Bhattacharya Gauri
Department of Social Work, College of Nursing and Health Professions, Arkansas State University–Jonesboro, AR 72467, USA.
J Health Care Poor Underserved. 2012 Feb;23(1):161-78. doi: 10.1353/hpu.2012.0035.
This qualitative study explored underlying factors influencing the promotion of type 2 diabetes (T2D) self-management among adult African Americans diagnosed with T2D in the Arkansas Delta. Our narrative approach gathered insights in the participants' own voices and placed their T2D self-management experiences in social-cultural-historical contexts. Using purposive sampling, 31 participants (16 women and 15 men) were selected and interviewed. The participants showed low awareness of T2D's chronic nature because of its asymptomatic or nonspecific symptoms. They interpreted medically prescribed dietary and physical exercise guidelines as impractical and culturally irrelevant for them. Medication non-adherence was due to inadequate knowledge and awareness of T2D as a chronic disease, and suspicion and mistrust of the formal medical system. To develop culturally-targeted interventions to advance self-management outcomes, we must understand from and with African Americans the strengths of social-cultural contexts in which they live and make their health behavior choices. Engaging African Americans diagnosed with T2D in community-based programs may be a promising approach.
这项定性研究探讨了影响阿肯色三角洲地区成年非裔美国2型糖尿病（T2D）患者自我管理推广的潜在因素。我们采用叙事方法，以参与者自己的声音收集见解，并将他们的T2D自我管理经历置于社会文化历史背景中。采用目的抽样法，选取了31名参与者（16名女性和15名男性）并进行访谈。由于T2D无症状或非特异性症状，参与者对其慢性本质的认识较低。他们认为医生规定的饮食和体育锻炼指南不切实际，且与他们的文化无关。药物治疗依从性差是由于对T2D作为一种慢性病的知识和认识不足，以及对正规医疗系统的怀疑和不信任。为了制定有针对性的文化干预措施以提高自我管理效果，我们必须从非裔美国人那里并与他们一起了解他们生活的社会文化背景的优势，以及他们做出健康行为选择的情况。让被诊断患有T2D的非裔美国人参与社区项目可能是一种很有前景的方法。
