Health beliefs and folk models of diabetes in British Bangladeshis: A qualitative study
Health beliefs and folk models of diabetes in British Bangladeshis: A qualitative study
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DOI：
10.1136/bmj.316.7136.978
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发表时间：
1998-03-28
影响因子：
--
通讯作者：
Chowdhury, AM
中科院分区：
文献类型：
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作者：
Greenhalgh, T;Helman, C;Chowdhury, AM
目的：探索糖尿病在英国孟加拉人的经验，因为成功的糖尿病管理需要注意的不仅仅是可观察到的行为，但潜在的态度和信仰体系，驱动behavior.Design：定性研究的主题的糖尿病的经验，使用叙述，半结构化访谈，焦点小组，和桩排序练习。一种新的定性方法，结构化的小插曲，开发验证研究人员的理解初级culture.Subjects：40英国孟加拉国糖尿病患者，和10个非孟加拉国控制，招募从primary care.Result：几个结构检测到的身体形象，原因和糖尿病的性质，食物分类，并发症的知识。在某些领域，孟加拉国人和非孟加拉国人之间的相似之处与他们的差异一样引人注目。几乎没有证据表明，宿命论或确定性的态度，预后，大多数受访者似乎非常积极地改变他们的饮食和遵守治疗结构和物质障碍的行为改变至少是一样重要的“文化”的。结论：孟加拉国的文化既不是无缝的，也不是静态的，但一些广泛持有的信仰和行为已被确定。其中一些对健康有潜在的有益影响，应作为文化敏感的糖尿病教育的起点。
Objective: To explore the experience of diabetes in British Bangladeshis, since successful management of diabetes requires attention not just to observable behaviour but to the underlying attitudes and belief systems which drive that behaviour.Design: Qualitative study of subjects' experience of diabetes using narratives, semi-structured interviews, focus groups, and pile sorting exercises. A new qualitative method, the structured vignette, was developed for validating researchers' understanding of primary level culture.Subjects: 40 British Bangladeshi patients with diabetes, and 10 non-Bangladeshi controls, recruited from primary care.Result: Several constructs were detected in relation to body image, cause and nature of diabetes, food classification, and knowledge of complications. In some areas, the similarities between Bangladeshi and non-Bangladeshi subjects were as striking as their differences. There was little evidence of a fatalistic or deterministic attitude to prognosis, and most informants seemed highly motivated to alter their diet and comply with treatment Structural and material barriers to behaviour change were at least as important as "cultural" ones.Conclusion: Bangladeshi culture is neither seamless nor static, but some widely held beliefs and behaviours have been identified. Some of these have a potentially beneficial effect on health and should be used as the starting point for culturally sensitive diabetes education.