Migrant adults with diabetes in France: Influence of family migration

Chambre, C.; Gbedo, C.; Kouacou, Narcisse; Fysekidis, Marinos; Réach, G.; Clésiau, H. Le; Bihan, H.

doi:10.1016/j.jcte.2016.12.003

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Migrants include foreign‐born people who have moved to another country, either voluntarily as immigrants or involuntarily as refugees (IOM, 2017). In addition, migrants with type 2 diabetes have been shown to have limited knowledge about diabetes (Pettersson et al., 2019) and to be at increased risk of high blood glucose levels (Chambre et al., 2017). Furthermore, migrants find that diabetes care is not tailored to their expectations and cultural needs (Jager et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Cultural competence in healthcare professionals, specialised in diabetes, working in primary healthcare—A descriptive study

Pettersson

Holstein

Jirwe

et al. 2021

Health Social Care Comm

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Self-care is the most important cornerstone of diabetes treatment. As self-care is affected by cultural beliefs, it is important for healthcare professionals to be able to adapt their educational approach and to be culturally competent. The aim of this study was to describe the cultural competence in Swedish healthcare professionals, specialised in diabetes care and to examine related factors for cultural competence.The healthcare professionals' perceived level of cultural competence was measured across three domains-Openness and awareness, Workplace support and Interaction skills-in 279 Swedish healthcare professionals from all 21 regions of Sweden, using the Cultural Competence Assessment Instrument (Swedish version-CCAI-S).Descriptive statistics were used to describe cultural competence in healthcare professionals, and linear regression was conducted to examine factors related to cultural competence. Of the healthcare professionals studied, 58% perceived that they had a high level of Openness and awareness, 35% perceived that they had a high level of Interaction skills and 6% perceived that they had a high level of Workplace support. Two factors were found to be related to cultural competence, namely, high percentage of migrant clients at the healthcare clinic and whether the healthcare professionals previously had developed cultural competence through practical experience, education and/or by themselves. In conclusion, most healthcare professionals perceived that they had cultural openness and awareness but need more support from their workplace to improve their interaction skills. Cultural competence-related education could support the healthcare professionals to develop interaction skills. K E Y W O R D Scultural background, cultural competence, diabetes mellitus, healthcare professionals, primary healthcare, self-care e718 |

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Section: Introductionmentioning

confidence: 99%

Cultural competence in healthcare professionals, specialised in diabetes, working in primary healthcare—A descriptive study

Pettersson

Holstein

Jirwe

et al. 2021

Health Social Care Comm

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“…A consequence of that is that migrants are at risk of having uncontrolled disease with inadequate self-care and poor glycaemic control 6,11,20,22,[26][27][28][29][30] .…”

Section: Migrants and Type 2 Diabetesmentioning

confidence: 99%

“…Diabetes health care can contribute to inequalities between the native population and people with other cultural backgrounds 2,26,28,29 . Type 2 diabetes negatively affects migrants in terms of prevalence but also in terms of poorer control over their disease compared to native populations [2][3][4]22 .…”

Section: Rationalementioning

confidence: 99%

Supporting Self-care in Migrants with Type 2 Diabetes

Pettersson

2024

Linköping University Medical Dissertations

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Background: Diabetes Mellitus, specifically type 2 diabetes, represents a growing global health concern, with a prevalence predicted to reach 783 million by 2045. Type 2 diabetes leads to personal suffering, reduced productivity and significant health care cost. Selfcare is the most important cornerstone in the treatment of type 2 diabetes and patient education is a prerequsite for performing adequate self-care. Migrants show a risk of uncontrolled diabetes and the prevalence of type 2 diabetes in migrants, living in European countries, poses challenges as cultural and language barriers might affect health care outcomes Culturally appropriate diabetes education is important for improving glycaemic control and health outcomes in migrant populations. In the Swedish health care setting, diabetes care follows national guidelines and is predominantly provided in primary health care centers. However, criticism has arisen regarding the lack of tailored care for migrants, leading to less effective health care. This thesis explores patients' competence and health providers' cultural competence influencing patient's self-care. Aim:The overall aim of this thesis was to gain knowledge that can contribute to optimising support of self-care in migrants with type 2 diabetes. The aim in study I was to compare foreign-and Swedish-born persons, diagnosed with type 2 diabetes, to study whether there are dissimilarities in knowledge about diabetes mellitus and to study determinants of knowledge. The aim in study II was to describe the cultural competence of primary health care professionals that specialize in diabetes care and to examine related factors that affect cultural competence. In study III the aim was to describe the process of developing a culturally appropriate tool to support self-care in migrants with type 2 diabetes and in study IV the aim was to evaluate the feasibility of a culturally appropriate website, supporting self-care in migrants with type 2 diabetes. Methods:This thesis includes four studies with two cross-sectional descriptive studies one co-design study, and one feasibility study. In study I where knowledge and glycaemic control were assessed, patients diagnosed with type 2 diabetes, receiving care at a primary health care center, participated. The data was collected with validated questionnaire and described by numbers and percentage, mean (SD) and median (range). Comparisons participants expressed interest and demand for the website, and the planned strategy for implementation was considered reasonable. They also felt it was possible to integration the tool into existing primary health care infrastructure, as a complementary cultural appropriate tool.Conclusions: There are vulnerable groups in the society such as migrants born in the Middle East, with type 2 diabetes. This thesis highlights the importance of patient's competence and health care providers' cultural competence and the influence of self-care. The development of a culturally appropriate tool, such as the website, is proposed as a practical s...

