School of Nursing, Azusa Pacific University, 701 E. Foothill Blvd, Azusa, CA, 91702-7000, USA.
, Tuscaloosa, USA.
J Racial Ethn Health Disparities. 2023 Oct;10(5):2252-2260. doi: 10.1007/s40615-022-01404-5. Epub 2022 Sep 6.
Hispanic-Americans are disproportionately affected by type 2 diabetes compared to non-Hispanic Whites. Five million adult Hispanic Americans are estimated to have been diagnosed with T2D. Among US Hispanics, Mexicans have the highest rate (14.4%) of diabetes. Further, Hispanics are also twice as likely as non-Hispanics Whites to die from diabetes, making it the fifth leading cause of their death and a serious health problem in Hispanic communities. Yet, little is understood of what rural immigrant Latinas do to care for their diabetes health. In-depth interviews (3 focus groups) and thematic analysis found 16 Latinas had T2D on average for 9 years; all emigrated to the USA from Mexico, lived in the USA for an average of 27 years, and worked (60%). Within the domain of "What do you do to take care of your health?" Latinas desired to adhere to exercise, controlled diet, and medications, but perceived a powerful barrier to a healthy life was the American lifestyle that included long work days, more money to purchase unhealthy foods and a desire for them, and a lack of time for other forms of exercise. Despite the Latina participants' years of experience about living with T2D in the US, they still struggled to adhere to healthy behaviors. Future research should address the longer time Hispanic immigrants live in the US with the more at-risk they become for diminished health.
与非西班牙裔白人相比，西班牙裔美国人 2 型糖尿病的发病率不成比例。据估计，有 500 万成年西班牙裔美国人被诊断患有 T2D。在美国的西班牙裔中，墨西哥裔的糖尿病发病率最高（14.4%）。此外，西班牙裔死于糖尿病的可能性是白人的两倍，这使其成为他们死亡的第五大主要原因，也是西班牙裔社区的一个严重健康问题。然而，对于农村移民拉丁裔女性如何照顾自己的糖尿病健康，人们知之甚少。深入访谈（3 个焦点小组）和主题分析发现，16 名拉丁裔女性平均患有 T2D9 年；她们都从墨西哥移民到美国，平均在美国生活了 27 年，并工作（60%）。在“你做什么来照顾你的健康？”这一领域，拉丁裔女性希望坚持锻炼、控制饮食和服用药物，但认为健康生活的一个强大障碍是美国的生活方式，包括长时间工作、更多的钱购买不健康的食物和对它们的渴望，以及缺乏时间进行其他形式的锻炼。尽管拉丁裔参与者在美国患有 T2D 已有多年，但他们仍难以坚持健康的行为。未来的研究应该关注西班牙裔移民在美国生活的时间更长，他们的健康风险就越大。
