Latina Diabetics and Body Image

描述（由申请人提供）：预防性保健是糖尿病并发症一级和二级预防的基石。在美国，拉丁美洲人一生中患糖尿病的风险比其他任何群体都高--52.5%。肥胖会使拉丁裔人患糖尿病的风险更高。然而，努力从事糖尿病拉丁美洲人在预防性运动或饮食方案几乎没有成功。基于文化的态度和做法有关的外观和自我照顾可能是有争议的，但很少有关于这个问题的研究。对拉丁裔糖尿病患者的身体形象和自我护理问题的深入了解可以提高糖尿病预防干预措施的有效性。我们在这个项目中的具体目标是进行一个焦点小组研究与糖尿病拉丁人的身体形象和自我保健因素，影响选择运动和/或饮食。焦点小组的研究结果将用于制定一项预防干预拉丁裔糖尿病患者，反映基于文化的态度，身体形象和自我保健。制定这一干预措施是我们的长期目标，我们将通过后续供资来实现这一目标。拟议项目的结果也可能有助于围绕其他健康状况的干预发展，这些健康状况不成比例地影响运动和饮食很重要的拉丁美洲人，例如肥胖，高血压和心血管疾病。

DESCRIPTION (provided by applicant): Preventive health care is the cornerstone of primary and secondary prevention of diabetes complications. In the U.S., Latinas have a higher lifetime risk for developing diabetes than any other group -- 52.5 percent. Obesity raises an individual Latina's risk for diabetes even higher. Yet, efforts to engage diabetic Latinas in preventive exercise or diet regimens have had little success. Culturally-based attitudes and practices concerning appearance and self care may be at issue, but there is little research on this topic. An enhanced understanding of body image and self-care concerns of diabetic Latinas can lead to improved efficacy of diabetes preventive interventions. Our specific aim in this project is to conduct a focus group study with diabetic Latinas on body image and self-care factors that influence choices to exercise and/or diet. Focus group findings will be used to develop a preventive intervention for Latina diabetics that reflect culturally based attitudes about body image and self care. Developing this intervention is our long-term goal which we will pursue through follow-up funding. Findings from the proposed project may also be useful in intervention development around other health conditions disproportionately affecting Latinas for which exercise and diet are important, e.g. obesity, hypertension, and cardiovascular disease.