Challenges of Diabetes Management in Immigrant Korean Americans

Nam, Soohyun; Song, Hee-Jung; Park, So-Youn; Song, Youngshin

doi:10.1177/0145721713475846

Cited by 35 publications

(45 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Men tended to look more globally at their responsibility as providers for the family, often neglecting cares and prioritizing financial welfare of the family above their own health. These findings are consistent with other studies of diabetes management in Korean Americans [29,30]. Although these informants' experiences challenged the legitimacy of the familial intimacy and harmony that they desired, they pursued an appearance of harmony within their family [9].…”

Section: Discussionsupporting

confidence: 87%

Family Harmony: Reconciling Individual and Collective Responsibility in the Care of Type 2 Diabetes Mellitus in Korean Middle-Aged Americans

Pistulka¹,

Park²,

Han³

et al. 2017

J Nurs Care

View full text Add to dashboard Cite

Type 2 Diabetes Mellitus (DM) has disproportionately affected Korean American immigrants (KAI) in the United States. Biomedical, more individualistic, management models have focused primarily on individual responsibility for the prevention of costly complications. Traditionally, collectivism has been an important attribute of the KAI community. We conducted a qualitative study to explore the individual and collective values within the context of family while caring for DM in middle-aged (40-64 years) KAI. The following themes emerged from individual in-depth interviews: (1) Personal accountability for family harmony: I do it on my own; (2) Preserving appearance of family harmony at all costs: personal sacrifice for the good of the whole; and (3) Family harmony through mutuality: we take care of each other. The process of reconciliation of the individual and collective ethic requires one to find coping strategies, while considering social roles, gender and intergenerational interactions, in order to maintain harmony in KAI families.

show abstract

Section: Discussionsupporting

confidence: 87%

Family Harmony: Reconciling Individual and Collective Responsibility in the Care of Type 2 Diabetes Mellitus in Korean Middle-Aged Americans

Pistulka¹,

Park²,

Han³

et al. 2017

J Nurs Care

View full text Add to dashboard Cite

show abstract

“…In Korea, an “all together” culture is regarded as a valuable social virtue. Despite relatively low social stigma against diabetes in Korea, patients with diabetes tend to hide their health condition to perform their responsibilities and obligations (Kang, Kim, Bae, Choi, & Shin, ; Nam, Song, Park, & Song, ). In these studies, the attributes of stigma among Korean patients with diabetes were reported; however, the differentiation between self‐stigma and social stigma was unclear.…”

Section: Introductionmentioning

confidence: 99%

Self‐stigma among Korean patients with diabetes: A concept analysis

Seo

Song

2019

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

Aims and Objectives To conduct a concept analysis of self‐stigma among patients with diabetes and introduce an operational definition of self‐stigma. Background Due to fears of being monitored, patients with diabetes often conceal their disease and/or withdraw from social relationships. These behaviours negatively affect patients’ self‐care and socialisation. Design A concept analysis was conducted using a three‐phase (theoretical phase, fieldwork phase and final analysis phase) hybrid method by Schwartz‐Barcott and Kim (Nursing research methodology: Issues and implementations, 1986, Rockville, MD: Aspen). Methods During the theoretical phase, a literature search was conducted using PubMed and CINAHL. Using COREQ guidelines, in the fieldwork phase, in‐depth interviews were conducted with nine participants with diabetes. The recorded data were analysed using a grounded theory approach. Results from both were included in the analytic phase. Results In the fieldwork phase, nine patients with diabetes (four men and five women; mean age = 57.00 ± 21.93 years) participated in the interview. The mean duration of diabetes was 21.44 ± 12.39 years. The self‐stigma concept included three categories with nine attributes: affective (negative feelings and feeling sorry for others who have concerns about me), cognitive (low self‐esteem and self‐efficacy, perceived weakness, low expectations for the future, worry for children and disease burden) and behavioural factors (social withdrawal and avoiding disease disclosure). The nine attributes included 23 indicators. Conclusions Self‐stigma among patients with diabetes is defined as a state in which patients develop negative self‐feelings as they deal with the disease. This can cause diminished self‐esteem and self‐efficacy, as well as a tendency to avoid disclosing the illness along with social withdrawal. Relevance to Clinical Practice Based on this self‐stigma concept analysis, we clarified the attributes of diabetes self‐stigma and distinguished it from social stigma in nurse professionals during patient education and clinical assessment.

show abstract

“…Increasing awareness of diabetes self-management and family involvement, and providing translation services in the healthcare settings are important components of interventions to eliminate or minimize disparities in such populations. (Nam et al, 2013)…”

Section: Nursing Research Relevant To Women’s Healthmentioning

confidence: 99%