Department of Nutrition, Institute for Basic Medical Sciences, University of Oslo, Oslo, Norway.
Ethn Health. 2011 Jun;16(3):279-97. doi: 10.1080/13557858.2011.573537.
To explore perceptions of diabetes risk factors among Pakistani immigrant women, as part of their explanatory model of the disease, and the changes in these perceptions after a culturally adapted intervention.
Intervention study, carried out in Oslo, Norway, comprising 198 women.
At baseline, about 75% of the women perceived sugar to be a risk factor for diabetes, about 30% mentioned physical inactivity and stress and close to 20% mentioned overweight. Twelve per cent could not identify any risk factors. When asked about foods to include in a diet to prevent diabetes, vegetables were mentioned by 45%, while 33% did not know any foods to include. Among those attending ≥60% of the educational sessions, the proportions mentioning little physical activity (p<0.001), overweight (p=0.001) and family history (p=0.007) as risk factors increased. Furthermore, the proportions mentioning legumes (p=0.001), fish (p<0.001), fibre (p=0.035) or vegetables (p=0.015) as important in a diet to prevent diabetes increased, and the proportion not knowing any food to include was reduced to 10% (p=0.004). Except for little physical activity, similar changes in responses were not registered in the control group.
There is a need for improved knowledge about diabetes prevention among Pakistani immigrant women, and a culturally adapted intervention may contribute to this.
探索巴基斯坦裔移民女性对糖尿病危险因素的认知，这是其对该疾病的解释模型的一部分，并探讨在接受文化适应性干预后这些认知的变化。
在挪威奥斯陆进行的干预研究，共纳入 198 名女性。
基线时，约 75%的女性认为糖是糖尿病的危险因素，约 30%提到体力活动不足和压力，近 20%提到超重。12%的女性无法识别任何危险因素。当被问及预防糖尿病的饮食中应包含哪些食物时，45%的女性提到蔬菜，而 33%的女性不知道应包含哪些食物。在参加≥60%教育课程的女性中，提到体力活动少（p<0.001）、超重（p=0.001）和家族史（p=0.007）为危险因素的比例增加。此外，提到豆类（p=0.001）、鱼（p<0.001）、纤维（p=0.035）或蔬菜（p=0.015）在预防糖尿病饮食中的重要性的比例增加，而不知道任何应包含的食物的比例降低至 10%（p=0.004）。除体力活动少外，对照组未观察到类似的应答变化。
巴基斯坦裔移民女性在糖尿病预防方面需要提高知识水平，而文化适应性干预可能对此有所帮助。
