预防2型糖尿病:一项定性研究,探讨了糖尿病前期患者健康相关实践的复杂性
Eleanor Barry1, Trisha Greenhalgh2, Chrysanthi Papoutsi2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK eleanor.barry@phc.ox.ac.uk.
糖尿病前期的诊断往往挑战个人,特别是来自不同背景的人,因为社会和经济因素超过了未来的糖尿病风险,因此采取健康的生活方式. 干预需要更广泛的社会变革,而不仅仅是个人建议.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 行为科学 行为科学
背景情况:
- 尽管采取了初级保健预防策略,但2型糖尿病发病率仍在不断上升.
- 糖尿病前期诊断和生活方式改变鼓励是常见的干预措施.
研究的目的:
- 研究糖尿病前期诊断如何影响个人的健康相关实践.
- 了解糖尿病前期诊断后采用健康生活方式的障碍和促进因素.
主要方法:
- 这是一项定性研究,涉及25名被诊断为糖尿病前期患者.
- 通过叙事采访,患者收集的数据和后续采访收集数据.
- 分析以博迪欧的实践理论为指导.
主要成果:
- 参与者,特别是来自低收入和不同族群的参与者,在遵守生活方式建议方面遇到了困难.
- 个人"习惯"与社会规范,期望和结构因素 (例如,食品成本,住房不安全) 相互作用.
- 采用健康的行为带来了社会风险 (例如,社会定位,归属),被认为比未来的糖尿病风险更直接.
结论:
- 预防糖尿病需要针对个人行为以外的更广泛的身体,经济,社会和文化环境进行干预.
- 健康行为可能会带来重大的个人社会风险,特别是来自不同种族背景的个人.
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