Department of Allied and Public Health Professions, School of Health, Sport and Bioscience, University of East London, London E15 4LZ, UK.
Department of Public Health and Human Sciences, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth BH1 3LH, UK.
Int J Environ Res Public Health. 2021 Jun 4;18(11):6037. doi: 10.3390/ijerph18116037.
Type 2 diabetes (T2DM) prevalence is three times higher among West African Immigrants compared to the general population in the UK. The challenges of managing T2DM among this group have resulted in complications. Reports have highlighted the impact of migration on the health of the immigrant population, and this has contributed to the need to understand the influence of living in West Africa, and getting diagnosed with T2DM, in the management of their condition in the UK. Using a qualitative constructivist grounded theory approach, thirty-four West African immigrants living in the UK were recruited for this study. All participants were interviewed using Semi-structured interviews. After coding transcripts, concepts emerged including noticing symptoms, delayed diagnosis, affordability of health services, beliefs about health, feelings at diagnosis, and emotions experienced at diagnosis all contribute to about diagnosis T2DM. These factors were linked to living in West Africa, among participants, and played significant roles in managing T2DM in the UK. These concepts were discussed under as the overarching concept. Findings from this study highlight important aspects of T2DM diagnosis and how lived experiences, of living in West Africa and the UK, contribute to managing T2DM among West African immigrants. The findings of this study can be valuable for healthcare services supporting West African immigrants living in the UK.
2 型糖尿病（T2DM）在西非移民中的患病率比英国普通人群高 3 倍。由于管理这一人群的 T2DM 面临挑战，导致出现了并发症。报告强调了移民对移民人口健康的影响，这促使人们需要了解生活在西非和被诊断患有 T2DM 对他们在英国管理病情的影响。本研究采用定性建构主义扎根理论方法，招募了 34 名居住在英国的西非移民。所有参与者均接受半结构式访谈。在对转录本进行编码后，出现了一些概念，包括注意到症状、延迟诊断、医疗服务的可负担性、对健康的信念、诊断时的感受和诊断时的情绪，这些都与 T2DM 的诊断有关。这些因素与参与者生活在西非有关，并在英国管理 T2DM 中发挥了重要作用。这些概念在作为总体概念的“生活在西非”下进行了讨论。本研究的结果强调了 T2DM 诊断的重要方面，以及生活在西非和英国的经历如何对西非移民管理 T2DM 产生影响。本研究的结果对于支持居住在英国的西非移民的医疗保健服务具有重要价值。
