Black Women’s Recommendations for Developing Effective Type 2 Diabetes Programming

Hurt, Tera R.; Seawell, Asani H.; Cutrona, Carolyn E.; O’Connor, Margaret; Camp, Randie D.; Duran, Roxanne; Elderts, Reid; Green, Chrishelda; Hara, Vanessa

doi:10.1177/2333393617715335

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…The present study describes a graded relationship between ACE and T2DM among women, with additional findings showing that the relationship may be strongly influenced by the higher risk for overweight and obese status among women with a history of ACE. To prevent T2DM among women at risk, it is recommended that women receive counseling to reduce their diabetes risk consistent with national recommendations [82–86] addressing physical activity, diet, and weight loss and recommendations that programs be tailored to address the needs of Black [87] and Hispanic women [88]. Additional screening for ACE should occur so that women with a history of ACE receive combined psychological counseling along with traditional diabetes prevention.…”

Section: Resultsmentioning

confidence: 99%

Adverse childhood events and risk of diabetes onset in the 1979 National longitudinal survey of youth cohort

et al. 2019

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Background Type 2 diabetes is a major public health problem with considerable personal and societal costs. Adverse childhood experiences (ACE) are associated with a number of serious and chronic health problems in adulthood, but these experiences have not been adequately studied in relation to diabetes in a US national sample. The association between ACE and poor health can be partially explained by greater risky health behaviors (RHB) such as smoking, heavy alcohol use, or obesity. Few studies have examined ACE in relation to adult onset Type 2 diabetes mellitus (T2DM) taking into account the role of RHB. Using longitudinal data from a representative US population sample followed over 30 years, this study examines the impact of ACE on the risk of diabetes onset. Methods Data from the 1982 to 2012 waves of the 1979 National Longitudinal Survey of Youth were analyzed, spanning ages 14 to 56. Bivariate and discrete-time survival models were used to assess the relationships between ACE and RHB including smoking, alcohol use, and obesity, and subsequent onset of diabetes. Results T2DM was reported by almost 10% of participants. Over 30% of women and 21% of men reported 2+ ACE events. Women reporting 2–3 or 4+ ACE events were more likely to develop diabetes with the mean number of ACE events being greater in those with diabetes compared to without (1.28 vs.1.05, p < .0001). For men there was no significant association between ACE and diabetes onset. For women, ACE was associated with heavy drinking, current smoking, and obesity. For men, ACE was associated with being underweight and daily smoking. In multivariate discrete-time survival models, each additional ACE increased risk of T2DM onset (OR adj = 1.14; 95% CI 1.02–1.26) for women but not for men. The relationship in women was attenuated when controlling for body mass index (BMI). Conclusion ACE predicted diabetes onset among women, though this relationship was attenuated when controlling for BMI. Being overweight or obese was significantly more common among women with a history of ACE, which suggests BMI may be on the pathway from ACE to diabetes onset for women.

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Section: Resultsmentioning

confidence: 99%

Adverse childhood events and risk of diabetes onset in the 1979 National longitudinal survey of youth cohort

et al. 2019

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“…This education should include information on CVD signs and symptoms, a basic understanding of CVD risk factors and pathophysiology, and effective prevention strategies. This information needs to be presented in a way that is understandable to the general public, while showing individuals what they can do to prevent and reduce their risk of heart disease using a culturally relevant approach [ 19 , 26 ]. Effective evidence-based interventions should be the starting point for translation and adaptation to cultural settings [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative inquiry can be the best approach for identifying the unique barriers to and motivators for sustainable change [ 26 , 31 ]. As such the detail provided by respondents on preferred program types can be useful to generate possibilities for CVD education.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study

Ananian

Winham

Thompson

et al. 2018

IJERPH

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African Americans have a disproportionately higher risk of chronic conditions such as cardiovascular disease (CVD), type 2 diabetes, and hypertension than other ethnic or racial groups. Data regarding CVD-related perceptions and beliefs among African Americans are limited, particularly in the Southwest US. Assessment of current views regarding health and health behaviors is needed to tailor interventions to meet the unique needs of specific populations. We sought to examine knowledge, attitudes, and perceptions of African Americans living in Arizona toward CVD and etiological factors associated with health behaviors and chronic disease development to inform state health agency program development. Transcripts from 14 focus groups (n = 103) were analyzed using Grounded Theory for perceived disease risk, knowledge of CVD risk factors, nutrition, preventative behaviors, and barriers and motivators to behavior change. Participants identified CVD, stroke, and diabetes as leading health concerns among African-Americans but were less certain about the physiological consequences of these diseases. Diet, stress, low physical activity, family history, hypertension, and stroke were described as key CVD risk factors, but overweight and obesity were mentioned rarely. Participants described low socio-economic status and limited access to healthy foods as contributors to disease risk. Focus group members were open to modifying health behaviors if changes incorporated their input and were culturally acceptable. Respondents were 41% male and 59% female with a mean age of 46 years. This study provides insight into CVD and associated disease-related perceptions, knowledge, and attitudes among African Americans in the Southwest and recommendations for interventions to reduce CVD risk.

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Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes

Basinger,

Cameron,

Allen

2023

J. Racial and Ethnic Health Disparities

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Black Women’s Recommendations for Developing Effective Type 2 Diabetes Programming

Cited by 3 publications

References 36 publications

Adverse childhood events and risk of diabetes onset in the 1979 National longitudinal survey of youth cohort

Adverse childhood events and risk of diabetes onset in the 1979 National longitudinal survey of youth cohort

Perceptions of Heart-Healthy Behaviors among African American Adults: A Mixed Methods Study

Stigma, Self-Care, and Intuitive Eating in Black Americans with Type 2 Diabetes

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