Sapkota Raju, Knight-Davidson Pamela, Roberts Justin, Pardhan Shahina
Vision and Eye Research Institute, Anglia Ruskin University Faculty of Health, Medicine, and Social Care, Cambridge, England, UK
Centre for Inclusive Community Eye Health, Anglia Ruskin University Faculty of Health, Medicine, and Social Care, Cambridge, England, UK.
BMJ Open. 2025 May 14;15(5):e099553. doi: 10.1136/bmjopen-2025-099553.
BACKGROUND/OBJECTIVE: To examine factors influencing health-seeking behaviours and self-care practices of diabetes, including the uptake and use of diabetic services among community-dwelling black African-Caribbean people living in the UK.
Cross-sectional/qualitative.
Community (Southwestern England).
Nineteen individuals of African-Caribbean heritage, over the age of 50 years, diagnosed with type 2 diabetes.
Three focus group discussions (FGDs), each of which lasted for approximately 90 min, were held. These interviews were facilitated by a community-based health champion and a researcher of African-Caribbean heritage. Audio recordings were transcribed verbatim, coded in NVivo software, and analysed using an inductive thematic approach.
FGD data.
A total of nine culturally specific and non-specific (generic) themes were identified. Culturally specific themes included the normalisation of diabetes at the community level, which was more pronounced among men than women. Participants were found to be inclined to either substitute or complement diabetes medications with cultural herbal remedies. There was a lack of trust in medical centric advice received from healthcare practitioners. Participants also expressed that healthcare practitioners do not always listen to or understand their needs and reported that there was a lack of culturally appropriate diabetes education and training programmes for their community members. Generic themes included difficulties and frustrations in getting doctor's appointments, self-indiscipline and poor motivation for engaging in physical exercise and healthy eating.
Several cultural/community-related factors influence health-seeking behaviours and self-care practices of diabetes in African-Caribbean people living in the UK, often affecting men and women differently, alongside more general individual and healthcare system-related barriers. Addressing these factors is imperative in designing a culturally and demographically tailored diabetes education programme for these people.
背景/目的：研究影响糖尿病患者求医行为和自我护理习惯的因素，包括居住在英国的非裔加勒比裔社区居民对糖尿病服务的接受和使用情况。
横断面研究/定性研究。
社区（英格兰西南部）。
19名年龄超过50岁、被诊断为2型糖尿病的非裔加勒比裔人士。
开展了三场焦点小组讨论（FGD），每场讨论持续约90分钟。这些访谈由一名社区健康倡导者和一名非裔加勒比裔研究人员协助进行。录音被逐字转录，在NVivo软件中编码，并采用归纳主题法进行分析。
焦点小组讨论数据。
共确定了9个文化特定和非特定（通用）主题。文化特定主题包括糖尿病在社区层面的常态化，在男性中比在女性中更为明显。发现参与者倾向于用文化草药替代或补充糖尿病药物。对从医疗从业者那里获得的以医学为中心的建议缺乏信任。参与者还表示，医疗从业者并不总是倾听或理解他们的需求，并报告说缺乏针对其社区成员的具有文化适宜性的糖尿病教育和培训项目。通用主题包括预约医生的困难和挫折、自律以及参与体育锻炼和健康饮食的动力不足。
在居住在英国的非裔加勒比人中，一些与文化/社区相关的因素会影响糖尿病患者的求医行为和自我护理习惯，通常对男性和女性的影响不同，同时还存在更普遍的个人和医疗系统相关障碍。在为这些人群设计文化和人口统计学上量身定制的糖尿病教育项目时，解决这些因素至关重要。
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