| Self-management among patients living with diabetes in the United States Virgin Islands. | |
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MedLine Citation:
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PMID: 21317521 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The United States Virgin Islands (USVI) is facing a diabetes epidemic similar to the one on the U.S. mainland, yet little is known regarding the cultural context relevant to self-management in this U.S. territory. We conducted in-home interviews (n=53) supplemented by self-administered questionnaire and A1c testing with U.S. Virgin Islanders to characterize self-management knowledge, attitudes, and behaviors among patients living with diabetes. The mean glycosylated hemoglobin (A1c) was 7.63 (Range=5-13); a composite score of traditional self-management behaviors was not associated with A1c. Several recurrent themes emerged from qualitative analysis including: 1) cultural nuances shaped perspectives on self-management, 2) culturally-specific challenges were barriers to effective self-management, 3) medical homes were rarely viewed as the primary source of education and support, and 4) fear largely motivated or stalled self-management practices. This study highlights the need for culturally-tailored measures and interventions to address the specific needs within this population. |
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Authors:
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Maxine A Nunez; Hossein Yarandi; Marcella Nunez-Smith |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of health care for the poor and underserved Volume: 22 ISSN: 1548-6869 ISO Abbreviation: J Health Care Poor Underserved Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-14 Completed Date: 2011-04-21 Revised Date: 2011-09-27 |
Medline Journal Info:
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Nlm Unique ID: 9103800 Medline TA: J Health Care Poor Underserved Country: United States |
Other Details:
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Languages: eng Pagination: 271-83 Citation Subset: IM |
Affiliation:
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University of the Virgin Islands, St. Thomas, United States Virgin Islands. mnunez@uvi.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cultural Characteristics* Diabetes Mellitus / therapy* Female Health Knowledge, Attitudes, Practice Hemoglobin A, Glycosylated / analysis Humans Male Middle Aged Qualitative Research Questionnaires Self Care* Virgin Islands of the United States |
| Grant Support | |
ID/Acronym/Agency:
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P20 MD002286-01/MD/NCMHD NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Hemoglobin A, Glycosylated |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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