Latino beliefs about diabetes.
Latino beliefs about diabetes.
复制标题
拉丁裔对糖尿病的看法。
作者：
S. Weller;R. Baer;L. Pachter;R. Trotter;M. Glazer;J. E. García de Alba García;R. Klein
目的
描述拉丁美洲人对糖尿病的信念，并评估不同群体信念的异质性。
研究设计和方法
这项研究包括对来自四个不同社区的161名有代表性的拉丁美洲成年人进行的调查：康涅狄格州哈特福德;德克萨斯州爱丁堡;墨西哥瓜达拉哈拉;危地马拉农村。一份130项的调查问卷涵盖了糖尿病的病因、症状和治疗方法。还收集了有关人口统计学和糖尿病患者的信息。文化共识模型被用来分析响应的变化，以确定样本内和样本之间的一致性程度是否足以保证聚合和描述为一组信念。
结果
四个样本中的每一个都存在同质的信念。尽管从康涅狄格州到危地马拉，回答的变异性显着增加（P < 0.00005），但样本之间的答案显着一致（P < 0.0005）。回答往往与糖尿病的生物医学描述一致。更大的文化适应，更高的教育程度和更高的糖尿病患病率与更多的糖尿病文化知识相关。在康涅狄格州，更多的知识与更长的美国大陆居住时间相关（P < 0.05）。在墨西哥，平均教育程度的人知道更多（P < 0.05）。最后，糖尿病患病率较高的社区的平均知识水平较高。
结论
文化共识模型有助于评估糖尿病和糖尿病管理的文化信念。总的来说，拉丁美洲人对糖尿病的文化信念与生物医学模型是一致的。反应的变化往往表现为对糖尿病的知识或经验较少，而不是不同的信念。
OBJECTIVE
To describe Latino beliefs about diabetes and assess heterogeneity in beliefs across different groups.
RESEARCH DESIGN AND METHODS
This study comprised a survey of 161 representative Latino adults from four diverse communities: Hartford, Connecticut; Edinburg, Texas; Guadalajara, Mexico; and rural Guatemala. A 130-item questionnaire covered causes symptoms, and treatments for diabetes. Information on demographics and acquaintanceship with someone with diabetes was also collected. The cultural consensus model was used to analyze the variation in responses to determine whether the degree of consistency within and between samples was sufficient to warrant aggregation and description as a single set of beliefs.
RESULTS
Homogeneous beliefs were present within each of the four samples. Although variability in responses increased significantly from Connecticut to Guatemala (P < 0.00005), there was significant agreement between samples on the answers (P < 0.0005). Answers tended to be concordant with the biomedical description of diabetes. Greater acculturation, higher educational attainment, and higher diabetes prevalence were associated with greater cultural knowledge about diabetes. In Connecticut, greater knowledge correlated with longer mainland U.S. residency (P < 0.05). In Mexico, those with average educational attainment knew more (P < 0.05). Finally, average knowledge levels were higher in communities with greater diabetes prevalence.
CONCLUSIONS
The cultural consensus model facilitated assessment of cultural beliefs regarding diabetes and diabetes management. Overall, Latino cultural beliefs about diabetes were concordant with the biomedical model. Variation in responses tended to characterize less knowledge or experience with diabetes and not different beliefs.