Wallace Deshira D, Lytle Leslie A, Albrecht Sandra, Barrington Clare
Department of Health Behavior, UNC Gillings School of Global Public Health.
Department of Epidemiology, Columbia Mailman School of Public Health.
J Lat Psychol. 2021 Aug;9(3):204-216. doi: 10.1037/lat0000168. Epub 2021 May 10.
Latinxs immigrants in the United States experience sources of stress (i.e., stressors) that can limit their ability to engage in healthy behaviors. Stress has been linked to increased type 2 diabetes (T2D) risk in Latinxs living with prediabetes, a group disproportionately affected by T2D. The purpose of this qualitative study is to describe and contextualize the variety of stressors experienced by Latinxs immigrants diagnosed with prediabetes. Semi-structured, in-depth interviews were conducted from March to September 2018 with 20 Latinx immigrants living with prediabetes in North Carolina. We used qualitative content analysis including systematic coding and comparative matrices. The most prominent stressors were those related to health status and healthcare access, finances, interpersonal relationships with family, and loneliness. Participants also identified stressors related to documentation status and discrimination. The stressors Latinx immigrants with prediabetes experience vary, therefore studies and interventions need to specify which sources of stress they are addressing. Multilevel interventions that ameliorate the effects of stressors may facilitate preventive health behaviors among Latinxs with prediabetes.
在美国的拉丁裔移民面临着多种压力源，这些压力源会限制他们采取健康行为的能力。压力与患有糖尿病前期的拉丁裔人群患2型糖尿病（T2D）风险增加有关，该群体受T2D影响的比例过高。这项定性研究的目的是描述并将被诊断为糖尿病前期的拉丁裔移民所经历的各种压力源置于具体情境中。2018年3月至9月，我们对北卡罗来纳州20名患有糖尿病前期的拉丁裔移民进行了半结构化的深入访谈。我们采用了定性内容分析，包括系统编码和比较矩阵。最突出的压力源是那些与健康状况和医疗保健获取、财务状况、与家人的人际关系以及孤独感相关的压力源。参与者还指出了与文件身份和歧视相关的压力源。患有糖尿病前期的拉丁裔移民所经历的压力源各不相同，因此研究和干预措施需要明确它们所针对的是哪些压力源。减轻压力源影响的多层次干预措施可能会促进患有糖尿病前期的拉丁裔人群的预防性健康行为。
