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June 7, 2026Diabetes

Six themes were identified regarding T2D management, with male participants engaging in avoidance coping and female participants endorsing the superwoman schema and its added stress.

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Population

17 Black adults 18 years of age or older living in Prince George’s County, Maryland or Metro Detroit…

Design

Other

Authors

AEALANA EWENJHJaclynn HawkinsCFCRAIG S. FRYER

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Overview

Gender differences exist in coping mechanisms for racial discrimination-related stress among Black adults with T2D, which may impact dietary changes and self-management.

Key Points

  • This study aims to understand how racial discrimination-related stress impacts Black adults' behavioral changes for managing type 2 diabetes.
  • Conducted semi-structured in-depth interviews with Black adults aged 18 or older diagnosed with type 2 diabetes.
  • Interviews were held in Prince George’s County, Maryland and Metro Detroit, Michigan from September to December 2024.
  • Core narratives were constructed using latent thematic analysis to identify patterns in participant experiences.
  • Six key themes emerged, including the influence of family dynamics on diet and coping mechanisms for managing stress.
  • Male participants demonstrated avoidance coping strategies, while female participants faced added stress from the superwoman schema.
  • Findings highlight the importance of support systems and address the need for better patient-provider engagement in diabetes management.

Structured PICO

P
Population
17 Black adults 18 years of age or older living in Prince George’s County, Maryland or Metro Detroit, Michigan, with a clinical diagnosis of type 2 diabetes (T2D).
I
Intervention
One-hour, semi-structured in-depth interviews
O
Outcome
Underlying patterns and shared meanings regarding how racial discrimination-related stress impacts behavioral changes for T2D managementpatient reported

Gender differences exist in coping mechanisms for racial discrimination-related stress among Black adults with T2D, which may impact dietary changes and self-management.

Cite This Study

EWEN et al. (2026) studied this question.

synapsesocial.com/papers/6a250be87def13d035e1bf37https://doi.org/10.2337/db26-2797-lb
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