The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health

IntroductionType 2 diabetes is a complex chronic illness requiring significant support. The goal of this study is to better understand stressors associated with type 2 diabetes for adolescents and caregivers and their impact on family functioning and health status.MethodsUsing the National Survey of...

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Main Authors: Noël C. Slesinger Roy, Megan O. Bensignor, Wendy S. Grolnick, Peter B. Scal
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1589745/full
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author Noël C. Slesinger Roy
Megan O. Bensignor
Wendy S. Grolnick
Peter B. Scal
author_facet Noël C. Slesinger Roy
Megan O. Bensignor
Wendy S. Grolnick
Peter B. Scal
author_sort Noël C. Slesinger Roy
collection DOAJ
description IntroductionType 2 diabetes is a complex chronic illness requiring significant support. The goal of this study is to better understand stressors associated with type 2 diabetes for adolescents and caregivers and their impact on family functioning and health status.MethodsUsing the National Survey of Children’s Health, this study examined differences in adolescent mental health, family and caregiver functioning, and medical service usage in pediatric type 2 diabetes, asthma, special healthcare needs, and adolescents without chronic illness.ResultsAdolescents and families with type 2 diabetes demonstrated higher mental health concerns, poorer parental coping and family resilience, and higher use of emergency care than one or more of the comparison groups. Emergency care needs were also higher than expected for type 2 diabetes.DiscussionAdolescents with type 2 diabetes and their caregivers reported significant stressors and functioning concerns as compared to adolescents with and without another chronic illness. These families also required more intensive care needs, highlighting the need to support adolescent and family psychosocial functioning in the context of type 2 diabetes.
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spelling doaj-art-fe64089ca9484348a9ecff839d9923a32025-08-20T03:20:10ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-06-011610.3389/fendo.2025.15897451589745The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s HealthNoël C. Slesinger Roy0Megan O. Bensignor1Wendy S. Grolnick2Peter B. Scal3Division of Clinical Behavioral Neuroscience, Department of Pediatrics, University of Minnesota, Minneapolis, MN, United StatesDivision of Pediatric Endocrinology, Department of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota, Minneapolis, MN, United StatesPsychology Department, Clark University, Worcester, MA, United StatesDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, MN, United StatesIntroductionType 2 diabetes is a complex chronic illness requiring significant support. The goal of this study is to better understand stressors associated with type 2 diabetes for adolescents and caregivers and their impact on family functioning and health status.MethodsUsing the National Survey of Children’s Health, this study examined differences in adolescent mental health, family and caregiver functioning, and medical service usage in pediatric type 2 diabetes, asthma, special healthcare needs, and adolescents without chronic illness.ResultsAdolescents and families with type 2 diabetes demonstrated higher mental health concerns, poorer parental coping and family resilience, and higher use of emergency care than one or more of the comparison groups. Emergency care needs were also higher than expected for type 2 diabetes.DiscussionAdolescents with type 2 diabetes and their caregivers reported significant stressors and functioning concerns as compared to adolescents with and without another chronic illness. These families also required more intensive care needs, highlighting the need to support adolescent and family psychosocial functioning in the context of type 2 diabetes.https://www.frontiersin.org/articles/10.3389/fendo.2025.1589745/fullfamily functioningadolescent healthtype 2 diabeteshealthcare usestress
spellingShingle Noël C. Slesinger Roy
Megan O. Bensignor
Wendy S. Grolnick
Peter B. Scal
The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
Frontiers in Endocrinology
family functioning
adolescent health
type 2 diabetes
healthcare use
stress
title The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
title_full The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
title_fullStr The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
title_full_unstemmed The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
title_short The impact of type 2 diabetes on adolescent and family functioning and healthcare use: findings from the National Survey of Children’s Health
title_sort impact of type 2 diabetes on adolescent and family functioning and healthcare use findings from the national survey of children s health
topic family functioning
adolescent health
type 2 diabetes
healthcare use
stress
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1589745/full
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