Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity

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dc.contributor.authorRoth, Erin G.
dc.contributor.authorChard, Sarah
dc.date.accessioned2021-08-24T20:35:55Z
dc.date.available2021-08-24T20:35:55Z
dc.date.issued2021-08-18
dc.description.abstractBackground and Objectives A strong correlation exists between Type 2 diabetes mellitus and adverse childhood experiences. How adverse childhood experiences inform later life diabetes management is less understood. This article examines diabetes management from the perspective of affective practice to explore the lingering impact of trauma biographies in diabetes management. Research Design and Methods This secondary narrative analysis of 15 in-depth interviews with community-dwelling older adults with diabetes (subsample of The Subjective Experiences of Diabetes Study), focuses on the ways their reported childhood adversity impacts perceptions of and responses to diabetes self-management. Results The experiences of adversity in childhood accumulate, throughout the life course, in the affective practices informing diabetes self-management, from blood glucose testing, to food consumption, to the emotions invested in body size. We identify three thematic areas that emerged across participants: 1) Undermining self-worth; 2) (Over)eating and food as comfort; and 3) Weight and body size. Discussion and Implications Our findings highlight affective practices as a mechanism through which adverse events accumulate and shape well-being over the life course. This analysis also suggests the potential for (de)accumulation of affective practices to improve diabetes management. The findings support recent calls for trauma-informed clinical care.en_US
dc.description.sponsorshipThis work was supported by a grant from the National Institute on Aging [5R01AG041709 to J. K. Eckert, PI]en_US
dc.description.urihttps://academic.oup.com/gerontologist/advance-article-abstract/doi/10.1093/geront/gnab124/6354076?redirectedFrom=fulltexten_US
dc.format.extent2 filesen_US
dc.genrejournal articlesen_US
dc.genrepostprintsen_US
dc.identifierdoi:10.13016/m2bkag-z1n3
dc.identifier.citationRoth, Erin G.; Chard, Sarah; Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity; The Gerontologist, 18 August, 2021; https://doi.org/10.1093/geront/gnab124en_US
dc.identifier.urihttps://doi.org/10.1093/geront/gnab124
dc.identifier.urihttp://hdl.handle.net/11603/22676
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Social Work
dc.relation.ispartofUMBC Faculty Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.en_US
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in The Gerontologist following peer review. The version of record Roth, Erin G.; Chard, Sarah; Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity; The Gerontologist, 18 August, 2021; https://doi.org/10.1093/geront/gnab124 is available online at: https://academic.oup.com/gerontologist/advance-articleabstract/doi/10.1093/geront/gnab124/6354076?.
dc.rightsAccess to this item will begin on 2022-08-18
dc.subjectUMBC Center for Aging Studiesen_US
dc.titleAffective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversityen_US
dc.typeTexten_US

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