Faculty of Pharmacy, The University of Sydney, Camperdown, NSW 2006, Australia.
Central Clinical School, Sydney Medical School, The University of Sydney, NSW 2006, Australia; The Diabetes Centre, Royal Prince Alfred Hospital, Sydney, NSW 2006, Australia.
Diabetes Res Clin Pract. 2016 Sep;119:97-105. doi: 10.1016/j.diabres.2016.07.006. Epub 2016 Jul 28.
To investigate the influence of cultural and other factors on diabetes self-management behaviors among Australian Chinese immigrants with T2D.
A cross-sectional survey was conducted between June and October 2015. The questionnaire comprised several validated scales examining aspects of self-management practice including medication adherence, acculturation and demographics. Participants were recruited from the community and Diabetes Center of the Royal Prince Alfred Hospital (RPAH), Sydney, Australia.
Of the 139 participants, a majority were female, from mainland China, with high school level education and a mean age of 64 (SD±12) years. Participants were found to have poor self-management practices generally but moderate medication adherence. 13.7% of participants reported incorporating TCM into their diabetes treatment and 24% reported a cultural shame surrounding a diabetes diagnosis. Higher levels of acculturation predicted better medication adherence, whereas stronger beliefs in TCM predicted poorer medication adherence. Gender, education level and duration of diabetes were also predictors of diabetes self-management behaviors.
This study provided insight into cultural influences on diabetes self-management and medication taking among Chinese immigrants in Australia. Health care providers should take these into account in delivering culturally sensitive care and advice to achieve better health outcomes.
调查文化和其他因素对澳大利亚华裔 2 型糖尿病患者糖尿病自我管理行为的影响。
本研究于 2015 年 6 月至 10 月期间开展了一项横断面调查。问卷包括几个经过验证的量表，评估了自我管理实践的各个方面，包括药物依从性、文化适应和人口统计学。参与者是从澳大利亚悉尼的皇家阿尔弗雷德王子医院（RPAH）社区和糖尿病中心招募的。
在 139 名参与者中，大多数是女性，来自中国大陆，具有高中学历，平均年龄为 64（SD±12）岁。研究发现，参与者的自我管理实践普遍较差，但药物依从性中等。13.7%的参与者报告将中药纳入其糖尿病治疗中，24%的参与者报告对糖尿病诊断感到文化上的羞耻。更高的文化适应水平预示着更好的药物依从性，而对中药的更强信念则预示着更差的药物依从性。性别、教育水平和糖尿病病程也是糖尿病自我管理行为的预测因素。
本研究深入了解了文化对澳大利亚华裔移民糖尿病自我管理和药物治疗的影响。医疗保健提供者在提供文化敏感的护理和建议时应考虑到这些因素，以实现更好的健康结果。
