Social Support and Peer Group Integration of Adolescents with Diabetes.

María de Los Ángeles Núñez-Baila, Anjhara Gómez-Aragón, José Rafael González-López
Author Information
  1. María de Los Ángeles Núñez-Baila: Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain. ORCID
  2. Anjhara Gómez-Aragón: Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain. ORCID
  3. José Rafael González-López: Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, C/Avenzoar nº6, 41009 Seville, Spain. ORCID

Abstract

The aim of this study was to examine, through the roles of peers with regards to diabetes, the relationship between the support perceived by adolescents with diabetes and their peer-group affiliation. This is a descriptive, phenomenological and retrospective study based on a qualitative methodology. In-depth interviews with 15 people aged 18-35 with type 1 diabetes mellitus diagnosed in their childhood or adolescence were carried out. Data was analyzed through the interpretation of general discourses. Peers have considerable influence on adolescents and provide them social support from different roles. The protective role basically offers emotional support and sends reminders of different aspects of the treatment, while the indifferent role does not meddle in any aspect related to the diabetes. Both roles can foster social integration of adolescents with diabetes into the peer group. The offender role creates social conflicts through discrimination and stigma of adolescents with diabetes. These roles appear during the process of socialization of adolescents with diabetes, where commensality and situations of self-monitoring or administering insulin, key aspect of diabetes treatment, are crucial. Peer groups, depending on the role adopted, may offer support or bring a specific conflict regarding diabetes to their adolescent peer. The combination of roles that friends and peer group play with regards to diabetes will determine the degree of socialization and integration of adolescents with diabetes.

Keywords

References

  1. Diabet Med. 2020 Mar;37(3):473-482 [PMID: 31912528]
  2. Health Psychol. 2013 Aug;32(8):839-48 [PMID: 23477575]
  3. Rev Chil Pediatr. 2018 Jun;89(3):391-398 [PMID: 29999147]
  4. J Pediatr (Rio J). 2019 Sep - Oct;95(5):509-518 [PMID: 30391140]
  5. J Dev Behav Pediatr. 2011 Oct;32(8):581-90 [PMID: 21904213]
  6. J Adolesc Health. 2013 May;52(5):578-83 [PMID: 23298986]
  7. Health Psychol. 2009 May;28(3):273-82 [PMID: 19450032]
  8. J Behav Med. 2016 Feb;39(1):107-19 [PMID: 26369633]
  9. BMJ Open. 2014 Jul 23;4(7):e005625 [PMID: 25056982]
  10. J Pediatr Psychol. 2002 Jul-Aug;27(5):417-28 [PMID: 12058006]
  11. Gac Sanit. 2015 Jul-Aug;29(4):300-3 [PMID: 25778636]
  12. J Adolesc. 1986 Mar;9(1):73-96 [PMID: 3700780]
  13. An Pediatr (Barc). 2020 Sep;93(3):183-193 [PMID: 32178966]
  14. Diabetes Care. 2010 Apr;33(4):751-3 [PMID: 20150299]
  15. J Nurs Res. 2020 Apr;28(2):e73 [PMID: 32168173]
  16. J Clin Oncol. 2015 Sep 20;33(27):3065-73 [PMID: 26304881]
  17. J Sch Nurs. 2006 Feb;22(1):53-8 [PMID: 16435931]
  18. Int J Environ Res Public Health. 2021 Jan 21;18(3): [PMID: 33494228]
  19. J Sch Health. 1984 Apr;54(4):146-8 [PMID: 6562288]
  20. Health Psychol. 2014 May;33(5):424-32 [PMID: 23795709]
  21. Health Expect. 2018 Oct;21(5):870-877 [PMID: 29961962]
  22. BMC Endocr Disord. 2018 Oct 13;18(1):71 [PMID: 30316299]
  23. EMC Pediatr. 2016 Sep;51(3):1-15 [PMID: 32288516]
  24. J Pediatr Psychol. 2001 Dec;26(8):485-90 [PMID: 11700333]
  25. Diabetes Care. 2001 Sep;24(9):1536-40 [PMID: 11522695]
  26. Rev Chil Pediatr. 2015 Nov-Dec;86(6):436-43 [PMID: 26342392]
  27. J Pediatr Psychol. 2002 Jul-Aug;27(5):429-38 [PMID: 12058007]
  28. J Adv Nurs. 1998 Apr;27(4):760-9 [PMID: 9578206]
  29. Am Psychol. 2016 Oct;71(7):526-538 [PMID: 27690482]
  30. Lancet Respir Med. 2017 Mar;5(3):224-234 [PMID: 27666650]
  31. Compr Child Adolesc Nurs. 2018 Mar;41(1):25-41 [PMID: 29474802]
  32. Br J Health Psychol. 2007 Feb;12(Pt 1):75-91 [PMID: 17288667]
  33. J Pediatr Nurs. 2018 Sep - Oct;42:73-80 [PMID: 30219302]
  34. J Clin Oncol. 2012 Apr 10;30(11):1221-6 [PMID: 22412147]
  35. J Pediatr Psychol. 2012 Jun;37(5):591-603 [PMID: 22460759]
  36. J Dev Behav Pediatr. 2002 Aug;23(4):271-80 [PMID: 12177575]
  37. Rev Saude Publica. 1997 Aug;31(4):425-35 [PMID: 9595772]
  38. Qual Health Res. 2016 Apr;26(5):672-84 [PMID: 26893304]

MeSH Term

Adolescent
Adult
Child
Diabetes Mellitus, Type 1
Friends
Humans
Peer Group
Retrospective Studies
Social Support
Young Adult

Word Cloud

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