title: Perceptions related to diet and exercise among Asians and Pacific Islanders with diabetes.
abstract: The purpose of this study was to explore the perceptions of Asians and Pacific Islanders (API) with Type 2 diabetes related to diet and exercise. A descriptive content analysis was conducted on verbalized responses from 15 participants in focus groups who were asked "What role does your culture play in what, when, and how much you eat?" and "If and/or how much you exercise and what type of exercise you do?" The participants recorded responses were transcribed verbatim and analyzed for themes utilizing the social ecological framework.The families, environment, and the local culture in Hawai'i greatly affect the dietary and physical activities of the participants. Psychosocial themes related to diet included depression, denial, and lack of self control. Physical activities were impacted by motivation and awareness of complications of diabetes. Family upbringing, social events, food portions and variety, and reciprocity contributed to eating behaviors of the participants. Family values in sports and role expectations of gender influenced physical activities.This study identified social ecological influences on health behavior among Asians and Pacific Islanders. The findings suggest various efforts for physicians and other health care providers to assist API in taking care of their diabetes.
authors.affiliation: University of Hawai'i at Manoa, School of Nursing and Dental Hygiene, Honolulu, USA. nafanua@hawaii.edu
authors.forename: Nafanua
authors.initials: N
authors.lastname: Braginsky
authors.forename: Jillian
authors.initials: J
authors.lastname: Inouye
authors.forename: Chen Yen
authors.initials: CY
authors.lastname: Wang
authors.forename: Richard
authors.initials: R
authors.lastname: Arakaki
mesh_terms: D000368:Aged; D015928:Cognitive Behavioral Therapy; D003469:Culture; D003863:Depression / Q000523:psychology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D004032:Diet / Q000523:psychology*; D005081:Exercise Therapy / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006254:Hawaii; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D011594:Psychometrics; D036301:Qualitative Research; D012931:Social Environment