Abstract:
Purpose Hispanics show poorer self-management of type 2 diabetes than non-Hispanic whites.
Although previous studies have reported socioeconomic and cultural barriers to diabetes selfmanagement
by Hispanics, little is known about perceived barriers to diabetes self-management
from the perspectives of both Hispanics and their family members. The purpose of the study was
to explore perceived barriers among Hispanic immigrants with diabetes and their family
members.
Methods A qualitative study using 5 focus groups was conducted. A total of 73 Hispanic
immigrants with type 2 diabetes (n = 36) and family members (n = 37) were recruited in the
southeastern United States for a family-based intervention study of diabetes-self management.
Participants were asked to describe their perceptions of barriers to self-management. The 5
sessions were audiotaped and transcribed, translated from Spanish into English, and analyzed
using standard content analysis. Demographics, hemoglobin A1C levels, blood pressure, and
body mass index (BMI) were obtained both for participants with diabetes and for their family
members.
Results Barriers to diabetes self-management identified by participants with diabetes were in 3
major themes categorized as: suffering from diabetes, difficulties in managing the disease, and
lack of resources/support. Two key themes emerged pertaining to family members: we can
provide support and we lack knowledge.
Conclusions Perceived barriers to diabetes self-management described by Hispanic immigrants
with diabetes and family members indicate a lack of intervention strategies to meet their needs.
Interventions should include culturally relevant resources, family support, and diabetes selfmanagement
skills education.
Abstract:
Purpose Hispanics show poorer self-management of type 2 diabetes than non-Hispanic whites.
Although previous studies have reported socioeconomic and cultural barriers to diabetes selfmanagement
by Hispanics, little is known about perceived barriers to diabetes self-management
from the perspectives of both Hispanics and their family members. The purpose of the study was
to explore perceived barriers among Hispanic immigrants with diabetes and their family
members.
Methods A qualitative study using 5 focus groups was conducted. A total of 73 Hispanic
immigrants with type 2 diabetes (n = 36) and family members (n = 37) were recruited in the
southeastern United States for a family-based intervention study of diabetes-self management.
Participants were asked to describe their perceptions of barriers to self-management. The 5
sessions were audiotaped and transcribed, translated from Spanish into English, and analyzed
using standard content analysis. Demographics, hemoglobin A1C levels, blood pressure, and
body mass index (BMI) were obtained both for participants with diabetes and for their family
members.
Results Barriers to diabetes self-management identified by participants with diabetes were in 3
major themes categorized as: suffering from diabetes, difficulties in managing the disease, and
lack of resources/support. Two key themes emerged pertaining to family members: we can
provide support and we lack knowledge.
Conclusions Perceived barriers to diabetes self-management described by Hispanic immigrants
with diabetes and family members indicate a lack of intervention strategies to meet their needs.
Interventions should include culturally relevant resources, family support, and diabetes selfmanagement
skills education.
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