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Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography.

Linda H Sheen1, Rebecca Casarez1, Martina R Gallagher1

  • 1The University of Texas Health Science Center at Houston, USA.

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|December 28, 2023
PubMed
Summary

Vietnamese Americans with type 2 diabetes mellitus (T2DM) perceive diabetes self-management (DSM) as a complex process integrating cultural practices and environmental influences. Understanding these perceptions is key for developing effective, culturally tailored interventions.

Keywords:
Vietnamese Americansdiabetes mellitusdiabetes self-management

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Area of Science:

  • Public Health
  • Sociology
  • Medical Anthropology

Background:

  • The Vietnamese American (VA) population is growing, with an increasing prevalence of type 2 diabetes mellitus (T2DM).
  • Limited research exists on diabetes self-management (DSM) within the VA community.
  • Understanding cultural perceptions of T2DM and DSM is crucial for effective healthcare.

Purpose of the Study:

  • To explore and describe how Vietnamese Americans with T2DM perceive diabetes.
  • To understand their approaches to diabetes self-management (DSM).

Main Methods:

  • Focused ethnographic design.
  • Semi-structured interviews.
  • Participant observation.

Main Results:

  • Four key themes emerged: defining diabetes and its causes, using body awareness for management, maintaining strength post-diagnosis, and navigating information sources.
  • DSM is perceived as a complex, recursive process.
  • Cultural practices and environmental factors significantly influence DSM.

Conclusions:

  • DSM among Vietnamese Americans is deeply intertwined with cultural beliefs and environmental contexts.
  • Findings support the need for culturally sensitive interventions to improve DSM in this population.
  • Future research should focus on developing and testing tailored DSM programs for Vietnamese Americans.