Stewart Diana W, Depue Judith, Rosen Rochelle K, Bereolos Nicole, Goldstein Michael G, Tuitele John, Nu'usolia Ofeira, McGarvey Stephen T
Alpert Medical School at Brown University, Providence, RI 02912-9025, USA ; Department of Health Disparities Research Unit 1440, University of Texas M.D. Anderson Cancer Center, PO Box 301402, Houston, TX 77230-1402, USA.
Transl Behav Med. 2013 Mar 1;3(1):30-38. doi: 10.1007/s13142-012-0114-y. Epub 2012 Feb 1.
In American Samoa (AS), nearly 22% of adults have type 2 diabetes. Diabetes is best managed by diet and lifestyle modifications and strict medication adherence. Cultural aspects might affect medication-taking beliefs, and thereby influence medication adherence. This study aims to explore diabetes medication-taking experiences and knowledge and related cultural beliefs in AS adults with diabetes and healthcare providers. Six focus groups were conducted with 39 AS adults with diabetes and individual interviews were performed with 13 diabetes healthcare providers. Data were transcribed and analyzed using NVivo 8 software. Themes pertaining to medication taking and adherence were identified. Patients and providers reported that barriers such as confusion about medications and concern about medication costs negatively influence medication taking, while cultural values and obligations both positively and negatively impact medication adherence. These findings help elucidate the relationship between medication-taking beliefs and culture in AS adults with diabetes and highlight the importance of continued research within this population.
在美属萨摩亚（AS），近22%的成年人患有2型糖尿病。糖尿病的最佳管理方式是通过饮食和生活方式的改变以及严格遵守药物治疗。文化因素可能会影响用药观念，进而影响药物治疗的依从性。本研究旨在探讨美属萨摩亚成年糖尿病患者和医疗服务提供者的糖尿病用药经历、知识以及相关文化观念。对39名美属萨摩亚成年糖尿病患者进行了6次焦点小组访谈，并对13名糖尿病医疗服务提供者进行了个人访谈。使用NVivo 8软件对数据进行转录和分析。确定了与用药和依从性相关的主题。患者和提供者报告称，诸如对药物的困惑和对药物成本的担忧等障碍对用药产生负面影响，而文化价值观和义务对药物治疗的依从性既有积极影响也有消极影响。这些发现有助于阐明美属萨摩亚成年糖尿病患者用药观念与文化之间的关系，并凸显在这一人群中持续开展研究的重要性。
