Social factors and barriers to self-care adherence in Hispanic men and women with diabetes

The Roles of Social Support and Health Literacy in Self‐Management Among Patients With Chronic Kidney Disease

“…Both Naranjo, Mulvaney, McGrath, Garnero, and Hood () and Fisher and colleagues () adopted a social‐ecological approach and proposed that healthcare providers might shift the focus of self‐management enhancement programs from individuals to families or the social context. Thus, patients might modify their daily activities to ensure that they have a supportive environment, good social network, and good support sources to achieve their disease management goals (Ansmann et al., ; Koetsenruijter et al., ; Mansyur, Rustveld, Nash, & Jibaja‐Weiss, ; Rowlands, Shaw, Jaswal, Smith, & Harpham, ). In summary, social support appears to be an essential, modifiable factor for self‐management behaviors, making it a suitable therapeutic target for patients with CKD.…”

Differences in foot self-care and lifestyle between men and women with diabetes mellitus

“…This result may be associated with the fact that women are more attentive to symptoms and physical signs of diseases and more frequently seek health services than men 8 , 10 . Additionally, other studies identified that women present a higher prevalence of changes in the lipid profile and therefore require medication to treat dyslipidemia early 2 , 7 , 9 .…”

“…Lack of support also influenced the adoption of a proper diet because women were not willing to cook foods, necessary for their diet, but which their families did not appreciate, such as restricted salt and sugar. Additionally, those women facing financial hardship consider it selfish to buy foods that exclusively meet their needs 8 .…”

“…Such limitations hinder the physiological response of individuals to the disease, the relationship between professionals and patients, also leading to increased direct and indirect costs 4 , 7 - 8 . The process of change is complex and the sex of patients has been identified as one of the factors interfering in the behavior and attitude of people who need to adopt new habits and implement self-care measures.…”

Diabetes affects everything: Type 2 diabetes self‐management among Spanish‐speaking hispanic immigrants

“…The shroud of secrecy around their diagnosis contributed to some participants' difficulties at parties and other social events where they felt pressured to drink, or eat in ways that were “bad” for them by friends and family members who were unaware of the T2DM diagnosis. This finding demonstrates that while social support is considered an important component of successful T2DM self‐management, a substantial number of persons keep their condition private and, as a consequence, are less likely to have social support or to participate in group‐based T2DM education or exercise programs (Hu, Amirehsani, Wallace, & Letvak, ; Mansyur, Rustveld, Nash, & Jibaja‐Weiss, ). Therefore, despite their cost‐effectiveness, efficacy, and appeal to healthcare providers, group‐based intervention efforts are inadequate to meet the needs of all among this population (Gucciardi et al, ; Mansyur et al, ).…”