Wu Phillis L, Sadler Georgia Robins, Nguyen Victoria, Shi Manli, Gilpin Elizabeth A, Cruz Lee Ann C, Blas Lillian A, Cruz Jesus A
The Rebecca and John Moores UCSD Cancer Center and UCSD School of Medicine, La Jolla, California (Ms Wu, Dr Sadler, Ms Nguyen, Dr Shi, Ms Gilpin, Ms Blas)
The Breast Cancer Research Provincial and Survey, Beijing Institute for Cancer Research, China (Dr Shi)
Diabetes Educ. 2005 May-Jun;31(3):379-90. doi: 10.1177/0145721705276579.
The purpose of this study was to assess the diabetes risk status, incidence, and morbidity within San Diego's Chamorro community as a foundation to help community leaders and health care providers create culturally customized health promotion interventions.
The Behavioral Risk Factor Surveillance Survey was used to query a randomly selected, convenience sample of San Diego Chamorros (N = 228) drawn from the Chamorro Directory International. Based on individual survey responses, participants were mailed personalized health-promoting information. Subsequently, they received information that addressed the most commonly observed overall threats to the Chamorro community's health.
A higher than average prevalence of diabetes and gestational diabetes was reported by study participants along with a high prevalence of the risk factors associated with the premature onset of diabetes and its consequences.
Collaborative partnerships between health professionals and community leaders can help identify opportunities and strategies for improving the health of the nation's population subgroups. San Diego's Chamorro community leaders now have a clearer understanding of the prevalence of diabetes risk factors within their community and can begin working with public health educators to create culturally aligned diabetes prevention and management programs. Given the willingness of Chamorro leaders to get involved in the development of a diabetes awareness campaign and the community's closely knit social network, it should be possible to promote (1) community participation in the intervention program, (2) an increase in the community's adherence to recommended behavioral changes, and (3) identification of additional program modifications that will further enhance the program's cultural relevance.
本研究旨在评估圣地亚哥查莫罗社区的糖尿病风险状况、发病率和患病率，为社区领袖和医疗服务提供者制定符合文化习俗的健康促进干预措施提供依据。
采用行为风险因素监测调查，从国际查莫罗名录中随机抽取圣地亚哥查莫罗人作为便利样本（N = 228）进行询问。根据个人调查回复，向参与者邮寄个性化的健康促进信息。随后，他们收到了针对查莫罗社区健康最常见总体威胁的信息。
研究参与者报告的糖尿病和妊娠糖尿病患病率高于平均水平，与糖尿病过早发病及其后果相关的风险因素患病率也很高。
卫生专业人员与社区领袖之间的合作关系有助于确定改善该国人口亚群体健康的机会和策略。圣地亚哥的查莫罗社区领袖现在对其社区内糖尿病风险因素的患病率有了更清晰的认识，并可以开始与公共卫生教育工作者合作，制定符合文化习俗的糖尿病预防和管理计划。鉴于查莫罗领袖愿意参与糖尿病宣传活动的开展，以及社区紧密的社会网络，应该能够促进（1）社区参与干预计划，（2）社区增加对推荐行为改变的依从性，以及（3）确定进一步增强计划文化相关性的其他计划修改措施。
