Type 2 diabetes Among Rural Hispanics in Washington State: Perspectives From Community Stakeholders
Type 2 diabetes Among Rural Hispanics in Washington State: Perspectives From Community Stakeholders
复制标题
华盛顿州农村西班牙裔 2 型糖尿病患者： 社区利益相关者的观点
DOI：
10.1177/1524839909354458
复制
发表时间：
2010-07-01
影响因子：
1.9
通讯作者：
Coronado, Gloria D.
中科院分区：
文献类型：
--
作者：
Livaudais, Jennifer C.;Thompson, Beti;Coronado, Gloria D.
在2006年2月至3月，启发式访谈进行了23个社区利益相关者在亚基马谷，华盛顿州，研究糖尿病的关注，并获得建议，如何解决西班牙裔在这个农村社区的关注。使用滚雪球的方法，从为西班牙裔糖尿病患者提供护理和外展服务的组织中确定了利益相关者。访谈的指导下，社会生态学的方法，并进行了一个更大的家长研究的一部分，使用基于社区的参与性研究的原则。录音采访转录，然后由三名工作人员编码，他们在会议达成共识之前独立确定共同的主题。利益相关者代表医疗保健服务或社会服务组织、教会或地方广播电台。糖尿病被认为是社区成员的一个重要问题，他们经常被延误诊断。缺乏疾病知识、无法获得适当的信息或服务、医疗保险和个人责任被视为障碍。利益攸关方建议利用现有的组织和企业作为干预渠道，提高卫生专业人员和志愿者的文化敏感性，创建和传播适当的信息，并组织活动以提高认识和疾病管理。这些建议为社区干预措施的设计提供了信息，以减轻糖尿病对亚基马山谷的影响。
During February-March 2006, elicitation interviews were conducted with 23 community stakeholders in the Yakima Valley, Washington State, to examine concerns about diabetes and to obtain recommendations for how to address concerns among Hispanics in this rural community. Using a snowball approach, stakeholders were identified from organizations providing care and outreach for Hispanics with diabetes. Interviews were guided by a social ecology approach and were conducted as part of a larger parent study using principles of community-based participatory research. Audiotaped interviews were transcribed and then coded by three staff members who identified common themes independently before meeting to reach consensus. Stakeholders represented health care delivery or social service organizations, churches, or local radio stations. Diabetes was perceived as an important problem among community members, who often underwent delayed diagnosis of the disease. Lack of disease knowledge, access to appropriate information or services, health insurance, and personal responsibility were perceived as barriers. Stakeholders recommended using exiting organizations and businesses as intervention channels, promoting cultural sensitivity of health professionals and volunteers, creating and distributing appropriate information, and organizing activities to promote awareness and disease management. Recommendations have informed the design of community interventions to lessen the impact of diabetes in the Yakima Valley.