与东亚移民人口中糖尿病管理相关的障碍和有效干预措施:范围审查
Qiong Nancy Cang1, Catherine Bacon1, Anecita Gigi Lim1
1Faculty of Medical and Health Sciences, School of Nursing, University of Auckland, Auckland, New Zealand.
Ethnicity & health
|December 19, 2025
概括
由于文化和移民障碍,糖尿病管理对东亚移民来说是一项挑战. 文化定制的教育计划有望改善这一群体的自我管理和健康结果.
科学领域:
- 公共卫生 公共卫生
- 移民健康 移民健康
- 糖尿病管理 糖尿病管理
背景情况:
- 东亚移民人口的糖尿病患病率高于他们的祖国和东道国的一般人口.
- 这种增加的风险归因于与移民相关的遗传倾向和社会文化环境因素的结合.
- 导航医疗保健系统和管理糖尿病对移民人口构成重大挑战.
研究的目的:
- 在东亚移民中识别最佳糖尿病管理实践的障碍.
- 确定有效的干预措施,以改善这一人口群体的糖尿病管理.
主要方法:
- 2010年1月至2024年8月期间发表的同行评审的英语报告的系统审查.
- 通过使用PubMed,Ovid MEDLINE,CINAHL COMPLETE和SCOPUS等数据库来确定研究,遵循阿克西和奥马利的框架.
- 排除标准包括对1型糖尿病,妊娠期糖尿病和18岁以下个体的研究.
主要成果:
- 包括18项涉及中国,韩国和其他东亚移民在美国,澳大利亚和加拿大的研究.
- 识别的障碍包括"文化观点" (关于糖尿病的信仰,饮食,药物,传统疗法,医疗保健等级,家庭角色) 和"移民挑战" (通信,交通,财务,时间限制,情绪困扰,医疗保健系统不满).
- 有效的干预措施包括文化定制,教学和双语教育计划,重点是自我管理,营养和社交媒体,一些研究表明自我管理和心脏代谢风险因素的改善.
结论:
- 在东亚移民中,有效的糖尿病管理障碍源于文化差异,与移民有关的困难以及对西方医疗保健的不满.
- 文化定制,教学和双语糖尿病教育计划是对这一群体的有效干预措施.
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