[Epub] Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes For Free

Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes book cover
ISBN:

Download Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes subtitle for free



Title book Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes promoted by published on 2017 is very recomended for you if you search book about . Title book writed by Heena Akbar, with page count Pages. you can look description bellow



BackgroundType 2 diabetes disproportionately affects ethnically and culturally diverse communities in Australia and is a major public health challenge for Australian Pacific Islander (API) communities residing in Queensland. APIs in Queensland face health inequalities, such that they are two to four times more likely to be hospitalised or die from preventative chronic conditions compared to the general Queensland population. API women are also four times more at risk of developing diabetes and diabetes-related mortality and co-morbidities. Despite a higher burden of diabetes mortality and morbidity, very little is known about the socio-cultural factors influencing self-management of API women with type 2 diabetes living in Queensland, which has the largest Pacific Islander diaspora, outside of New Zealand. AimsThe objective of this study was to identify socio-cultural, lifestyle and diabetes-related factors influencing self-care behaviours of API women with type 2 diabetes. This study also examined the relationship between socio-cultural, demographics, lifestyle, diabetes- related factors and self-care behaviours.MethodsA self-reported cross-sectional survey was used for health data collection from 148 API women with type 2 diabetes in Queensland. The dependent variable was self-care behaviours which was collected using the Summary of Diabetes Self-Care Activity (SDSCA) and independent variables included socio-demographics, lifestyle and health and diabetes-related factors. Descriptive and multiple linear regression methods were used to identify factors influencing self-management in API women with type 2 diabetes. ResultsThe API women with type 2 diabetes generally had low levels of self-management behaviour engaging on average two to three days per week in diabetes self-care activities. Taking medication (ave =5 days) and self-monitoring blood glucose (avg. = 3.4 ) were the most frequently reported behaviours. Healthy eating (avg.=3.2 days), foot care (avg.=2.6 days) and physical activity avg.=2.4 days) were least reported. Socio-cultural factors including age, ethnicity, diabetes knowledge, membership with Diabetes Queensland and self-reported HbA1c (knowledge of) were significant determinants of diabetes self-care. Older women (aged 55 years and over) were more likely to report better self-management. There were significant variations among the ethnic groups, whereby Tongan, Solomon and i-Kiribati API women were less likely to seek support from health professionals and API women from i-Kiribati and Tongan background were less likely to adhere to healthy eating behaviours.DiscussionThis is the first Australian study for Pacific Islander women with diabetes in Queensland with the largest Pacific population. This study highlighted socio-cultural factors including age, ethnicity, knowledge of Glycosylated haemoglobin (HbA1c) values, diabetes knowledge, and membership with Diabetes Queensland, as important determinants of self-management for API women with type 2 diabetes. The study allows one to look at diabetes health from the cultural lens. It also provides a platform to further examine other social determinants of health specifically to diabetes self-management within the Australian Pacific community context.



Socio-cultural Factors Influencing Self-management of Australian Pacific Islander Women with Type 2 Diabetes



Tags: