Asian Americans; Diabetes; Hawaiians; Health and race; NHOPI; Pacific Islanders; Psychosocial factors; Self-care; Health; Social networks


Behavior and Behavior Mechanisms | Demography, Population, and Ecology | Endocrinology, Diabetes, and Metabolism | Public Health | Race and Ethnicity


This study examined the differences between 207 Asians and Native Hawaiian, other Pacific Islanders (NHOPI) with type 2 diabetes among various psychosocial measures. Responses to five multivariable regression models including the Diabetes Quality of Life Questionnaire (DQOL) and Short Form -36® Health Survey (SF-36) were analyzed. Differences were determined by linear contrasts in the multivariate linear regression models after adjusted for multiple demographic and socioeconomic variables. Compared to Asians, NHOPIs perceived a lower impact of diabetes on their quality of life; highlighting differences in perceptions of self-efficacy and self-care activities. Females did better on their diet while males perceived better social support. Approaches to diabetes treatment decisions should include ethnic and cultural differences that may impact treatment outcomes.