Mc Manus V, Savage E
Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.
Child Care Health Dev. 2010 Sep;36(5):612-22. doi: 10.1111/j.1365-2214.2010.01101.x. Epub 2010 Jun 1.
Both diabetes and asthma are increasingly being recognized as health problems for ethnic groups. Because of cultural differences, ethnicity is reported to be a risk factor for poorer quality in health care, disease management and disease control. Ethnic groups are at risk for poorer quality of life and increased disease complications when compared with non-ethnic counterparts living in the same country. There is little known about how culture is addressed in interventions developed for ethnic groups. The aim of this paper is to systematically review the cultural perspectives of interventions for managing diabetes and asthma in children, adolescents and/or their families from ethnic minority groups. A total of 92 records were identified that were potentially relevant to this review following which, 61 papers were excluded. The full texts of remaining papers (n= 31) were then read independently by both authors, and agreement was reached to exclude a further 27 papers that did not meet inclusion criteria. A total of four papers were eligible for inclusion in this review. Findings indicate that despite growing concerns about health disparities between ethnic and non-ethnic groups in relation to both asthma and diabetes in childhood, there has been little effort to develop cultural specific interventions for ethnic groups. By systematically reviewing asthma and diabetes interventions we have highlighted that few interventions have been developed from a cultural perspective. There are a limited number of interventions published that add knowledge on the specific elements of intervention that is needed to effectively and sensitively educate other cultures. More work is required into identifying which strategies or components of cultural interventions are most effective in achieving positive health outcomes for children, adolescents and/or their families from ethnic groups.
糖尿病和哮喘日益被视为影响不同种族群体的健康问题。由于文化差异，种族被认为是医疗保健、疾病管理和疾病控制质量较差的一个风险因素。与生活在同一国家的非种族群体相比，种族群体面临生活质量较差和疾病并发症增加的风险。对于为种族群体开发的干预措施中如何考虑文化因素，人们了解甚少。本文旨在系统回顾针对少数民族儿童、青少年及其家庭管理糖尿病和哮喘的干预措施的文化视角。共识别出92条可能与本综述相关的记录，之后排除了61篇论文。然后两位作者分别独立阅读了其余论文（n = 31）的全文，并达成共识，排除另外27篇不符合纳入标准的论文。共有4篇论文符合本综述的纳入标准。研究结果表明，尽管人们越来越关注种族群体与非种族群体在儿童期哮喘和糖尿病方面的健康差距，但几乎没有为种族群体开发针对特定文化的干预措施。通过系统回顾哮喘和糖尿病干预措施，我们强调很少有干预措施是从文化角度开发的。已发表的干预措施数量有限，这些措施增加了关于有效且敏感地教育其他文化所需干预具体要素的知识。需要开展更多工作来确定文化干预措施的哪些策略或组成部分在为种族群体的儿童、青少年及其家庭实现积极健康结果方面最有效。
