Health Beliefs of Marshallese Regarding Type 2 Diabetes
Health Beliefs of Marshallese Regarding Type 2 Diabetes
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DOI：
10.5993/ajhb.40.2.10
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发表时间：
2016-03-01
影响因子：
2.3
通讯作者：
Kohler, Peter
中科院分区：
文献类型：
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作者：
McElfish, Pearl Anna;Hallgren, Emily;Kohler, Peter
目的：马绍尔人患有不成比例的2型糖尿病。这项研究确定了影响居住在阿肯色州的美国马绍尔人糖尿病自我管理行为的潜在信念和看法。方法：本研究采用焦点小组，采用基于社区的参与性研究(CBPR)方法和健康信念模式开发的半结构访谈指南。数据收集自41名参与者；双语社区合作调查员根据需要提供翻译。结果：结果显示出高度的威胁，大多数参与者将糖尿病描述为不可避免的，并被判处死刑。参与者普遍没有意识到糖尿病自我管理行为的好处，马绍尔人面临着糖尿病自我管理的重大政策、环境和制度障碍。行动的主要线索是糖尿病的诊断，自我效能有不同的水平。结论：以健康信念模式为基础的研究提供了重要的贡献，可以帮助推进太平洋岛民社区的糖尿病自我管理努力。
Objectives: The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior in the US Marshallese population living in Arkansas. Methods: The study employs focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data were collected from 41 participants; bilingual community co-investigators provided translation as needed. Results: The results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy. Conclusions: The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within Pacific Islander communities.