Prevention of type 2 diabetes in British Bangladeshis: qualitative study of community, religious, and professional perspectives.
Prevention of type 2 diabetes in British Bangladeshis: qualitative study of community, religious, and professional perspectives.
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DOI：
10.1136/bmj.a1931
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发表时间：
2008-11-04
期刊：
影响因子：
--
通讯作者：
Greenhalgh T
中科院分区：
文献类型：
--
作者：
Grace C;Begum R;Subhani S;Kopelman P;Greenhalgh T
目的了解孟加拉国社区普通民众对糖尿病预防的信仰和态度、宗教教义和专业认知。设计定性研究（焦点小组和半结构化访谈）。设置塔哈姆莱茨，社会经济贫困的伦敦自治市镇，英国。参与者包括孟加拉国无糖尿病患者（第1阶段）、宗教领袖和伊斯兰学者（第2阶段）以及卫生专业人员（第3阶段）。方法采用立意抽样的方法，分三个阶段对17个焦点小组进行调查。主题分析被反复使用，以实现逐步聚焦和发展理论。为了探讨初步数据中的紧张关系，制作了虚构的小插曲，参与者在随后的阶段进行了讨论。PEN-3多层次理论框架被用于为数据分析和综合提供信息。结果大多数非专业人员接受了糖尿病预防的概念，知识水平高于预期。健康生活方式的实际和结构性障碍是常见的报告。人们强烈希望遵守文化规范，特别是与谦逊有关的规范。宗教领袖从伊斯兰教义中为预防糖尿病的信息提供了相当大的支持。一些临床医生错误地认为孟加拉国人信息不足和宿命论，尽管他们也对自己有限的文化理解表示担忧。结论与卫生专业人员和早期研究的观点相反，知识不足并不是健康生活方式选择的主要障碍。伊斯兰教的规范和期望为支持糖尿病预防提供了许多机会。然而，为白色人口设计的干预措施在对许多孟加拉国人有意义之前需要加以调整。宗教可能在支持该社区的健康促进方面发挥重要作用。应进一步探讨卫生教育工作者和宗教领袖之间合作的潜力，并解决卫生专业人员文化理解力低的问题。
Objective To understand lay beliefs and attitudes, religious teachings, and professional perceptions in relation to diabetes prevention in the Bangladeshi community. Design Qualitative study (focus groups and semistructured interviews). Setting Tower Hamlets, a socioeconomically deprived London borough, United Kingdom. Participants Bangladeshi people without diabetes (phase 1), religious leaders and Islamic scholars (phase 2), and health professionals (phase 3). Methods 17 focus groups were run using purposive sampling in three sequential phases. Thematic analysis was used iteratively to achieve progressive focusing and to develop theory. To explore tensions in preliminary data fictional vignettes were created, which were discussed by participants in subsequent phases. The PEN-3 multilevel theoretical framework was used to inform data analysis and synthesis. Results Most lay participants accepted the concept of diabetes prevention and were more knowledgeable than expected. Practical and structural barriers to a healthy lifestyle were commonly reported. There was a strong desire to comply with cultural norms, particularly those relating to modesty. Religious leaders provided considerable support from Islamic teachings for messages about diabetes prevention. Some clinicians incorrectly perceived Bangladeshis to be poorly informed and fatalistic, although they also expressed concerns about their own limited cultural understanding. Conclusion Contrary to the views of health professionals and earlier research, poor knowledge was not the main barrier to healthy lifestyle choices. The norms and expectations of Islam offer many opportunities for supporting diabetes prevention. Interventions designed for the white population, however, need adaptation before they will be meaningful to many Bangladeshis. Religion may have an important part to play in supporting health promotion in this community. The potential for collaborative working between health educators and religious leaders should be explored further and the low cultural understanding of health professionals addressed.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
3.5
作者：
Hawthorne, K;Tomlinson, S
通讯作者：
Tomlinson, S
DOI：
10.1093/pubmed/24.3.170
发表时间：
2002-09-01
期刊：
JOURNAL OF PUBLIC HEALTH MEDICINE
影响因子：
--
作者：
Hayes, L;White, M;Alberti, KGMM
通讯作者：
Alberti, KGMM
影响因子：
2.9
作者：
Lawton, Julia;Ahmad, Naureen;Hallowell, Nina
通讯作者：
Hallowell, Nina
影响因子：
--
作者：
Greenhalgh, T;Helman, C;Chowdhury, AM
通讯作者：
Chowdhury, AM