Maternal shift-and-persist coping, SES, and adolescent type 1 diabetes management

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.

Acknowledgments

We wish to thank the ADAPT research group for their invaluable assistance, everyone at the Utah Diabetes Center and Mountain Vista Medicine, and the participants of this study.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health under Grant Number R01 DK063044.