title: Factors that influence diabetes self-management in Hispanics living in low socioeconomic neighborhoods in San Bernardino, California.
abstract: The growing incidence of diabetes among Hispanics is a serious public health concern. To identify factors that influence diabetes self-management in Hispanics, qualitative data gathered through five focus group interviews was examined using grounded theory methods. Four major themes emerged which were perceived by participants as enhancing or limiting factors: (1) access to resources, (2) struggle with diet, (3) self-efficacy, and (4) social support. The family's role as a determinant of diabetes self-management emerged as the underlying sub-theme to all four themes and underscores its importance among Hispanics living with diabetes. Results suggest that for the family to be an enhancing factor, health care providers need to educate, empower, and include the family in diabetes management and prevention. Programs which aim to improve the practice of self-management should incorporate the sociocultural and socioeconomic context in which Hispanics with diabetes live.
authors.affiliation: School of Nursing, Loma Linda University, Loma Linda, CA, USA. eramal@llu.edu
authors.forename: Edelweiss
authors.initials: E
authors.lastname: Ramal
authors.forename: Anne Berit
authors.initials: AB
authors.lastname: Petersen
authors.forename: Kathie Marlene
authors.initials: KM
authors.lastname: Ingram
authors.forename: Andrea Marie
authors.initials: AM
authors.lastname: Champlin
mesh_terms: D002140:California; D003920:Diabetes Mellitus / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D004032:Diet / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011203:Poverty / Q000523:psychology* / Q000706:statistics & numerical data; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support; D012959:Socioeconomic Factors