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Cultural and Family Challenges to Managing Type 2 Diabetes in Immigrant Chinese Americans

Diabetes care, 2009-10, Vol.32 (10), p.1812-1816 [Peer Reviewed Journal]

2009 INIST-CNRS ;Copyright American Diabetes Association Oct 2009 ;2009 by the American Diabetes Association. 2009 ;ISSN: 0149-5992 ;EISSN: 1935-5548 ;DOI: 10.2337/dc09-0278 ;PMID: 19628812 ;CODEN: DICAD2

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Title:
Cultural and Family Challenges to Managing Type 2 Diabetes in Immigrant Chinese Americans
Author: Chesla, Catherine A ; Chun, Kevin M ; Kwan, Christine M.L
Subjects: Adult ; Aged ; Asian Americans ; Asian Americans - ethnology ; Asian Americans - psychology ; Biological and medical sciences ; Culture ; Diabetes ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - psychology ; Diabetes. Impaired glucose tolerance ; Disease management ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Family - ethnology ; Family - psychology ; Family Relations - ethnology ; Female ; Health care ; Humans ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Miscellaneous ; Original Research ; Public health. Hygiene ; Public health. Hygiene-occupational medicine
Is Part Of: Diabetes care, 2009-10, Vol.32 (10), p.1812-1816
Description: OBJECTIVE: Although Asians demonstrate elevated levels of type 2 diabetes, little attention has been directed to their unique cultural beliefs and practices regarding diabetes. We describe cultural and family challenges to illness management in foreign-born Chinese American patients with type 2 diabetes and their spouses. RESEARCH DESIGN AND METHODS: This was an interpretive comparative interview study with 20 foreign-born Chinese American couples (n = 40) living with type 2 diabetes. Multiple (six to seven) semistructured interviews with each couple in individual, group, and couple settings elicited beliefs about diabetes and narratives of care within the family and community. Interpretive narrative and thematic analysis were completed. A separate respondent group of 19 patients and spouses who met the inclusion criteria reviewed and confirmed the themes developed from the initial couples. RESULTS: Cultural and family challenges to diabetes management within foreign-born Chinese American families included how 1) diabetes symptoms challenged family harmony, 2) dietary prescriptions challenged food beliefs and practices, and 3) disease management requirements challenged established family role responsibilities. CONCLUSIONS: Culturally nuanced care with immigrant Chinese Americans requires attentiveness to the social context of disease management. Patients' and families' disease management decisions are seldom made independent of their concerns for family well-being, family face, and the reciprocal responsibilities required by varied family roles. Framing disease recommendations to include cultural concerns for balance and significant food rituals are warranted.
Publisher: Alexandria, VA: American Diabetes Association
Language: English
Identifier: ISSN: 0149-5992
EISSN: 1935-5548
DOI: 10.2337/dc09-0278
PMID: 19628812
CODEN: DICAD2
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Cultural and Family Challenges to Managing Type 2 Diabetes in Immigrant Chinese Americans

2009 INIST-CNRS ;Copyright American Diabetes Association Oct 2009 ;2009 by the American Diabetes Association. 2009 ;ISSN: 0149-5992 ;EISSN: 1935-5548 ;DOI: 10.2337/dc09-0278 ;PMID: 19628812 ;CODEN: DICAD2

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