Social and Cultural Barriers to Diabetes Prevention in Oklahoma American Indian Women
Social and Cultural Barriers to Diabetes Prevention in Oklahoma American Indian Women
复制标题
俄克拉荷马州美洲印第安妇女预防糖尿病的社会和文化障碍
作者：
K. Keim;Christopher Taylor;A. Sparrer;Jean L Van Delinder;S. Parker
简介 少数族裔，尤其是美洲印第安人，糖尿病患病率异常高。预防或延迟该人群的糖尿病将改善生活质量并降低医疗保健费用。确定健康和糖尿病的文化定义对于制定有效的糖尿病预防计划至关重要。方法 对来自俄克拉荷马州东北部 3 个部落诊所的 79 名美国印第安妇女进行家庭定性访谈，以确定健康和糖尿病的文化定义。扎根理论用于分析逐字记录。结果 接受采访的女性以身体功能和无疾病来定义健康，并以家人和朋友为治疗促进者。相反，女性认为她们的整体健康是个人问题，可以单独解决，而不会给他人带来负担。这些女性对糖尿病持宿命论观点，认为这种疾病是不可避免的事件，会破坏健康并最终导致死亡。结论 进一步了解高危人群的健康观念将有助于制定糖尿病预防计划。
Introduction The prevalence of diabetes is disproportionately higher among minority populations, especially American Indians. Prevention or delay of diabetes in this population would improve quality of life and reduce health care costs. Identifying cultural definitions of health and diabetes is critically important to developing effective diabetes prevention programs. Methods In-home qualitative interviews were conducted with 79 American Indian women from 3 tribal clinics in northeast Oklahoma to identify a cultural definition of health and diabetes. Grounded theory was used to analyze verbatim transcripts. Results The women interviewed defined health in terms of physical functionality and absence of disease, with family members and friends serving as treatment promoters. Conversely, the women considered their overall health to be a personal issue addressed individually without burdening others. The women presented a fatalistic view of diabetes, regarding the disease as an inevitable event that destroys health and ultimately results in death. Conclusion Further understanding of the perceptions of health in at-risk populations will aid in developing diabetes prevention programs.
“战斗”：纳瓦霍人糖尿病的隐喻分析。
DOI：
10.5014/ajot.46.8.706
发表时间：
1992
期刊：
The American journal of occupational therapy : official publication of the American Occupational Therapy Association
影响因子：
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作者：
Huttlinger,K;Krefting,L;Drevdahl,D;Tree,P;Baca,E;Benally,A
通讯作者：
Benally,A