title: Acculturation and Self-Management Perceptions Among Mexican American Adults With Type 2 Diabetes.
abstract: Because type 2 diabetes (T2DM) is disproportionately high among Mexican Americans in the United States, this study examined how acculturation influences T2DM self-management, a critical component for disease outcome. Qualitative interviews of 24 low-income Mexican American patients with T2DM were matched to their biomedical and dietary data and degree of acculturation. Greater acculturation to the United States was associated with less favorable diabetes control, fiber density, leisure-time physical activity, and more physical disability. Health care professionals can improve their cultural competence by learning culturally appropriate foods and fostering a warm, caring manner with Mexican Americans to enhance their sense of well-being and compliance with T2DM recommendations.
authors.affiliation: Department of Food Science and Human Nutrition (Ms Plasencia, and Drs Hoerr, and Weatherspoon) and Human Development and Family Studies (Dr Carolan), Michigan State University, East Lansing.
authors.forename: Julie
authors.initials: J
authors.lastname: Plasencia
authors.forename: Sharon
authors.initials: S
authors.lastname: Hoerr
authors.forename: Marsha
authors.initials: M
authors.lastname: Carolan
authors.forename: Lorraine
authors.initials: L
authors.lastname: Weatherspoon
mesh_terms: D000069:Acculturation; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D017058:Mexican Americans; D008875:Middle Aged; D012648:Self Care; D014481:United States