Department of Medicine, Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, 1717 11th Ave S, MT624, Birmingham, AL 35205, USA.
Fam Community Health. 2011 Oct-Dec;34(4):280-90. doi: 10.1097/FCH.0b013e31822b5359.
This study examined barriers and facilitators to diabetes self-management among Latino immigrants with diabetes and whether similarities and differences were observed by gender. Eight focus groups were conducted with 24 women and 21 men Latinos; four focus groups involved women only and four involved men only. Themes were identified using a combined deductive/inductive approach and an iterative process of consensus coding. Gender similarities and differences emerged. Barriers to self-management were primarily social for the women, whereas for men, structural aspects related to work were prominent. Interventions aimed at improving diabetes self-management among US Latino immigrants should consider tailored approaches to help men and women overcome distinct barriers.
本研究旨在探讨糖尿病患者中西班牙裔移民在自我管理方面所面临的障碍和促进因素，以及这些因素是否因性别而异。为此，我们进行了八组焦点小组讨论，参与者包括 24 名女性和 21 名男性西班牙裔；其中四组仅由女性参与，另外四组仅由男性参与。我们采用了一种结合演绎/归纳法和迭代共识编码的方法来确定主题。结果发现，存在一些性别相似和不同之处。女性面临的自我管理障碍主要来自社会方面，而男性则主要受到与工作相关的结构性因素的影响。因此，旨在改善美国西班牙裔移民糖尿病自我管理的干预措施应该考虑采用针对性的方法，帮助男性和女性克服不同的障碍。
