Hispanic adults’ beliefs about type 2 diabetes: Clinical implications
- 25 September 2007
- journal article
- review article
- Published by Wiley in Journal of the American Academy of Nurse Practitioners
- Vol. 19 (10), 536-545
- https://doi.org/10.1111/j.1745-7599.2007.00255.x
Abstract
This integrative literature review focused on Hispanic adults' beliefs about type 2 diabetes. Type 2 diabetes is a progressive, chronic illness with the potential for debilitating complications that disproportionately affect Hispanic adults. By understanding Hispanic adults' beliefs about type 2 diabetes, health professionals will be able to offer more culturally competent health care. Published research reports on Hispanic adults' beliefs about type 2 diabetes were obtained using multiple computerized databases and by searching reference lists of published reports. A total of 15 research reports comprised this review. While there was some variance among Hispanic subgroups, in general, Hispanic adults' understanding of the etiology of diabetes was an integration of biomedical causes such as heredity and traditional or folk beliefs such as susto, which is the concept of strong emotions. Hispanic adults believed that diabetes is a serious illness and that they could identify many of the symptoms of diabetes. They identified both biomedical and herbal treatments for diabetes. Negative attitudes toward insulin were common. Religious beliefs also factored into Hispanic adult's explanatory models of type 2 diabetes. Hispanic adults have a fairly cohesive explanatory model of diabetes. Healthcare professionals can use this information as a starting point to discuss each individual patient's explanatory model of illness, clarify misconceptions, and develop an individualized plan of care.This publication has 33 references indexed in Scilit:
- Culturally Competent Interventions for Hispanic Adults With Type 2 DiabetesJournal of Transcultural Nursing, 2007
- Outcomes of Border Health Spanish/English Chronic Disease Self-management ProgramsThe Diabetes Educator, 2005
- Disparities in Diabetes Management Practice Between Racial and Ethnic Groups in the United StatesThe Diabetes Educator, 2004
- Cultural Sensitivity: Definition, Application, and Recommendations for Diabetes EducatorsThe Diabetes Educator, 2002
- Differences in personal models among Latinos and European Americans: implications for clinical care.Diabetes Care, 2000
- NIDDM Patients' Fears and Hopes About Insulin Therapy: The basis of patient reluctanceDiabetes Care, 1997
- Use of Focus Groups to Explore Nutrition Practices and Health Beliefs of Urban Caribbean Latinos With DiabetesDiabetes Care, 1994
- Perceptions of the Importance Placed on Religion and Folk Medicine by Non-Mexican-American Hispanic Adults with DiabetesThe Diabetes Educator, 1994
- Explanatory models of diabetes: Patient practitioner variationSocial Science & Medicine (1982), 1994
- Non-Insulin-Dependent Diabetes and Obesity in the Black and Hispanic Population: Culturally Sensitive ManagementThe Diabetes Educator, 1993