成人在危地马拉农村地区的 2 型糖尿病体验：一项定性研究。
Adults' Experiences with Type 2 Diabetes in Rural Guatemala: A Qualitative Study.
出版信息
J Health Care Poor Underserved. 2023;34(1):208-223. doi: 10.1353/hpu.2023.0014.
BACKGROUND
Given that the diabetes burden is rising rapidly in low- and middle-income countries, it is critical to understand perspectives of people living with diabetes in these settings. This qualitative study examines perceptions of causality and treatment among adults with type 2 diabetes in rural Indigenous communities of Guatemala.
METHODS
We conducted semi-structured interviews with 29 people living with type 2 diabetes from a population survey in two majority Indigenous Guatemalan towns. Data were coded inductively and themes were elucidated by consensus.
RESULTS
Participants emphasized strong emotional experiences and stress as perceived causes of diabetes, as well as diet and heritability. All participants took biopharmaceutical treatments, but many also endorsed diet, exercise, herbal remedies, and naturopathic products as important remedies.
CONCLUSION
Perspectives from people living with diabetes in two rural Indigenous towns in Guatemala differ from the biomedical model of disease and have implications for clinical practice and program development.
背景
由于糖尿病负担在中低收入国家迅速增加，了解这些国家中糖尿病患者的观点至关重要。本定性研究考察了危地马拉农村土著社区 2 型糖尿病患者对病因和治疗的看法。
方法
我们对来自两个主要土著危地马拉城镇的人口调查中的 29 名 2 型糖尿病患者进行了半结构化访谈。数据进行了归纳式编码，并通过共识阐明了主题。
结果
参与者强调强烈的情绪体验和压力是糖尿病的感知原因，以及饮食和遗传性。所有参与者都接受了生物制药治疗，但许多人还认为饮食、运动、草药和顺势疗法产品是重要的治疗方法。
结论
危地马拉两个农村土著城镇的糖尿病患者的观点与疾病的生物医学模式不同，这对临床实践和项目开发有影响。
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