title: Middle-aged Appalachians living with diabetes mellitus: a family affair.
abstract: Understanding the experiences of low-income Appalachians living with type 2 diabetes mellitus is needed to provide culturally sensitive care. For this qualitative study, 13 adults were recruited from 2 low-income clinics in northern West Virginia through purposive sampling. Through in-depth interviews with the participants, 4 themes were identified: (1) achieving a balance between diet and family needs, (2) adapting to fluctuations in energy levels, (3) balancing family relationships with self-reliance, and (4) dealing with the uncertainty of future health. Nurses working with low-income adults in Appalachia need to provide family-centered diabetes education to meet the cultural needs of this group.
authors.affiliation: Belmont Technical College, St. Clairsville, OH 43950, USA. bposey@btc.edu
authors.forename: Brenda
authors.initials: B
authors.lastname: Lohri-Posey
mesh_terms: D000328:Adult; D001061:Appalachian Region; D018864:Cultural Diversity; D003924:Diabetes Mellitus, Type 2; D005195:Family Relations; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D011203:Poverty; D014903:West Virginia