Factors Influencing Eye Screening Adherence Among Latinx Patients With Diabetes: A Qualitative Study.
Factors Influencing Eye Screening Adherence Among Latinx Patients With Diabetes: A Qualitative Study.
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DOI：
10.1167/tvst.12.12.8
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发表时间：
2023-12-01
影响因子：
3
通讯作者：
Liu, Yao
中科院分区：
文献类型：
--
作者：
Pelayo, Christian;Pinzon, Maria Mora;Lock, Loren J.;Fowlkes, Christiana;Stevens, Chloe L.;Hoang, Johnson;Garcia, Juan L.;Jacobson, Nora A.;Channa, Roomasa;Liu, Yao
拉丁裔人群在美国的任何种族群体中视力障碍和失明的发病率最高，大多数糖尿病视网膜病变病例仍未确诊。我们的目的是确定影响拉丁社区糖尿病眼筛查依从性的因素。我们进行了半结构化的个人访谈，在戴恩县，威斯康星州的成年Latinx患者。访谈被逐字转录，从西班牙语翻译成英语，并使用QSR NVivo软件进行分析。我们使用国家少数民族健康和健康差异研究框架研究所以及坎贝尔和Egede模型进行了归纳开放编码和演绎编码。所有参与者（n = 20）自我认定为拉丁裔，并被诊断为2型糖尿病。平均年龄为61.5岁（范围33-79岁）。大多数参与者没有保险（60%），自我报告的低或中等健康素养（60%），并在诊所预约期间更喜欢说西班牙语（75%）。糖尿病眼筛查的个人障碍包括眼健康知识有限、缺乏保险覆盖以及糖尿病管理的自我效能低。卫生系统一级的促进者包括一项建议，即从初级保健提供者那里获得眼科筛查，并使用非书面形式的患者教育。社区一级的障碍包括社会孤立、担心影响他人、大男子主义和移民身份。我们确定了几个卫生系统和社区层面的因素，除了个人层面的因素，影响遵守糖尿病眼筛查在拉丁美洲社区。解决这些因素的策略可能会提高干预措施的有效性，以防止糖尿病失明，并有助于促进拉丁社区的健康公平。
Latinx populations have the highest rates of visual impairment and blindness of any ethnic group in the United States, with most cases of diabetic retinopathy remaining undiagnosed. We aimed to identify factors influencing adherence with diabetic eye screening in Latinx communities. We conducted semistructured individual interviews with adult Latinx patients in Dane County, WI. Interviews were transcribed verbatim, translated from Spanish to English, and analyzed using QSR NVivo software. We performed both inductive open coding and deductive coding using the National Institute on Minority Health and Health Disparities Research Framework, as well as the Campbell and Egede Model. All participants (n = 20) self-identified as Latinx and were diagnosed with type 2 diabetes. The mean age was 61.5 years (range 33–79 years). Most participants were uninsured (60%), self-reported low or moderate health literacy (60%), and preferred to speak Spanish during their clinic appointments (75%). Individual-level barriers to diabetic eye screening included limited eye health literacy, lack of insurance coverage, and low self-efficacy with diabetes management. Health system-level facilitators included a recommendation to obtain eye screening from a primary care provider and the use of nonwritten forms of patient education. Community-level barriers included social isolation, concerns about inconveniencing others, machismo, and immigration status. We identified several health system- and community-level factors, in addition to individual-level factors, influencing adherence with diabetic eye screening in Latinx communities. Strategies addressing these factors may enhance the effectiveness of interventions to prevent blindness from diabetes and contribute to advancing health equity in Latinx communities.
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影响因子：
13.7
作者：
Sheppler CR;Lambert WE;Gardiner SK;Becker TM;Mansberger SL
通讯作者：
Mansberger SL
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
120.7
作者：
Cheng, Yiling J.;Kanaya, Alka M.;Imperatore, Giuseppina
通讯作者：
Imperatore, Giuseppina
DOI：
10.2147/opth.s342965
发表时间：
2022
期刊：
Clinical ophthalmology (Auckland, N.Z.)
影响因子：
--
作者：
Hudson SM;Modjtahedi BS;Altman D;Jimenez JJ;Luong TQ;Fong DS
通讯作者：
Fong DS
DOI：
10.1177/0145721719889338
发表时间：
2020-02
期刊：
The Diabetes educator
影响因子：
--
作者：
Campbell JA;Egede LE
通讯作者：
Egede LE