Njee Brendabell Ebanga, Pemunta Ngambouk Vitalis, Nimar Vidarah, Fubah Mathias Alubafi, Tanywe Asahngwa Constantine, Bulage Patience, Bosire Tom Obara, Tram Nguyen Ngoc Bich, Angwe Cybel Nji
African Public Health Organization, St. Michael, MN, 55376, USA.
Department of Sociology, Covenant University, Ota, Nigeria.
BMC Health Serv Res. 2025 May 2;25(1):640. doi: 10.1186/s12913-025-12575-2.
Cameroonian immigrants, like many ethnic minority groups, face disproportionately high risks of type 2 diabetes due to barriers in accessing culturally responsive and affordable healthcare. This study explores their healthcare experiences, perceptions, and knowledge of diabetes prevention and self-management to identify gaps in healthcare delivery and opportunities for culturally adapted interventions.
Using a phenomenological approach, 13 nondiabetic Cameroonian immigrants were purposively selected for in-depth interviews. Data were transcribed, manually coded, and analyzed using NVivo 14 software to identify recurring themes related to healthcare interactions and diabetes prevention efforts.
Participants frequently reported leaving medical appointments without fully understanding their healthcare providers' advice, leading to confusion and poor health outcomes. Many expressed frustration over the lack of integration between psychosocial and physical health needs in their care. Additionally, they emphasized the need for culturally tailored health education, particularly regarding portion control and the nutritional value of traditional foods, to support healthier dietary habits.
This study underscores the urgent need for culturally sensitive healthcare approaches that address the holistic needs of immigrant communities. Strengthening provider-patient communication, fostering trust, and incorporating culturally relevant dietary guidance can enhance diabetes prevention and self-management efforts among Cameroonian immigrants.
Healthcare systems should implement culturally tailored interventions to reduce health disparities and improve provider-patient interactions. Training healthcare providers to adopt a more holistic approach-integrating both psychosocial and physical health considerations-can lead to better health outcomes. Additionally, promoting culturally relevant education on diabetes prevention and management can empower immigrant populations to make informed health decisions and adopt sustainable self-care practices.
与许多少数民族群体一样，喀麦隆移民由于在获得具有文化适应性且负担得起的医疗保健方面存在障碍，面临着 disproportionately 高的 2 型糖尿病风险。本研究探讨他们的医疗保健经历、认知以及对糖尿病预防和自我管理的知识，以确定医疗保健服务中的差距以及文化适应性干预措施的机会。
采用现象学方法，有目的地选择了 13 名非糖尿病喀麦隆移民进行深入访谈。对数据进行转录、手动编码，并使用 NVivo 14 软件进行分析，以确定与医疗保健互动和糖尿病预防努力相关的反复出现的主题。
参与者经常报告在没有完全理解医疗保健提供者的建议的情况下就离开医疗预约，导致困惑和不良健康结果。许多人对他们的护理中心理社会需求和身体健康需求缺乏整合表示沮丧。此外，他们强调需要进行文化上量身定制的健康教育，特别是关于份量控制和传统食物的营养价值，以支持更健康的饮食习惯。
本研究强调迫切需要采取对文化敏感的医疗保健方法，以满足移民社区的整体需求。加强医患沟通、建立信任并纳入与文化相关的饮食指导，可以加强喀麦隆移民中的糖尿病预防和自我管理努力。
医疗保健系统应实施文化上量身定制的干预措施，以减少健康差距并改善医患互动。培训医疗保健提供者采用更全面的方法——将心理社会和身体健康考虑因素结合起来——可以带来更好的健康结果。此外，推广与文化相关的糖尿病预防和管理教育可以使移民群体能够做出明智的健康决策并采用可持续的自我护理做法。
