Concepts of diabetes self-management in mexican american and african american low-income patients with diabetes.

Auteur(s) :
Lynch EB., Fernández-Martínez A., Lighthouse N.
Date :
Oct, 2012
Source(s) :
HEALTH EDUC RES. #27:5 p814-824
Adresse :
Department of Preventive Medicine, Rush University Medical Center, Chicago, IL, USA 60612, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA 94110, Dominican University, River Forest, IL, USA, Department of Anthropology, Northwestern University, Evanston, IL, USA 60201 and Department of Medicine & Health Innovation Program, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA 53705.

Sommaire de l'article

The goal of the study was to explore low-income minority patients’ concepts of diabetes self-management and assess the extent to which patient beliefs correspond to evidence-based recommendations. African American and Mexican American patients with type 2 diabetes were recruited from safety net clinics that serve the uninsured and under-insured in Chicago and San Francisco to participate in focus group discussions. Grounded theory was used to identify themes related to diabetes self-management. Strategies participants mentioned for diabetes self-care were medication use, diet, weight loss and exercise. Eating more fruit and vegetables and consuming smaller portions were the most commonly mentioned dietary behaviors to control diabetes. African Americans expressed skepticism about taking medications. Mexican Americans discussed barriers to acquiring medications and use of herbal remedies. Mexican Americans frequently mentioned intentional exercise of long duration as a management strategy, whereas African Americans more frequently described exercise as regular activities of daily living. Blood glucose self-monitoring and reducing risks of diabetes complications were rarely mentioned as diabetes self-management behaviors. African American and Mexican American patients have different concepts of diabetes self-management, especially with regard to medication use and physical activity. Consideration of these differences may facilitate design of effective self-management interventions for these high-risk populations.

Source : Pubmed