Table 3 Adjusted Model Assessing Cultural Context Factors as Mediators/Moderators between Psychosocial Characteristics and T2DM Self-Care (N = 356)
Outcome | Mediation: Step 1 | Mediation: Step 2 | Mediation: Step 3 | Moderation | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
Self-Care | Religiosity | Social Support | Self-Care | Self-Care | ||||||
Depression | ||||||||||
 Effect | Estimate (SE) | p-value | Estimate (SE) | p-value | Estimate (SE) | p-value | Estimate (SE) | p-value | Estimate (SE) | p-value |
 Intercept | 0.162 (0.494) | 0.743 | −0.524 (1.185) | 0.662 | 0.119 (0.479) | 0.805 | −0.754 (0.639) | 0.239 | −0.833 (0.640) | 0.194 |
 Depressed | − 0.198 (0.140) | 0.157 | −0.813 (0.345) | 0.100 | 0.050 (0.136) | 0.714 | −0.163 (0.141) | 0.248 | 0.036 (0.171) | 0.835 |
 Religiosity |  |  |  |  |  |  | 0.209 (0.118) | 0.078 | 0.334 (0.132) | 0.012 |
 Social Support |  |  |  |  |  |  | −0.013 (0.058) | 0.819 | − 0.012 (0.076) | 0.870 |
 Depressed * Religiosity |  |  |  |  |  |  |  |  | −0.522 (0.255) | 0.042 |
 Depressed * Social Support |  |  |  |  |  |  |  |  | 0.000 (0.120) | 0.998 |
Distress | ||||||||||
 Intercept | 0.027 (0.470) | 0.954 | −0.960 (1.164) | 0.418 | 0.180 (0.475) | 0.704 | −0.024 (0.469) | 0.959 | −0.017 (0.463) | 0.971 |
 Distress | −0.398 (0.061) | <.0001 | −0.267 (0.155) | 0.159 | −0.083 (0.062) | 0.186 | −0.389 (0.061) | <.0001 | −0.275 (0.075) | 0.000 |
 Religiosity |  |  |  |  |  |  | 0.221 (0.112) | 0.049 | 0.224 (0.111) | 0.045 |
 Social Support |  |  |  |  |  |  | −0.049 (0.057) | 0.394 | − 0.089 (0.060) | 0.135 |
 Distress * Religiosity |  |  |  |  |  |  |  |  | −0.271 (0.113) | 0.017 |
 Distress * Social Support |  |  |  |  |  |  |  |  | 0.081 (0.046) | 0.081 |
Empowerment | ||||||||||
 Intercept | 0.176 (0.479) | 0.713 | −0.950 (1.177) | 0.427 | 0.254 (0.472) | 0.591 | 0.112 (0.479) | 0.815 | 0.057 (0.486) | 0.907 |
 Empowerment | 0.216 (0.057) | <.001 | 0.023 (0.137) | 0.877 | 0.089 (0.056) | 0.114 | 0.215 (0.057) | <.001 | 0.143 (0.082) | 0.083 |
 Religiosity |  |  |  |  |  |  | 0.240 (0.115) | 0.038 | 0.242 (0.115) | 0.036 |
 Social Support |  |  |  |  |  |  | −0.053 (0.057) | 0.354 | −0.054 (0.060) | 0.368 |
 Empowerment * Religiosity |  |  |  |  |  |  |  |  | 0.137 (0.112) | 0.222 |
 Empowerment * Social Support |  |  |  |  |  |  |  |  | −0.002 (0.046) | 0.974 |
Stress | ||||||||||
 Intercept | 0.192 (0.501) | 0.701 | −0.719 (1.177) | 0.547 | 0.146 (0.480) | 0.761 | 0.136 (0.503) | 0.786 | −0.096 (0.503) | 0.849 |
 Stress | −0.244 (0.074) | 0.001 | −0.275 (0.173) | 0.253 | 0.017 (0.071) | 0.811 | −0.227 (0.075) | 0.003 | −0.120 (0.095) | 0.206 |
 Religiosity |  |  |  |  |  |  | 0.184 (0.122) | 0.131 | 0.199 (0.120) | 0.099 |
 Social Support |  |  |  |  |  |  | 0.002 (0.062) | 0.978 | −0.099 (0.074) | 0.182 |
 Stress * Religiosity |  |  |  |  |  |  |  |  | −0.186 (0.124) | 0.135 |
 Stress * Social Support |  |  |  |  |  |  |  |  | 0.184 (0.077) | 0.017 |
Self-Reported Health Status | ||||||||||
 Intercept | 0.071 (0.484) | 0.884 | −0.835 (1.158) | 0.478 | 0.235 (0.465) | 0.614 | 0.010 (0.484) | 0.984 | −0.142 (0.490) | 0.773 |
 Health Status | 0.112 (0.065) | 0.089 | 0.508 (0.165) | 0.037 | −0.089 (0.064) | 0.162 | 0.086 (0.066) | 0.197 | 0.033 (0.089) | 0.707 |
 Religiosity |  |  |  |  |  |  | 0.228 (0.117) | 0.051 | 0.230 (0.116) | 0.049 |
 Social Support |  |  |  |  |  |  | −0.028 (0.058) | 0.634 | −0.051 (0.060) | 0.398 |
 Health Status * Religiosity |  |  |  |  |  |  |  |  | 0.102 (0.113) | 0.366 |
 Health Status * Social Support |  |  |  |  |  |  |  |  | −0.100 (0.062) | 0.109 |