School of Psychology, Faculty of Health, Liverpool John Moores University, UK.
Faculty of Health and Social Care, Edgehill University, Liverpool, UK.
Br J Health Psychol. 2021 Sep;26(3):789-806. doi: 10.1111/bjhp.12503. Epub 2021 Jan 15.
Type 2 diabetes (T2D) prevention programmes should target high-risk groups. Previous research has highlighted minimal engagement in such services from South Asian (SA) people. Given SA's elevated risk of T2D, there is a need to understand their perceptions, risks, and beliefs about T2D.
This study aimed to assess T2D risk perception within a community sample of SA people using Grounded Theory methodology. Specifically, health beliefs were assessed, and we explored how these beliefs affected their T2D risk perceptions.
Twenty SA participants (mean age = 38 years) without a diagnosis of T2D were recruited from community and religious settings across the North West of England. In line with grounded theory (Strauss & Corbin, 1990, Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park: Sage Publications), data collection and analysis coincided.
The superordinate category of Culturally Situated Risk Perception incorporated a complex psychological understanding of the formation of T2D risk perception, which takes into account the social, cultural, and community-based environmental factors. This superordinate category was explained via two core categories (1) Diminished Responsibility, informed by sub-categories of Destiny and Heredity, and (2) Influencing Healthy Lifestyle Behaviours, informed by sub-categories of Socio-cultural and Environmental.
This study investigated risk perception of T2D within the SA community. When considering health prevention in the context of an individual's culture, we need to consider the social context in which they live. Failure to acknowledge the cultural-situated T2D risk perception relevant to health promotion and illness messages may account for the issues identified with health care engagement in the SA population.
2 型糖尿病（T2D）预防计划应针对高危人群。先前的研究表明，南亚（SA）人群对这类服务的参与度很低。鉴于 SA 人群患 T2D 的风险较高，因此需要了解他们对 T2D 的看法、风险和信念。
本研究旨在使用扎根理论方法评估 SA 人群社区样本中的 T2D 风险感知。具体来说，评估了健康信念，并探讨了这些信念如何影响他们对 T2D 风险的感知。
从英格兰西北部的社区和宗教场所招募了 20 名没有 T2D 诊断的 SA 参与者（平均年龄 38 岁）。根据扎根理论（Strauss & Corbin，1990，定性研究基础：扎根理论程序和技术。纽伯里公园：Sage 出版物），数据收集和分析同时进行。
“文化情境风险感知”的上位类别包含了对 T2D 风险感知形成的复杂心理理解，考虑了社会、文化和社区环境因素。这个上位类别通过两个核心类别来解释：（1）减轻责任，由命运和遗传的子类别来解释；（2）影响健康生活方式行为，由社会文化和环境的子类别来解释。
本研究调查了 SA 社区对 T2D 的风险感知。在考虑个体文化背景下的健康预防时，我们需要考虑他们所处的社会环境。如果不承认与健康促进和疾病信息相关的文化情境 T2D 风险感知，可能是导致 SA 人群医疗保健参与问题的原因。
