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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.
Introduction:
The Vietnamese American (VA) population is projected to grow to 3.9 million by 2030. This demographic shift could affect health care cost as VAs have greater susceptibility for type 2 diabetes mellitus (T2DM). Few studies have explored diabetes self-management (DSM) among VAs. The aim of this study was to explore and describe how VAs with T2DM perceive diabetes and DSM practices.
Method:
A focused ethnographic design, using semi-structured interviews and participant observation, was used to understand DSM among VAs.
Results:
The following four themes emerged: (a) defining diabetes and its etiology, (b) body awareness as a way of managing diabetes, (c) maintaining strength after being diagnosed with diabetes, and (d) navigating sources of information regarding diabetes.
Discussion:
The study findings suggest that DSM is a complex and recursive process, with integrations of cultural practices and influences from the environment. These findings can help the development of culturally tailored interventions to assist with DSM.
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