Relation of Acculturation to Glycemic Control and Self-management of Diabetes in Hispanic Adults PDF Download
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Author: Julie Plasencia
Publisher:
ISBN:
Category : Acculturation
Languages : en
Pages : 356
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Author: Julie Plasencia
Publisher:
ISBN:
Category : Acculturation
Languages : en
Pages : 356
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Author: Karen A. Amirehsani
Publisher:
ISBN:
Category : Hispanic Americans
Languages : en
Pages : 219
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"The purpose of this cross-sectional, correlational study was to explore the use of traditional, complementary, and alternative (TCA) self-care expressions, patterns, and practices of Latinos/Hispanics for the management of type 2 diabetes. The target population was adult men and women living in a nonborder, emerging Latino/Hispanic area. Specifically, this study explored the use of herbal remedies, faith-based interventions, consulting traditional healers, and self-medication/self-prescription practices and assessed their association to glycemic control. Leininger's culture care diversity and universality theory and sunrise enabler were used as the conceptual framework. A total of 75 Latino/Hispanic immigrants living in central and western North Carolina were enrolled. Approximately 67% of participants were female and the mean age was 47 years. High levels of hypertension, overweight/obesity, and diabetes-related comorbidities were reported. Glycemic control was poor, as measured by A1C. Limited financial resources and low acculturation levels were reported by the men and women. Sixty-nine percent of the sample reported using herbal/plant products on a daily, weekly, or monthly basis for diabetes self-care. Forty-nine different products were used. The most frequently used herbal remedies were prickly pear cactus (nopale), aloe vera (salvia or sá́bila), celery (apio), vegetable pear (chayote), cinnamon (canela), cat's claw (uña de gato), Herbalife, beets (betabel), bitter gourd/melon (cundeamor or yerba mora), nin, horsetail (la cola de caballo), and oats (aveno). Forty-one percent of the sample reported using faith-based interventions, such as personal prayer or going to mass/church. Eight percent of the sample consulted with traditional healers, and approximately 15% used self-medication/self-prescription to manage diabetes. Participants reported not communicating the use of TCA modalities with their health care provider. Persons identified reasons for not disclosing this information as: beliefs that American healthcare providers do not believe in or lack knowledge of Latino/Hispanic natural medicine; "it's not relevant"; a translator was required to explain TCA practices; and prior experiences with healthcare providers "being in a hurry" and "not asking questions" of patients. Multiple linear regression analyses were used to examine the association of individual characteristics, cultural and social structure dimensions, and environmental context factors with the use of TCA modalities and with glycemic control (A1C level). The effect of herbal remedies, faith-based interventions, consulting traditional healers, and self-medication/self-prescription on A1C level was examined. Predictors of TCA usage and glycemic control were not found. New knowledge of the emic practices of Latinos/Hispanics for the management of type 2 diabetes was developed. Understanding self-care practices of Latinos/Hispanics and improving provider cultural competency are critical for alleviating diabetes-related health disparities of this population. Study findings inform implications in the areas of practice, education, healthcare systems and policy, and future research to alleviate disparities in access, care, and health outcomes for Latinos/Hispanics with diabetes."--Abstract from author supplied metadata.
