Sunni Muna, Farah Mohamed, Hardie Christine, Dhunkal Abdirahman M, Abuzzahab M Jennifer, Kyllo Jennifer H, Bellin Melena D, Nathan Brandon, Moran Antoinette
Department of Pediatrics, University of Minnesota Children's Hospital, Minneapolis, MN, 55454, USA,
J Community Health. 2015 Aug;40(4):827-33. doi: 10.1007/s10900-015-0006-4.
Describe cultural beliefs related to diabetes in Minnesota Somali children with type 1 diabetes (T1D), and compare their diabetes control to that of non-Somali children with diabetes. A cross-sectional study involving Somali children ≤ 19 years with T1D at the University of Minnesota Masonic Children's Hospital and Children's Hospitals and Clinics of Minnesota. A survey was administered to parents of all participants and to children aged ≥ 12 years. Data were collected by history and from the medical record. Twenty-five Somali children participated, with 24 parent-child pairs (2 siblings). Mean participant age was 12.2 ± 5.2 (36% female). Seventy-one percent of parents indicated the child was "the same as before" other than having to do diabetes cares. Families were coping well, and the child was not treated differently than siblings. Performance of routine cares was described as the hardest part about having diabetes, but this was not related to traditional culture or religion. One notable exception was difficulty performing carbohydrate counting on Somali foods. Respondents were appreciative of the education provided by the diabetes team. Less than 10% used herbal supplements in addition to insulin. Mean HbA1c in Somali children was higher than the overall pediatric clinic average, 9.5 ± 1.6 % versus 8.8 ± 1.6 (p = 0.01). The difference was largely due to adolescent patients. The majority of Somali families cope well with diabetes and have a positive attitude towards the diabetes education. Glycemic control in adolescents is worse than in non-Somali peers. There is a need for culture-specific dietary instruction materials.
描述明尼苏达州患有1型糖尿病（T1D）的索马里儿童与糖尿病相关的文化信仰，并将他们的糖尿病控制情况与非索马里糖尿病儿童进行比较。这是一项横断面研究，涉及明尼苏达大学共济会儿童医院和明尼苏达儿童医院及诊所中年龄≤19岁的患有T1D的索马里儿童。对所有参与者的父母以及年龄≥12岁的儿童进行了一项调查。通过病史和病历收集数据。25名索马里儿童参与，有24对亲子（2对兄弟姐妹）。参与者的平均年龄为12.2±5.2岁（36%为女性）。71%的父母表示，除了需要进行糖尿病护理外，孩子“和以前一样”。家庭应对良好，孩子与兄弟姐妹没有受到不同对待。日常护理的执行被描述为患糖尿病最困难的部分，但这与传统文化或宗教无关。一个明显的例外是对索马里食物进行碳水化合物计数有困难。受访者对糖尿病团队提供的教育表示感激。除胰岛素外，不到10%的人使用草药补充剂。索马里儿童的平均糖化血红蛋白（HbA1c）高于儿科诊所的总体平均水平，分别为9.5±1.6%和8.8±1.6%（p = 0.01）。差异主要归因于青少年患者。大多数索马里家庭能够很好地应对糖尿病，并且对糖尿病教育持积极态度。青少年的血糖控制比非索马里同龄人更差。需要有针对特定文化的饮食指导材料。
