Sulaiman Nabil D, Furler John S, Hadj Elaine J, Corbett Helen M, Young Doris Y L
Department of General Practice, University of Melbourne, Victoria, Australia.
Health Promot J Austr. 2007 Apr;18(1):63-8. doi: 10.1071/he07063.
A high prevalence of type 2 diabetes and diabetes risk factors exists among Middle East-born communities, largely attributed to modifiable lifestyle factors. Understanding the interplay between individual behaviour and societal and environmental factors would assist in planning interventions to reduce diabetes prevalence in these groups. This study explores the knowledge, attitudes and perceptions of diabetes and its prevention in Turkish and Arabic-speaking communities in metropolitan Melbourne, Victoria, Australia.
Turkish and Arabic-speaking people with risk factors of developing diabetes were invited to attend focus groups. Discussions were audiotaped and transcribed with the assistance of interpreters and then analysed by two researchers independently to ensure validity. Common themes were drawn upon and reported.
Fifty-two people (41 females and 11 males, mean age=58.8 years) participated in five focus groups. Understanding of diabetes and potential for reducing risk of diabetes is closely linked to social context. Individual behaviours around diet and exercise, while partly influenced by cultural factors, are framed by concerns about public safety and food quality, which are themselves closely linked to experiences of social exclusion and marginalisation.
These factors limit potential for individual behaviour change and are implicated in the way chronic stress acts as a common pathway through which individual health comes to embody social context.
在中东出生的人群中，2型糖尿病及糖尿病风险因素的患病率很高，这在很大程度上归因于可改变的生活方式因素。了解个体行为与社会及环境因素之间的相互作用，将有助于规划干预措施以降低这些群体中的糖尿病患病率。本研究探讨了澳大利亚维多利亚州墨尔本大都市地区讲土耳其语和阿拉伯语社区对糖尿病及其预防的知识、态度和认知。
邀请有患糖尿病风险因素的说土耳其语和阿拉伯语的人参加焦点小组。讨论进行了录音，并在口译员的协助下进行了转录，然后由两名研究人员独立分析以确保有效性。提炼并报告了共同主题。
52人（41名女性和11名男性，平均年龄 = 58.8岁）参加了五个焦点小组。对糖尿病的理解以及降低糖尿病风险的可能性与社会背景密切相关。围绕饮食和运动的个体行为虽然部分受到文化因素的影响，但受到对公共安全和食品质量的担忧的制约，而这些担忧本身又与社会排斥和边缘化的经历密切相关。
这些因素限制了个体行为改变的可能性，并与慢性压力作为个体健康体现社会背景的共同途径的作用方式有关。
