Issues that impact type-2 diabetes self-management in rural communities

Ross, Selina; Benavides-Vaello, Sandra; Schumann, Lorna; Haberman, Mel

doi:10.1002/2327-6924.12225

Cited by 29 publications

(36 citation statements)

References 20 publications

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“…7 Successful management of diabetes entails lifestyle modifications and long-term behavior change, fostered by individual or groupbased diabetes self-management education (DSME). 8,9 The American Association of Diabetes Educators (AADE) identifies 7 self-care behaviors that guide a DSME curriculum: (1) healthy eating, (2) being active, (3) monitoring, (4) taking medication, (5) reducing risks, (6) healthy coping and (7) problem-solving. 10 For adults with type 2 diabetes (T2DM), DSME has been shown to reduce hemoglobin A1c by as much as 1%, [11][12][13] and decrease hospitalization 14,15 and health care costs.…”

mentioning

confidence: 99%

Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis

Heitkemper

Mamykina

Travers

et al. 2017

Journal of the American Medical Informatics Association

104

102

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confidence: 99%

Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis

Heitkemper

Mamykina

Travers

et al. 2017

Journal of the American Medical Informatics Association

104

102

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“…, Ross et al . ). Some of the more common issues are the disproportionate number of rural residents living in poverty compared to non‐rural residents; deferring treatment due to perceived costs of purchasing healthy foods and the lack of grocery stores that offer affordable and a wide array of produce (Massey et al .…”

Section: Introductionmentioning

confidence: 97%

“…These obstacles further hamper the ability of rural residents, including impoverished Hispanic women, to actively and successfully engage in more healthy food choices (Ross et al . ).…”

Section: Introductionmentioning

confidence: 97%

“…Also noteworthy is that impoverished women living in rural communities encounter well-documented health disparities in the treatment and management of type 2 diabetes (NRHA 2007-13, Massey et al 2010, Remler et al 2011, Ross et al 2015. Some of the more common issues are the disproportionate number of rural residents living in poverty compared to non-rural residents; deferring treatment due to perceived costs of purchasing healthy foods and the lack of grocery stores that offer affordable and a wide array of produce (Massey et al 2010, Remler et al 2011.…”

Section: Introductionmentioning

confidence: 99%

“…Some of the more common issues are the disproportionate number of rural residents living in poverty compared to non-rural residents; deferring treatment due to perceived costs of purchasing healthy foods and the lack of grocery stores that offer affordable and a wide array of produce (Massey et al 2010, Remler et al 2011. These obstacles further hamper the ability of rural residents, including impoverished Hispanic women, to actively and successfully engage in more healthy food choices (Ross et al 2015).…”

Section: Introductionmentioning

confidence: 99%

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Sociocultural construction of food ways in low‐income Mexican‐American women with diabetes: a qualitative study

Benavides-Vaello

Brown

2016

Journal of Clinical Nursing

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Aims and objectives The aim of the study was to explore how low-income Hispanic women, with at least 10 years of having type 2 diabetes, successfully manage the disease within a sociocultural context, especially in relation to foodways. Background Managing type 2 diabetes is challenging, particularly for underserved populations such as low-income Hispanic women. This population segment has higher rates of type 2 diabetes, diabetes-related complications, obesity, and sedentary lifestyles than the general U.S. population. Dietary management is a critical aspect of diabetes care, but it is perhaps the most difficult health behaviour to modify. Design A qualitative and ethnographically based study was used. Methods Participant observation and individual interviews explored the interrelationships of culture, food habits and type 2 diabetes among 12 low-income Hispanic women residing in an impoverished rural community located on the Texas-Mexico border. Results Hispanic women used unique strategies to adjust their diet, particularly portion control; for example, they emphasised the ‘use of the fork’, based on the notion that Hispanic finger foods are less healthy. Women categorised foods as bad or acceptable, depending on the context, such as important family or social gatherings. Those with years of diabetes experience confidently took charge of the disease based on knowledge of their bodies and a desire to avoid complications, while acknowledging brief infractions of dietary ‘rules’ and balancing various social roles and expectations. Conclusions Hispanic women manage their type 2 diabetes within a sociocultural environment. Those with expertise make changes in how they eat to care for their diabetes, but also continue to maintain traditional foodways.

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Burden and management of type 2 diabetes in rural United States

Dugani

Mielke

Vella

2020

Diabetes Metabolism Res

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In the United States, rural areas have a higher burden of type 2 diabetes (T2DM) compared to urban areas. However, there is limited information on risk factors and interventions that improve the primary prevention and management of T2DM in rural areas. To synthesize current knowledge on T2DM in rural areas and to guide healthcare providers and policy makers, we reviewed five scientific databases and the grey literature over the last decade (2010–2020). We described classification systems for rurality and the T2DM burden based on rurality and region (West, South, Midwest, and Northeast). We highlighted risk factors for T2DM in rural compared to urban areas, and summarized interventions to screen and manage T2DM based on opportunistic screening, T2DM self‐management, community‐based initiatives, as well as interventions targeting comorbidities and T2DM. Several studies identified the co‐existence of T2DM and depression/psychological symptoms, which could reduce adherence to non‐pharmacologic and pharmacologic management of T2DM. We highlighted the role of technology in education and counselling of patients with geographic and financial barriers to accessing care, which is exacerbated by the SARS‐CoV‐2 coronavirus disease‐19 pandemic. We identified knowledge gaps and next steps in improving T2DM care in rural areas. There is an urgent need for interventions tailored to rural areas given that rural Americans currently experience a disproportionate burden of T2DM and are encumbered by its associated morbidity, mortality, and loss in economic productivity.

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Issues that impact type-2 diabetes self-management in rural communities

Cited by 29 publications

References 20 publications

Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis

Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis

Sociocultural construction of food ways in low‐income Mexican‐American women with diabetes: a qualitative study

Burden and management of type 2 diabetes in rural United States

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