马绍尔人对2型糖尿病的健康认知
Health Beliefs of Marshallese Regarding Type 2 Diabetes.
作者信息
McElfish Pearl Anna, Hallgren Emily, Henry L Jean, Ritok Mandy, Rubon-Chutaro Jellesen, Kohler Peter
机构信息
Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.
Department of Sociology, University of Chicago, Chicago, IL, USA.
出版信息
Am J Health Behav. 2016 Mar;40(2):248-57. doi: 10.5993/AJHB.40.2.10.
OBJECTIVES
The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior in the US Marshallese population living in Arkansas.
METHODS
The study employs focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data were collected from 41 participants; bilingual community co-investigators provided translation as needed.
RESULTS
The results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy.
CONCLUSIONS
The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within Pacific Islander communities.
目标
马绍尔人群患2型糖尿病的比例过高。本研究确定了影响居住在阿肯色州的美国马绍尔人群糖尿病自我管理行为的潜在信念和认知。
方法
该研究采用焦点小组，使用基于社区的参与性研究（CBPR）方法和健康信念模型制定了半结构化访谈指南。从41名参与者中收集数据；双语社区共同调查员根据需要提供翻译。
结果
结果显示感知威胁较高，大多数参与者将糖尿病描述为不可避免的和死刑判决。参与者普遍未意识到糖尿病自我管理行为的益处，马绍尔人群在糖尿病自我管理方面面临重大的政策、环境和系统障碍。行动的主要线索是糖尿病诊断，自我效能水平各不相同。
结论
基于健康信念模型的研究提供了重要贡献，有助于推进太平洋岛民社区内的糖尿病自我管理工作。
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