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Development of a community-based diabetes management program for Pacific Islanders.

C Y Wang1, L Abbott2, A K Goodbody3

  • 1The School of Nursing, University of Hawaii at Manoa, Honolulu, Hawaii (Dr Wang and Mss Hui and Rausch)

The Diabetes Educator
|January 26, 2000
PubMed
Summary
This summary is machine-generated.

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Pacific Islanders with type 2 diabetes perceive the condition as complex, with fear and uncertainty surrounding hyperglycemia. They suggested community programs like walking groups and cooking classes to improve management.

Area of Science:

  • Public Health
  • Medical Anthropology
  • Diabetes Research

Background:

  • Type 2 diabetes prevalence is a significant concern in Pacific Islander populations.
  • Understanding cultural perceptions is crucial for effective diabetes management strategies.

Purpose of the Study:

  • To explore the perceptions and lived experiences of type 2 diabetes among Pacific Islanders in Honolulu.
  • To identify barriers and facilitators to diabetes self-management within this community.

Main Methods:

  • Qualitative study utilizing four focus groups with 23 Pacific Islander adults diagnosed with type 2 diabetes.
  • Focus group transcripts were analyzed using Ethnograph software.
  • Outreach workers facilitated discussions and confirmed priority issues with participants.

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Main Results:

  • Participants viewed diabetes as encompassing complications, emotional distress, symptoms, and behavioral changes.
  • Hyperglycemia responses included fear, frustration, and uncertainty.
  • Dietary adherence barriers involved habit, cultural practices, body image ideals, and financial constraints.

Conclusions:

  • Community-based interventions such as walking/support groups, cooking classes, and accessible healthy food options are desired.
  • Involving families and providing translated educational materials were identified as beneficial.
  • Findings are informing the development of a community-based diabetes program.