Annals of epidemiology · 2026
Association of resilience with hemoglobin A1c among youth and young adults with youth-onset diabetes.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Julceus Emmanuel F, Mendoza Jason A, Flory Kate, Frongillo Edward A, Merchant Anwar T, Malik Faisal S, Cooper Daniel K, Reboussin Beth A, Sauder Katherine A, Bellatorre Anna, Liese Angela D
Аннотация
PURPOSE: We assessed whether resilience is associated with hemoglobin A1c (HbA1c) in youth and young adults (YYA) with youth-onset type 1 (T1D) and type 2 diabetes (T2D).
METHODS: A cross-sectional analysis of data from the multicenter SEARCH Food Security Cohort study (2019-2022) was conducted including 574 and 82 YYA with youth-onset T1D and T2D, respectively. Resilience, assessed with the 10-item Connor-Davidson Resilience scale, was analyzed in categories determined through tertiles (low ≤25, moderate 26-32, and high ≥33). Multivariable logistic regression models adjusted for sociodemographic and clinical factors, perceived social support, and symptoms of depression, anxiety, and eating problems.
RESULTS: Regardless of diabetes type, compared to participants with high resilience, those with low resilience had higher odds of HbA1c > 9% (OR 1.90, 95% CI 1.06-3.41); the OR was 1.62 (95% CI 0.97-2.70) for those with intermediate resilience. Among YYA with T1D, those with low and intermediate resilience had elevated odds of HbA1c > 9% (OR 1.96, 95% CI 1.02-3.79; OR 2.01, 95% CI 1.13-3.59, respectively) compared to those with high resilience.
CONCLUSIONS: Findings were consistent with the hypothesis that resilience was protective of elevated HbA1c in YYA with diabetes. Strategies to enhance resilience in these populations might be beneficial.
METHODS: A cross-sectional analysis of data from the multicenter SEARCH Food Security Cohort study (2019-2022) was conducted including 574 and 82 YYA with youth-onset T1D and T2D, respectively. Resilience, assessed with the 10-item Connor-Davidson Resilience scale, was analyzed in categories determined through tertiles (low ≤25, moderate 26-32, and high ≥33). Multivariable logistic regression models adjusted for sociodemographic and clinical factors, perceived social support, and symptoms of depression, anxiety, and eating problems.
RESULTS: Regardless of diabetes type, compared to participants with high resilience, those with low resilience had higher odds of HbA1c > 9% (OR 1.90, 95% CI 1.06-3.41); the OR was 1.62 (95% CI 0.97-2.70) for those with intermediate resilience. Among YYA with T1D, those with low and intermediate resilience had elevated odds of HbA1c > 9% (OR 1.96, 95% CI 1.02-3.79; OR 2.01, 95% CI 1.13-3.59, respectively) compared to those with high resilience.
CONCLUSIONS: Findings were consistent with the hypothesis that resilience was protective of elevated HbA1c in YYA with diabetes. Strategies to enhance resilience in these populations might be beneficial.