{"id":"https://openalex.org/W4312704363","doi":"https://doi.org/10.1177/21501319221143715","title":"The \u201cUps and Downs\u201d of Living With Type 2 Diabetes Among Working Adults in the Rural South","display_name":"The \u201cUps and Downs\u201d of Living With Type 2 Diabetes Among Working Adults in the Rural South","publication_year":2022,"publication_date":"2022-01-01","ids":{"openalex":"https://openalex.org/W4312704363","doi":"https://doi.org/10.1177/21501319221143715","pmid":"https://pubmed.ncbi.nlm.nih.gov/36564892","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9793025"},"language":"en","primary_location":{"id":"doi:10.1177/21501319221143715","doi":"https://doi.org/10.1177/21501319221143715","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21501319221143715","pdf_url":null,"source":{"id":"https://openalex.org/S59821943","display_name":"Journal of Primary Care & Community Health","issn_l":"2150-1319","issn":["2150-1319","2150-1327"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Primary Care & Community Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/21501319221143715","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087958564","display_name":"Lynn E. Glenn","orcid":"https://orcid.org/0000-0001-9460-526X","observed_orcids":["https://orcid.org/0000-0001-9460-526X"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Lynn E. Glenn","raw_affiliation_strings":["Augusta University, Augusta, GA, USA"],"raw_orcid":"https://orcid.org/0000-0001-9460-526X","affiliations":[{"raw_affiliation_string":"Augusta University, Augusta, GA, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034790319","display_name":"Christine Brunmeier Thurlow","orcid":"https://orcid.org/0000-0001-8928-5572","observed_orcids":["https://orcid.org/0000-0001-8928-5572"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christine B. Thurlow","raw_affiliation_strings":["Research College of Nursing, Kansas City, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research College of Nursing, Kansas City, MO, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043536707","display_name":"Maithe Enriquez","orcid":"https://orcid.org/0000-0003-2754-4019","observed_orcids":["https://orcid.org/0000-0003-2754-4019"]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maithe Enriquez","raw_affiliation_strings":["Research College of Nursing, Kansas City, MO, USA","University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research College of Nursing, Kansas City, MO, USA","institution_ids":[]},{"raw_affiliation_string":"University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087958564"],"corresponding_institution_ids":["https://openalex.org/I25041050"],"apc_list":{"value":1200,"currency":"USD","value_usd":1200},"apc_paid":{"value":1200,"currency":"USD","value_usd":1200},"fwci":1.4827,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.82838958,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":97},"biblio":{"volume":"13","issue":null,"first_page":"21501319221143715","last_page":"21501319221143715"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9990000128746033},{"id":"https://openalex.org/keywords/diabetes-self-management","display_name":"diabetes self-management","score":0.9679999947547913},{"id":"https://openalex.org/keywords/african-american-women","display_name":"African American women","score":0.9120000004768372},{"id":"https://openalex.org/keywords/low-income-women","display_name":"low-income women","score":0.8349999785423279},{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.7490000128746033},{"id":"https://openalex.org/keywords/coping-strategies","display_name":"coping strategies","score":0.9679999947547913},{"id":"https://openalex.org/keywords/social-capital","display_name":"social capital","score":0.7799999713897705},{"id":"https://openalex.org/keywords/economic-capital","display_name":"economic capital","score":0.9520000219345093},{"id":"https://openalex.org/keywords/psychological-well-being","display_name":"psychological well-being","score":0.800000011920929},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.6669999957084656},{"id":"https://openalex.org/keywords/patient-activation-measure","display_name":"Patient Activation Measure","score":0.7649999856948853},{"id":"https://openalex.org/keywords/personal-responsibility","display_name":"personal responsibility","score":0.33899998664855957},{"id":"https://openalex.org/keywords/rural-south","display_name":"rural South","score":0.3199999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6342557668685913},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5786439776420593},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5225883722305298},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5078025460243225},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5055687427520752},{"id":"https://openalex.org/C73282008","wikidata":"https://www.wikidata.org/wiki/Q1759895","display_name":"Coping (psychology)","level":2,"score":0.47278428077697754},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.45390474796295166},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.44493380188941956},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.440623939037323},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.43107542395591736},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4301726222038269},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.25473248958587646},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.23796725273132324},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.22962412238121033},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.15718257427215576},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015438","descriptor_name":"Health Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1177/21501319221143715","doi":"https://doi.org/10.1177/21501319221143715","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21501319221143715","pdf_url":null,"source":{"id":"https://openalex.org/S59821943","display_name":"Journal of Primary Care & Community Health","issn_l":"2150-1319","issn":["2150-1319","2150-1327"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Primary