Epidemiology and Biostatistics Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand.
Pacific Health Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand.
Health Expect. 2020 Aug;23(4):837-845. doi: 10.1111/hex.13056. Epub 2020 May 22.
Prediabetes is a precursor for type 2 diabetes. Compared to the New Zealand/European and other population groups (24.6%), the prevalence of prediabetes is higher within Pacific groups (29.8%). The diagnosis of prediabetes presents a potential opportunity to intervene to prevent progression to type 2 diabetes.
To develop an understanding of how being 'at risk' of developing type 2 diabetes is perceived by Tongan people with prediabetes living in Auckland, New Zealand.
The Kakala and Talanga Tongan methodologies underpinned this study. Twelve one-on-one, semi-structured interviews with Tongan patients who had prediabetes from a primary health-care clinic in Auckland, New Zealand, were conducted. Thematic analysis was used to identify recurrent themes from the data.
Participants were not aware of their prediabetes diagnosis, emotions associated with the diagnosis reflected fear and disbelief and a perception of imminent danger. Family history informed perceptions of the risk of developing type 2 diabetes. Participants could not differentiate prediabetes from type 2 diabetes, and recollections of being 'back in the Islands' of Tonga were consistent with healthy lifestyles.
Prediabetes appeared to be poorly understood and was believed to be irreversible, which could discourage behaviour change, social and physical improvements in health. Appropriate culturally tailored messages to accompany a prediabetes diagnosis, including cause and management, would be beneficial for Pacific peoples.
前驱糖尿病是 2 型糖尿病的前兆。与新西兰/欧洲和其他人群（24.6%）相比，太平洋人群的前驱糖尿病患病率更高（29.8%）。前驱糖尿病的诊断为干预以预防 2 型糖尿病的进展提供了潜在机会。
了解生活在新西兰奥克兰的患有前驱糖尿病的汤加人如何看待自己患 2 型糖尿病的风险。
该研究以卡卡拉和塔拉加汤加方法学为基础。在新西兰奥克兰的一家初级保健诊所，对 12 名患有前驱糖尿病的汤加患者进行了一对一的半结构式访谈。使用主题分析从数据中识别反复出现的主题。
参与者不知道自己患有前驱糖尿病，与诊断相关的情绪反映了恐惧和怀疑，以及对迫在眉睫的危险的感知。家族史影响了对患 2 型糖尿病风险的看法。参与者无法区分前驱糖尿病和 2 型糖尿病，回忆起在汤加的“岛屿”时，他们的生活方式都很健康。
前驱糖尿病似乎理解得很差，并且被认为是不可逆转的，这可能会阻碍行为改变、社会和身体健康的改善。针对太平洋人群的前驱糖尿病诊断，包括病因和管理，提供适当的文化上合适的信息将会是有益的。
