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Colonial Mentality and Diabetes Self-Management in Filipino Americans
Rey Paolo Ernesto Roca1, Behnan Albahsahli2, Gilkevyn Joseph Gaw Palao3
1University of California, Los Angeles, California, USA.
Nursing Open
|February 28, 2025
Summary
Colonial mentality negatively impacts diabetes self-management in Filipino Americans with type 2 diabetes (T2DM). Internalized inferiority and shame were linked to poorer glucose control, healthcare use, and overall self-management.
Area of Science:
- Health disparities research
- Psychosocial aspects of chronic disease management
- Cultural psychology
Background:
- Filipino Americans experience significant health disparities, including a high prevalence of type 2 diabetes (T2DM).
- Colonial mentality, a psychological construct reflecting internalized oppression, may influence health behaviors in ethnic minority groups.
- Understanding factors affecting diabetes self-management is crucial for improving health outcomes in this population.
Purpose of the Study:
- To investigate the relationship between colonial mentality and diabetes self-management among Filipino Americans with T2DM.
- To identify specific dimensions of colonial mentality associated with diabetes self-management behaviors.
Main Methods:
- A cross-sectional survey study was conducted with 37 Filipino Americans aged 18+ with T2DM in the US.
- The Colonial Mentality Scale for Filipino Americans and the Diabetes Self-Management Questionnaire were utilized.
- Data were analyzed using descriptive statistics, independent t-tests, and Pearson's r correlation.
Main Results:
- A moderate negative association was found between internalized cultural/ethnic inferiority and cultural shame (colonial mentality) and diabetes self-management behaviors.
- Poorer glucose control, healthcare utilization, and overall self-management were linked to higher levels of these colonial mentality dimensions.
- While not statistically significant, males reported greater colonial mentality manifestations than females.
Conclusions:
- Colonial mentality, particularly internalized inferiority and shame, presents a barrier to effective diabetes self-management in Filipino Americans with T2DM.
- These findings highlight the need for culturally sensitive interventions addressing psychosocial factors in diabetes care for this community.
- This study is the first to empirically demonstrate the link between colonial mentality and diabetes self-management in Filipino Americans.
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