Cultural issues in disease management for chinese americans with type 2 diabetes

Chun, Kevin M.; Chesla, Catherine A.

doi:10.1080/08870440410001722958

Cited by 61 publications

(81 citation statements)

References 19 publications

(20 reference statements)

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“…Topic guides were preliminarily formed based on previous literature11 17–19 and discussion with experienced ophthalmologists and anthropology experts; the final versions were developed after the first five patients. All indepth interviews were conducted with diabetic patients with PDR who required vitrectomy surgery at Zhongshan Ophthalmic Centre, Sun Yat-sen University.…”

Section: Methodsmentioning

confidence: 99%

Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study

et al. 2017

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ObjectiveTo identify the reasons for low adherence among patients with diabetic retinopathy (DR) in southern China using a qualitative method.MethodsExploratory indepth interviews were conducted in 27 diabetic patients with proliferative diabetic retinopathy who required vitrectomy surgery at Zhongshan Ophthalmic Centre, Sun Yat-sen University, from March to August 2015. Qualitative data analysis and research software (ATLAS.ti7) was used for data processing and analysis.ResultsFactors influencing the occurrence of timely visits included lack of DR related knowledge, fear and worries about insulin, interactions between patients and society combined with the complexity of emotions and social culture, and the economic burden of treatment.ConclusionsAlthough the reasons for low adherence involved social, emotional, cultural and economic factors, the key issue was the lack of awareness and knowledge of DR. Our findings have several practical implications for health policymakers and programme planners in China.

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Section: Methodsmentioning

confidence: 99%

Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study

et al. 2017

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“…Diabetes care challenges with unfamiliar American foods, lifestyle changes, and English language difficulties should also be evaluated in the language and lifestyle domain. Emphasizing balance in diet rather than strict control (Chesla et al, 2009; Chun & Chesla, 2004) and holistic diabetes care for both medical and emotional needs (Chun et al, 2011) are also culturally appropriate clinical recommendations for this ethnic group.…”

Section: Discussionmentioning

confidence: 99%

Acculturation and bicultural efficacy effects on Chinese American immigrants’ diabetes and health management

et al. 2016

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The primary goal of this study was to examine effects of bicultural efficacy, or perceived confidence in dealing with bicultural acculturation stressors, on type 2 diabetes management and health for first-generation, Cantonese-speaking, Chinese American immigrants (N=162) recruited for a larger community-based diabetes intervention study (Chesla et al., 2013). The current study also tested whether a new Bicultural Efficacy in Health Management (BEFF-HM) scale is a more robust predictor of diabetes and health outcomes than proxy (years in the U.S.) and general acculturation measures. Hierarchical regression analyses of cross-sectional data revealed that high BEFF-HM was significantly related to positive outcomes on five of six diabetes and health measures as hypothesized after accounting for participant characteristics, proxy and general acculturation measures, and social support. Proxy and general acculturation measures failed to predict any study outcome supporting our secondary hypothesis that BEFF-HM is a better predictor of Chinese American immigrants’ diabetes and health management. An immigrant-focused research approach advances understanding of acculturation and bicultural efficacy effects on health by identifying key acculturation domains for study.

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“…For example, cultural concepts of health or illness linked to Traditional Chinese Medicine are different from Western Medicine -physical and mental health are considered to be a part of an unique concept as opposed to a dualistic mindbody representation, respectively (Gurung, 2006). According to this, a study conducted with Chinese Americans with diabetes has found that they prefer to control their disease with traditional herbs or foods and not use recommended pharmacological treatments (Chun & Chesla, 2004). Nevertheless, some authors warn about potential interactions between traditional methods and pharmacological treatments, describing that it may influence the course of medical regimen (e.g., Rodríguez-Gómez & Salas-Serrano, 2006).…”

Section: Figure 1 Determinants Of Immigrants'/ethnic Minorities' (Nonmentioning

confidence: 99%

“…However, different cultural concepts may also be important when sticking to diet recommendations (Bosworth et al, 2006;Gurung, 2006), as we mentioned in our first example. Immigrants with diseases that require dietary restrictions (e.g., diabetes) reported difficulties in adapting diet recommendations to their cultural beliefs (e.g., Chun & Chesla, 2004). Some of them highlighted the cultural symbolism of social gathering, where food abundance is a signal of quality of life.…”

Section: Figure 1 Determinants Of Immigrants'/ethnic Minorities' (Nonmentioning

confidence: 99%

Ethnic minorities’ and immigrants’ therapeutic (non)adherence: What is the role of social and cultural contexts?

Mourão¹,

Bernardes²

2014

Análise Psicológica

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Immigrants and ethnic minorities have been identified as vulnerable groups in health, in general, and in what concerns therapeutic non-adherence (TA) in particular; i.e., (not)following health-care providers' therapeutic recommendations. The general aim of this paper is presenting a literature review of immigrants'/ethnic minorities' TA determinants. We will start by highlighting the reasons as to why immigrants'/ethnic minorities' therapeutic (non)adherence should be a topic of concern. Then, we will present a review of the main determinants of immigrants'/ethnic minorities' TA, at different levels of analysis (e.g., broad structural level; social and community networks; material and social conditions) and emphasize that non-adherence among immigrants/ethnic minorities is mostly non-intentional, seeing as how it is associated with issues such as: low socio-economic conditions, language barriers and cultural mismatches. Finally, we will highlight the role of health-care providers in tackling this health-related problem and reflect about the importance of promoting development and training of health-care providers' multicultural abilities.

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Cultural issues in disease management for chinese americans with type 2 diabetes

Cited by 61 publications

References 19 publications

Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study

Influencing factors on compliance of timely visits among patients with proliferative diabetic retinopathy in southern China: a qualitative study

Acculturation and bicultural efficacy effects on Chinese American immigrants’ diabetes and health management

Ethnic minorities’ and immigrants’ therapeutic (non)adherence: What is the role of social and cultural contexts?

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