The prevalence and management of diabetes among Vietnamese Americans: A population-based survey of an understudied ethnic group

Souza, Leanne R. De; Chan, Keith; Kobayashi, Karen; Karasiuk, Alexis; Fuller‐Thomson, Esme

doi:10.1177/1742395320959422

Cited by 7 publications

(8 citation statements)

References 28 publications

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“…Vietnamese Americans (VAs) have a higher susceptibility to type 2 diabetes mellitus (T2DM) than non-Hispanic Whites, often presenting at a younger age and with lower body mass indexes (BMIs; De Souza et al, 2022; A. T. Nguyen et al, 2023). In a recent study, VAs with normal BMIs had 60% higher adjusted odds of developing diabetes than non-Hispanic Whites (De Souza et al, 2022). Currently, a national prevalence rate of T2DM among VAs remains unknown as VAs are categorized under the broader classification of Asian Americans (A. T. Nguyen & Jones, 2021).…”

Section: Background and Significancementioning

confidence: 99%

“…T. Nguyen et al, 2023). In a recent study, VAs with normal BMIs had 60% higher adjusted odds of developing diabetes than non-Hispanic Whites (De Souza et al, 2022). Currently, a national prevalence rate of T2DM among VAs remains unknown as VAs are categorized under the broader classification of Asian Americans (A. T. Nguyen & Jones, 2021).…”

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confidence: 99%

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Background and SignificanceVietnamese Americans (VAs) have a higher susceptibility to type 2 diabetes mellitus (T2DM) than non-Hispanic Whites, often presenting at a younger age and with lower body mass indexes (BMIs;De Souza et al, 2022;A. T. Nguyen et al, 2023).

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confidence: 99%

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Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography

Sheen,

Casarez,

Gallagher

et al. 2023

J Transcult Nurs

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Introduction: The Vietnamese American (VA) population is projected to grow to 3.9 million by 2030. This demographic shift could affect health care cost as VAs have greater susceptibility for type 2 diabetes mellitus (T2DM). Few studies have explored diabetes self-management (DSM) among VAs. The aim of this study was to explore and describe how VAs with T2DM perceive diabetes and DSM practices. Method: A focused ethnographic design, using semi-structured interviews and participant observation, was used to understand DSM among VAs. Results: The following four themes emerged: (a) defining diabetes and its etiology, (b) body awareness as a way of managing diabetes, (c) maintaining strength after being diagnosed with diabetes, and (d) navigating sources of information regarding diabetes. Discussion: The study findings suggest that DSM is a complex and recursive process, with integrations of cultural practices and influences from the environment. These findings can help the development of culturally tailored interventions to assist with DSM.

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Section: Background and Significancementioning

confidence: 99%

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confidence: 99%

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Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography

Sheen,

Casarez,

Gallagher

et al. 2023

J Transcult Nurs

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“…Prediabetes has been associated with multiple other chronic conditions including cardiovascular disease, chronic kidney disease, cancer, and dementia [ 1 ]. Despite having a BMI within normal limits, Vietnamese Americans experience a disproportionate burden of diabetes with higher diabetes prevalence rates compared with non-Hispanic Whites, having 60% higher odds of diabetes ( P =.03) [ 2 ]. The average age of initial T2DM diagnosis in Vietnamese Americans is more than 5 years younger than that in non-Hispanic Whites [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived Risk of Diabetes Among Vietnamese Americans With Prediabetes: Mixed Methods Study

Nguyen¹,

McEwen²,

Loescher³

2023

Asian Pac Isl Nurs J

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Background Vietnamese Americans have a relatively high risk of developing diabetes at younger ages, yet there are no published studies exploring their risk perceptions. Objective This mixed methods study describes perceived diabetes risk in the context of an underserved population. Methods This study was guided by the Common-Sense Model of Self-Regulation. Snowball sampling was used to recruit 10 Vietnamese Americans with prediabetes and achieve data saturation. Qualitative and quantitative descriptive methodologies with data transformation were used to analyze data from semistructured interviews and questionnaires to explore the dimensions of perceived diabetes risk. Results Participants were between the ages of 30 and 75 years with diversity also noted in diabetes risk factors. The 3 risk perception domains from qualitative data were risk factors, disease severity, and preventing diabetes. The main perceived diabetes risk factors were eating habits (including cultural influences), sedentary lifestyle, and family history of diabetes. Quantitative data supported qualitative findings of a low-to-moderate level of perceived diabetes risk. Despite the lower levels of perceived diabetes risk, Vietnamese Americans do believe that the severity of diabetes is a “big concern.” Conclusions Vietnamese Americans with prediabetes have a low-to-moderate level of perceived diabetes risk. Understanding the perceived diabetes risk in this population provides a foundation for diabetes prevention interventions that consider cultural influences on diet and exercise.

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“…The prevalence of type 2 diabetes (T2D) has been continuously on the rise among Vietnamese adults in the U.S. and in Vietnam (De Souza et al, 2022;Pham & Eggleston, 2016). Type 2 diabetes is a chronic disease that requires lifestyle management to maintain adequate glycemic levels and to prevent or delay the onset of complications.…”

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confidence: 99%

An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

Nguyen

Jones

O’Neal

et al. 2022

Collaborations: A Journal of Community-Based Research and Practice

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Recognizing and addressing culture-specific differences concerning diabetes selfmanagement education and support (DSMES) programs can potentially increase participation among Vietnamese Americans with type 2 diabetes and improve health outcomes. This paper describes the academic-community engagement process used to seek input from the Vietnamese community of Oklahoma to tailor a DSMES program. The Community Engagement Continuum (CEC) (CDC, 2011) was utilized as a conceptual framework to engage with the Vietnamese community. The academic team assembled a community advisory board (CAB) of stakeholders, who were selected to advise the team on intervention development; elicited community feedback; and integrated recommendations to tailor the DSMES program. Twentythree CAB members participated in a minimum of three community engagement meetings over six months. Meetings were structured to elicit feedback and suggestions to ensure that the tailored program was embedded in Vietnamese cultural practices and accounted for community resources and needs. CAB members identified that education and resources must be provided in the Vietnamese language with special attention to culturally relevant adaptations concerning healthy eating and medication adherence. Application of the CEC framework facilitated the inclusion of Vietnamese community perspectives and beliefs, the identification of potential collaborators, the establishment of trust and relationships, and the development of a culturally relevant DSMES program. This engagement process may serve as a model for other underserved minority populations to develop culturally appropriate health promotion and disease prevention interventions.

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The prevalence and management of diabetes among Vietnamese Americans: A population-based survey of an understudied ethnic group

Cited by 7 publications

References 28 publications

Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography

Understanding Diabetes Self-Management Among Vietnamese Americans: A Focused Ethnography

Perceived Risk of Diabetes Among Vietnamese Americans With Prediabetes: Mixed Methods Study

An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

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