Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada.
Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada.
复制标题
DOI：
10.1155/2015/903468
复制
发表时间：
2015
影响因子：
2.8
通讯作者：
Gucciardi E
中科院分区：
文献类型：
--
作者：
Chan J;DeMelo M;Gingras J;Gucciardi E
Objective.探讨粮食不安全如何影响个人管理糖尿病的能力，正如生活在一个文化多样的大型城市中心的参与者所讲述的那样。设计定性研究包括深度访谈，使用半结构化访谈指南。设置.参与者是从当地社区，三个社区健康中心，和社区糖尿病教育中心，服务于低收入人群在多伦多，安大略，加拿大招募。参与者21名患有糖尿病并在过去一年中经历过粮食不安全的英语成年人（基于三个筛选问题）。法使用六个阶段的分析，我们使用定性，演绎主题分析转录，编码和分析参与者的访谈。主要发现。我们对参与者在粮食不安全和糖尿病中生活的经历进行了分析，得出了三个主题：（1）获得和准备食物的障碍，（2）社会孤立，（3）增强机构和复原力。结论粮食不安全似乎对糖尿病自我管理产生负面影响。医疗保健专业人员需要认识到受粮食不安全影响的糖尿病患者的资源，技能和支持。研究结果建议加强糖尿病自我管理支持的重点。
Objective. To explore how food insecurity affects individuals' ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants' experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.