetes,
and are especially pertinent to the development of compliance intervention
programs for minority youths.
Effective start/end date9/30/9212/29/95


  • National Institutes of Health: $169,826.00
  • National Institutes of Health
  • National Institutes of Health


  • Medicine(all)


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