"Es como uno bomba de tiempo [It's like a time bomb]": A Qualitative Analysis of Perceptions of Diabetes Among First-Degree Relatives of Latino Patients With Diabetes.
"Es como uno bomba de tiempo [It's like a time bomb]": A Qualitative Analysis of Perceptions of Diabetes Among First-Degree Relatives of Latino Patients With Diabetes.
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DOI：
10.2337/diaspect.27.1.50
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发表时间：
2014-02-01
期刊：
影响因子：
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通讯作者：
Kanna, Balavenkatesh
中科院分区：
文献类型：
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作者：
Castro-Rivas, Erida;Boutin-Foster, Carla;Kanna, Balavenkatesh
背景资料。南布朗克斯是一个以拉丁裔为主的社区，已经成为纽约市糖尿病流行的中心。在这个社区中，糖尿病患者的非糖尿病一级亲属是主要的干预目标。因此，这项研究的目的是探讨糖尿病患者的一级亲属拉丁裔成年人对糖尿病的知识和对健康行为调整的态度。方法：研究方法。参与者从南布朗克斯的三个地方招募(一个社区组织、一个信仰组织和一个出租车站)。常识模型被用来开发焦点小组项目。这个模型提供了一个框架，用于探索疾病在五个领域的表现：身份、原因、结果、时间线和可治愈的感知。答复逐字转录，数据分析按以下顺序进行：数据沉浸、代码分配、关键概念分组以形成类别，以及构建更高顺序的主题。结果。在确定的115名潜在参与者中，53人被发现符合条件，其中23人参加了焦点小组。其中20人是多米尼加人，2人是波多黎各人，1人是萨尔瓦多人。平均年龄为46.39岁，其中35%为女性，61%已婚，26%高中以下学历。定性分析产生了547个代码，分成52个概念，从中产生了9个类别和4个主旋律。占主导地位的主题是1)家庭、遗传和文化在糖尿病的病因中起着重要作用；2)作为拉丁裔和糖尿病有一级亲属，糖尿病是不可避免的，就像定时炸弹爆炸一样，它注定会发生；3)一旦患上糖尿病，身体和精神上的后果是毁灭性的和破坏性的；4)糖尿病可以通过健康饮食和胰岛素“治愈”。结论：在这项研究中，糖尿病患者的一级亲属了解糖尿病的风险和后果。然而，一些参与者认为，作为拉丁裔和糖尿病的一级亲属，一个人注定会患上糖尿病。通过文化上量身定做的干预措施解决这一误解对糖尿病预防具有影响，并可能有助于遏制拉美裔社区的糖尿病流行。
Background. The South Bronx, a largely Latino community, has become an epicenter of the diabetes epidemic in New York City. In this community, nondiabetic first-degree relatives of people with diabetes are prime targets for intervention. Therefore, the objective of this study was to explore the knowledge of diabetes and attitudes toward health behavior modification of Latino adults who are first-degree relatives of people with diabetes. Methods. Participants were recruited from three settings in the South Bronx (a community-based organization, a faith-based organization, and a taxi station). The Common Sense Model was used to develop focus-group items. This model provides a framework for exploring illness representations along five domains: identity, cause, consequences, timeline, and perceptions of curability. Responses were transcribed verbatim, and data analysis proceeded in the following order: data immersion, assignment of codes, grouping of key concepts to form categories, and construction of higher-order themes. Results. Of the 115 potential participants identified, 53 were found to be eligible, and 23 of these participated in the focus group. Of these, 20 were Dominicans, 2 were Puerto Ricans, and 1 was Salvadorian. The mean age was 46.39 years, 35% were women, 61% were married, and 26% had less than a high school education. Qualitative analyses resulted in 547 codes that were grouped into 52 concepts, from which 9 categories and 4 overarching themes emerged. The dominant themes were 1) family, genetics, and culture play a major role in the etiology of diabetes; 2) being Latino and having a first-degree relative with diabetes makes getting diabetes inevitable, and, like a time bomb exploding, it is destined to happen; 3) once one develops diabetes, the physical and emotional consequences are devastating and destructive; and 4) diabetes can be "cured" through healthy eating and with insulin. Conclusions.In this study, first-degree relatives of patients with diabetes were knowledgeable about the risks and consequences of diabetes. However, some participants felt that being Latino and having a first-degree relative with diabetes made one destined to have diabetes. Addressing this misperception through culturally tailored interventions has implications for diabetes prevention and may help to stem the diabetes epidemic in Latino communities.