title: Overcoming cultural barriers to diabetes control: a qualitative study of southwestern New Mexico Hispanics.
abstract: This qualitative study examined the impact of cultural barriers on self-management of diabetes among Hispanic participants in LA VIDA (Lifestyle and Values Impact Diabetes Awareness), a diabetes intervention program in southwestern New Mexico. As part of the LA VIDA program evaluation, in depth interviews were conducted with 50 Hispanics who had participated in one or more activities, including diabetes education classes, grocery store tours, and support groups, and who had interacted with promotores (community health workers). LA VIDA participants reported that a sense of empowerment and increased self-efficacy enabled them to overcome cultural barriers related to the traditional Hispanic diet, lack of social support, and denial about having diabetes.
authors.affiliation: Department of Family and Community Medicine, Health Sciences Center, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA. jmccloskey@salud.unm.edu
authors.forename: Joanne
authors.initials: J
authors.lastname: McCloskey
authors.forename: Donna
authors.initials: D
authors.lastname: Flenniken
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health / Q000208:ethnology*; D003150:Community Health Workers / Q000458:organization & administration / Q000523:psychology; D054521:Cultural Competency; D003717:Denial, Psychological; D003920:Diabetes Mellitus / Q000208:ethnology / Q000517:prevention & control; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D008019:Life Style / Q000208:ethnology; D008297:Male; D009516:New Mexico; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D011209:Power, Psychological; D036301:Qualitative Research; D012648:Self Care / Q000379:methods / Q000523:psychology*; D020377:Self Efficacy; D012657:Self-Help Groups; D012944:Social Support