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“…Research shows that migrant patients with type 2 diabetes, especially those from the Middle East, often lack knowledge about the disease and have inadequate self‐care, causing an increased prevalence of diabetes with poor glycaemic control compared to the native Swedish population (Bennet et al, 2014; Elinder et al, 2017; Rawshani et al, 2018; Wandell et al, 2010). In addition, migrant patients believe that the diabetes care they receive is not culturally tailored (Chambre et al, 2017). But, for individuals with type 2 diabetes, complications and severe illness can be prevented with good glycaemic control, and to maintain such control, self‐care is essential (Saeedi et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Self‐care in migrants with type 2 diabetes, during the COVID‐19 pandemic

Pettersson

Jaarsma

Hedgärd

et al. 2022

J of Nursing Scholarship

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Introduction: Type 2 diabetes is increasing globally and particularly affects vulnerable groups in society, such as migrants. Research shows that type 2 diabetes is a risk factor for severe illness when infected with COVID-19. Diabetes-related complications can be prevented with good glycaemic control. In addition, good glycaemic control has been shown to be an important cornerstone for preventing severe illness in individuals infected with COVID-19. In order to maintain good glycaemic control, self-care is needed. The purpose of this article is to describe self-care maintenance and possible changes in self-care maintenance and to explore factors related to unchanged self-care maintenance in migrant patients with type 2 diabetes during the COVID-19 pandemic. The second aim is to describe well-being, social support, and the need for support from healthcare services during the COVID-19 pandemic in migrant patients with type 2 diabetes.Design/Method: A triangulation design with cross-sectional data collection was used.Both quantitative and qualitative data were collected and interpreted together in a triangulation design. Patients were selected by a diabetes nurse from a computer system at a health center in south-eastern Sweden and invited to participate in the study.A questionnaire was translated into the languages most commonly used at the clinic and sent out to 332 migrant patients who had been diagnosed with type 2 diabetes and treated in primary care. This questionnaire assessed self-care maintenance for diabetes (questions inspired by the Self-Care of Diabetes Inventory), with questions added to every item to assess changes during the pandemic. When changes occurred, we asked the participants to elaborate. Open-ended questions asked the participants how they would like to receive information when there are changes in their healthcare. Descriptive statistical analyses were used for the quantitative data and qualitative data was analyzed using a directed approach to content analysis. Results:In total, 79 participants answered the questionnaire (mean age 69 ± 11, 51% male, 47% born in the Middle East). Of these, 76% stated a change in self-care. More than half (58%) stated changes in maintaining an active lifestyle, 40% had changed their physical exercise, and 38% had changed their behavior to avoid getting sick.

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Migrant adults with diabetes in France: Influence of family migration

Abstract: HighlightsThere is a high prevalence of poorly controlled diabetes in migrants.Family gathering is associated with a better control of diabetes.Exploration of migration’ story is important in the health care process.

Cited by 7 publications

References 26 publications

Cultural competence in healthcare professionals, specialised in diabetes, working in primary healthcare—A descriptive study

Cultural competence in healthcare professionals, specialised in diabetes, working in primary healthcare—A descriptive study

Supporting Self-care in Migrants with Type 2 Diabetes

Self‐care in migrants with type 2 diabetes, during the COVID‐19 pandemic

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