Author: Lise Flores
Publisher:
ISBN:
Category : Diabetes
Languages : en
Pages : 182
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Book Description
Type 2 diabetes mellitus represents a daunting self-management challenge due to its complicated daily treatment regimen which includes adhering to diet, exercise, and medication recommendations. Little research has evaluated perceived barriers to diabetes self-care in a group that is at particular risk for diabetic complications: U.S. Latinos. This study had two aims. The first was to provide evidence that experimental and validated self-report instruments selected for this study functioned in a comparable manner in both Spanish and English in a sample of low income, predominantly Spanish-speaking diabetic patients (n = 77). The second aim was to examine hypothesized relationships of selected predictors to two criterion variables measuring health status (i.e., glycosylated hemoglobin A1c and Diabetes Impact) using a method described by Baron & Kenny (1986). Predictors included age, education, and income as covariates, and perceived environmental barriers to self-care, self-efficacy for treatment adherence, fatalistic beliefs (external health locus of control), and Latino cultural diabetes beliefs. Potential moderator and mediator variables of the relationship between perceived barriers to self care and criterion variables included self-efficacy for treatment adherence, fatalistic beliefs and Latino cultural diabetes beliefs. Scales used in this study had coefficient alpha values ranging from .82-.96 in Spanish and .74-.97 in English and also demonstrated strong factor structure integrity. Bivariate correlations indicated that higher scores on perceived barriers to self-care were significantly related to lower self-efficacy scores [r = −.34, p
Author: Sarah Elizabeth Ross
Publisher:
ISBN:
Category :
Languages : en
Pages : 102
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Author: Annette Echeverria
Publisher:
ISBN: 9780438070042
Category : Dissertations, Academic
Languages : en
Pages : 91
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Book Description
This literature review evaluates the direct factors associated with Latino older adults with diabetes accessing or continuing treatment. Secondly, it considers recommended interventions to the social problem consisting of the application of self-management and community health worker educational programs to target change among the Latino older adults with diabetes and their care. Such Factors between Latino older adults with diabetes and treatment outcomes were associated with demographics, acculturation and sociopolitical factors Results from this literature indicated that utilizing self-management and community health worker educational programs can be beneficial to Latinos that struggle accessing treatment or continuing treatment. The research findings suggested for future research to include other Latino subgroups as samples Research should target more males within their studies and should consider aiming at exploring the benefits of including social support within their studies. In addition to this, studies should also target other forms of interventions to address lack of healthcare access among the Latino older adult population with diabetes.
Author: Dawn Marie Weiler
Publisher:
ISBN:
Category :
Languages : en
Pages : 270
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The purpose of this qualitative descriptive study was to explore the socio-cultural influences and social context associated with living with type 2 diabetes among migrant Latino adults. Extensive research in diabetes care has been conducted; however, there is a significant knowledge gap related to the factors that influcence the achievement of glycemic control and self-management practices of the Latino population in general, and migrant workers specifically. Based on well-documented disparities in complications and health outcomes among Latino adults compared to Anglo-American adults, there is sufficient evidence to question whether traditional Anglo beliefs about self-management are successful or appropriate for the migrant Latino population. Traditional models view self-management as an individual responsibility. Whether this view is congruent with the collectivist cultural tradition held by many Latino adults is unclear. Equally unclear is the degree to which using traditional Anglo-American models of self-management, in teaching about managing type 2 diabetes, influences health outcomes in this population. Culturally congruent care and nursing interventions involves more than an understanding of language and dietary preferences. A qualitative descriptive study using grounded theory techniques was conducted to provide a comprehensive summary of the events in the everyday terms of those events. Data analysis was completed using conventional content analysis strategies. An over-arching meta-theme"Self Management in a Social Environment"emerged. Every aspect of the process of self-management, as described in thefour major themes, (1) Family Cohesion, (2) Social Stigma of Disease, (3) Social Expectations/Perceptions of"Illness, "and (4) Disease Knowledge and Understanding, was influenced by the social context. This study revealed several socio-cultural influences that impact diabetes self-management practices for the migrant Latino adult. The familist traditions, central to the Mexican culture had both positive and negative consequences on diabetes management. Social stigma, in relation to a diabetes diagnosis, is likely not exclusive to this population. However, the associated negative social expectations and perceptions might well be unique. The discovery surrounding the lack of, and approach to, diabetes management education provided to individuals, families, and community members may well be central to improving the health of this population.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309164818
Category : Social Science
Languages : en
Pages : 502
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Book Description
Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.
Author: Sumathi Venkatesh
Publisher:
ISBN:
Category : Diabetes
Languages : en
Pages : 446
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Author: Leonid Poretsky
Publisher: Springer Science & Business Media
ISBN: 9781402071140
Category : Diabetes
Languages : en
Pages : 788
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Book Description
Diabetes mellitus is a very common disease which affects approximately 150,000,000 worldwide. With its prevalence rising rapidly, diabetes continues to mystify and fascinate both practitioners and investigators by its elusive causes and multitude of This textbook is written for endocrinologists, specialists in other disciplines who treat diabetic patients, primary care physicians, housestaff and medical students. It covers, in a concise and clear manner, all aspects of the disease, from its pathogenesis on the molecular and cellular levels to its most modern therapy.
Author:
Publisher:
ISBN:
Category : Biology
Languages : en
Pages : 84
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Book Description
