Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults

Jaclynn Hawkins (), Edith C. Kieffer, Brandy Sinco, Gretchen Piatt, Lenette Jones, Jamie Mitchell, Nicolaus Espitia, Alana LeBron, Katherine A. Kloss, Katie Kurnick, Gloria Palmsiano and Michael S. Spencer
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Jaclynn Hawkins: School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA
Edith C. Kieffer: School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA
Brandy Sinco: Center for Healthcare Outcomes & Policy, University of Michigan, 2800 Plymouth Road, North Campus Research Complex, Bldg. 16, Ann Arbor, MI 48109, USA
Gretchen Piatt: Department of Learning Health Sciences, School of Medicine, University of Michigan, 1111 E. Catherine Street, Ann Arbor, MI 48109, USA
Lenette Jones: School of Nursing, University of Michigan, 400 North Ingalls Building, Ann Arbor, MI 48109, USA
Jamie Mitchell: School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA
Nicolaus Espitia: Department of Sociology, Anthropology, Social Work and Criminal Justice Oakland University, 614 Pioneer Dr, Rochester, MI 48309, USA
Alana LeBron: School of Public Health, University of California, Irvine, 3151 Social Science Plaza, SST 369 (Chicano/Latino Studies) OR 653 E Peltason Drive, AIRB 2026 (Public Health), Irvine, CA 92697, USA
Katherine A. Kloss: School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA
Katie Kurnick: School of Social Work, University of Michigan, 1080 South University Avenue, Ann Arbor, MI 48109, USA
Gloria Palmsiano: Community Health and Social Services Center, 5635 West Fort Street, Detroit, MI 48209, USA
Michael S. Spencer: School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105, USA

IJERPH, 2022, vol. 19, issue 19, 1-12

Abstract: While the incidence and prevalence of type 2 diabetes is higher among Latino/as, Latino men are disproportionately affected and have poorer outcomes. We aimed to determine whether gender impacted any outcomes in a culturally tailored type 2 diabetes (T2D) intervention and to evaluate the effects of gender and intervention participation intensity on outcomes at 6-month follow-up. Nested path and regression models were compared with the likelihood ratio test and information criteria in a sample of Latino/a adults with T2D ( n = 222) participating in a T2D community health worker (CHW)-led intervention. Path analysis showed that the effect of the intervention did not vary by gender. The intervention was associated with significant improvements in knowledge of T2D management 0.24 (0.10); p = 0.014, diabetes distress, −0.26 (0.12); p = 0.023, and self-efficacy, 0.61 (0.21); p = 0.005. At 6-month follow-up, improved self-management was associated with greater self-efficacy and Hemoglobin A1c (HbA1c) was lower by −0.18 (0.08); p = 0.021 for each unit of self-management behavior. Linear regressions showed that class attendance and home visits contributed to positive intervention results, while gender was non-significant. Pathways of change in a CHW-led culturally tailored T2D intervention can have a significant effect on participant behaviors and health status outcomes, regardless of gender.

Keywords: diabetes; gender; self-management; Latino; path analysis; intervention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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