Objective To evaluate diabetes self-care behaviors, metabolic control, and associated demographic and medical correlates in an understudied sample of emerging adults with type 1 diabetes. Methods Participants included 49 individuals (65% female) aged 18–26 years recruited from two major metropolitan areas and staff from a diabetes summer camp. Participants completed two diabetes interviews to assess daily self-care behaviors and self-report measures of psychosocial adjustment and demographic/medical characteristics. Metabolic control was assessed via HbA1c. Results Most participants (82%) utilized three or more daily insulin injections or an insulin pump. Self-care behaviors varied widely with an average of 2.56 daily blood glucose checks and 3.78 meals/snacks per day. Forty-one percent of participants engaged in daily exercise; just over half were active for 30 minutes or more. Across recall interviews, only 8% (n = 4) met American Diabetes Association (ADA) recommendations for both blood glucose monitoring (BGM) and daily physical activity. Average metabolic control was 8.25% with 81% of HbA1c values above 7.0%. Psychosocial adjustment was within normal limits and unrelated to self-care. Conclusions Daily diabetes care could be improved within this age group, as a significant percentage did not meet minimal ADA recommendations for disease care and metabolic control. Increased BGM and physical activity is recommended, and BGM should correspond to insulin regimen as well as meal and exercise habits. Emerging adults may benefit from targeted education, training, and behavioral support to enhance self-care behaviors during this critical period.
Despite the widely ratified United Nations Declaration of Human Rights, support for civil liberties is easily eroded in times of threat. Understanding which factors moderate the relationship between threat and support for civil liberties is critical, yet remains relatively unexplored. In this study, we test a double moderation model in which support for the restriction of civil liberties in the face of threat is moderated by both right-wing authoritarianism and political sophistication. In a national representative dataset (N = 12,507), those low on right-wing authoritarianism became more like their high right-wing authoritarian peers in the face of threat. Also, those more sophisticated about political issues were less supportive of restrictions on civil liberties, but only when threat was low. We tested this model on both restrictions for the in-group, in terms of being wiretapped, and for the out-group, in terms of torturing suspected terrorists. Our results suggest that increasing political sophistication may have desirable consequences when considering the outcomes for in-group members, and we argue for increased efforts to expand the in-group we seek to protect.
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