Care & Community Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9793025","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9793025","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Prim Care Community Health","raw_type":"Text"},{"id":"pmid:36564892","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36564892","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of primary care & community health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:d05f5958bd76431e877d6bb460d09920","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/d05f5958bd76431e877d6bb460d09920","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Primary Care & Community Health, Vol 13 (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/21501319221143715","doi":"https://doi.org/10.1177/21501319221143715","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21501319221143715","pdf_url":null,"source":{"id":"https://openalex.org/S59821943","display_name":"Journal of Primary Care & Community Health","issn_l":"2150-1319","issn":["2150-1319","2150-1327"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Primary Care & Community Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.5676000118255615,"id":"https://metadata.un.org/sdg/10"},{"display_name":"Decent work and economic growth","score":0.48510000109672546,"id":"https://metadata.un.org/sdg/8"}],"sustainable_development_goals_aurora":[{"display_name":"No poverty","score":0.46000000834465027,"id":"https://metadata.un.org/sdg/1"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G978090480","display_name":null,"funder_award_id":"UH1HP29966","funder_id":"https://openalex.org/F4320332175","funder_display_name":"Health Resources and Services Administration"}],"funders":[{"id":"https://openalex.org/F4320332175","display_name":"Health Resources and Services Administration","ror":"https://ror.org/033jnv181"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W44397411","https://openalex.org/W70406147","https://openalex.org/W1498878353","https://openalex.org/W1503150860","https://openalex.org/W1986182374","https://openalex.org/W2005139651","https://openalex.org/W2013018453","https://openalex.org/W2022284755","https://openalex.org/W2024815049","https://openalex.org/W2033496694","https://openalex.org/W2036658169","https://openalex.org/W2056618707","https://openalex.org/W2056930506","https://openalex.org/W2060995547","https://openalex.org/W2145225199","https://openalex.org/W2151449467","https://openalex.org/W2155355450","https://openalex.org/W2164184454","https://openalex.org/W2172272493","https://openalex.org/W2553901548","https://openalex.org/W2558847741","https://openalex.org/W2560766398","https://openalex.org/W2580172492","https://openalex.org/W2742497804","https://openalex.org/W2750464611","https://openalex.org/W2762799755","https://openalex.org/W2808712634","https://openalex.org/W2906768139","https://openalex.org/W2915479889","https://openalex.org/W2935837182","https://openalex.org/W2945060922","https://openalex.org/W2982057320","https://openalex.org/W3081553985","https://openalex.org/W3081882923","https://openalex.org/W3092065440","https://openalex.org/W3128346264","https://openalex.org/W3134304830","https://openalex.org/W3142182255","https://openalex.org/W3146973880","https://openalex.org/W3152759249","https://openalex.org/W3214446439"],"related_works":["https://openalex.org/W4230428052","https://openalex.org/W7214918623","https://openalex.org/W1997939913","https://openalex.org/W2799614871","https://openalex.org/W2099737313","https://openalex.org/W2022284755","https://openalex.org/W2989538848","https://openalex.org/W2321614182","https://openalex.org/W3110122083","https://openalex.org/W4391640993"],"abstract_inverted_index":{"The":[0,47,143],"purpose":[1],"of":[2,12,15,81,132,138,145],"this":[3,30,146],"qualitative":[4],"study":[5,31,147],"was":[6],"to":[7,33,105,151,167,181],"gain":[8],"a":[9,119],"better":[10],"understanding":[11],"the":[13,35,61,77,90,100,149],"spheres":[14],"influence":[16,39],"on":[17,60],"engagement":[18,183],"in":[19,127,184],"recommended":[20],"diabetes":[21,40,129,185],"preventive":[22,188],"health":[23,169,189],"services":[24,190],"among":[25,42,156],"rural,":[26,43,157,192],"working":[27,44,158,193],"adults.":[28,194],"Additionally,":[29],"sought":[32],"understand":[34],"unique":[36],"factors":[37],"that":[38,72],"self-management":[41,186],"adult":[45],"populations.":[46],"sample":[48],"included":[49],"mostly":[50],"African-American,":[51],"low-income":[52],"females":[53],"with":[54,76,83],"self-reported":[55],"diabetes,":[56],"who":[57],"scored":[58],"low":[59],"Patient":[62],"Activation":[63],"Measure":[64],"(PAM-10).":[65],"Semi-structured":[66],"interviews":[67],"(N":[68],"=":[69],"20)":[70],"revealed":[71],"most":[73],"participants":[74,111],"struggled":[75],"\"ups":[78],"and":[79,102,116,136,140,171,177,187],"downs\"":[80],"living":[82],"diabetes.":[84],"Four":[85],"major":[86],"themes":[87],"emerged":[88],"from":[89],"data:":[91],"\"the":[92],"struggle,\"":[93],"\"doing":[94],"things":[95],"together,\"":[96],"\"diabetes":[97],"is":[98],"not":[99],"priority,\"":[101],"\"we're":[103],"lucky":[104],"have":[106],"what":[107],"we":[108],"have.\"":[109],"Most":[110],"were":[112,123],"developing":[113],"individual":[114],"responsibility":[115],"motivation":[117],"for":[118,191],"healthy":[120],"future,":[121],"but":[122],"overwhelmed":[124],"by":[125],"inconsistency":[126],"self-management,":[128],"distress,":[130],"lack":[131,137,164],"effective":[133],"coping":[134],"strategies,":[135],"social":[139],"economic":[141],"capital.":[142],"findings":[144],"indicate":[148],"need":[150],"further":[152],"address":[153],"psychological":[154,173],"well-being":[155],"adults,":[159],"yet":[160],"rural":[161],"populations":[162],"often":[163],"sufficient":[165],"access":[166],"mental":[168],"care":[170],"formalized":[172],"support.":[174],"Psychological":[175],"support":[176],"resources":[178],"are":[179],"essential":[180],"facilitate":[182]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-01-05T00:00:00"}