Perspectives of Non-Hispanic Black and Latino Patients in Boston’s Urban Community Health Centers on their Experiences with Diabetes and Hypertension
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Racial/ethnic disparities exist in the prevalence and outcomes of diabetes and hypertension in the U.S. A better understanding of the health beliefs and experiences of non-Hispanic Blacks and Latinos with these diseases could help to improve their care outcomes.
We conducted eight focus groups stratified by participants’ race/ethnicity, with 34 non-Hispanic Blacks and Latinos receiving care for diabetes and/or hypertension in one of 7 community health centers in Boston. Focus groups were designed to determine participants’ levels of understanding about their chronic illness, assess their barriers to the management of their illness, and inquire about interventions they considered may help achieve better health outcomes.
Among both groups of participants, nutrition (traditional diets), genetics and environmental stress (e.g. neighborhood crime and poor conditions) were described as primary contributors to diabetes and hypertension. Unhealthy diets were reported as being a major barrier to disease management. Participants also believed that they would benefit from attending groups on management and education for their conditions that include creative ways to adopt healthy foods that complement their ethnic diets, exercise opportunities, and advice on how to prevent disease manifestation among family members.
Interactive discussion groups focused on lifestyle modification and disease management should be created for patients to learn more about their diseases. Future research evaluating the effectiveness of interactive diabetes and hypertension groups that apply patient racial/ethnic traditions should be considered.
- Diabetes Disparities Among Racial and Ethnic Minorities. AHRQ Fact Sheet. Pub. No. 02-P007, November 2001.
- US Department of Health and Human Services. A Public Health Action Plan to Prevent Heart Disease and Stroke. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2003.
- Sundquist J, Winkleby MA, Pudaric S. Cardiovascular disease risk factors among older Black, Mexican-American, and white women and men: an analysis of NHANES III, 1988–1994. Third National Health and Nutrition Examination Survey. J Am Geriatrics Soc. 2001;49:109–16. CrossRef
- Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988–2000. JAMA. 2003;290:199–206. CrossRef
- Centers for Disease Control and Prevention. Health, United States, 2002. With Chartbook on Trends in the Heatlh of Americans. Hyattsville: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2002. DHHS publication no. 1232.
- Diabetes facts and figures among Latinos. National Council of La Raza. Available at: http://www.nclr.org/section/diabetes_statistics. Assessed January 12, 2010.
- Burns D, Skelly AH. African American women with type 2 diabetes: meeting the daily challenges of self care. J Multicul Nurs Health. 2005;11(3):6–10.
- Oster NV, Welch V, Schild L, Gazmararain, Rask K, Spettell C. Differences in self-management behaviors and use of preventive services among diabetes management enrollees by race and ethnicity. Dis Manag. 2007;9(3):167–75. CrossRef
- Caban A, Walker EA, Sanchez S, Mera MS. “It feels like home when you eat rice and beans”: a perspective of urban Latinos living with diabetes. Diabetes Spectr. 2008;21.2:120. CrossRef
- Carbone ET, R MC, Torres I, Goins KV, Bermudez OI. Diabetes self-management: perspectives of Latino patients and their health care providers. Patient Educ Couns. 2007;66:202–10. CrossRef
- Skelly AH, Dougherty M, Gesler WM, Soward ACM, Burns D, Arcury TA. African American beliefs about diabetes. West J Nurs Res. 2006;28(1):9–29. CrossRef
- Hatcher E, Whittemore R. Hispanic adults’ belief about type 2 diabetes: clinical implications. J Am Acad Nurs Precut. 2007;19:536–45. CrossRef
- Anderson JB. Unraveling health disparities: examining the dimensions of hypertension and diabetes through community engagement. J Health Care Poor Underserved. 2005;16:91–117. CrossRef
- Galasso P, Amend A, Melkus G, Nelson GT. Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. Diabetes Educ. 2005;31(5):719–25. CrossRef
- Dutton G, Johnson J, Whitehead D, Bodenlos J, Brantely PJ. Barriers to physical activity among predominantly low-income african-american patients with type 2 diabetes. Diabetes Care. 2005;28(5):1209–10. CrossRef
- Hill-Briggs, Gary TL, Bone LR, Hill MN, Levine DM, Brancati FL. Medication adherence and diabetes control in urban African Americans with type 2 diabetes. Health Psychol. 2005;24(4):349–57. CrossRef
- Horowitz CR, Tuzzioi L, Rojas M, Monteith SA, Sick JE. How do urban African Americans and Latinos view the influence of diet on hypertension. J Health Care Poor Underserved. 2004;15:61–644. CrossRef
- Ndumele CD, Russell BE, Ayanian JZ, Landon BE, Keegan T, O’Malley AJ, Hicks LS. Strategies to improve chronic disease management in seven metro Boston community health centers. Prog Community Health Partnersh. 2009;3(3):203–11. CrossRef
- Perspectives of Non-Hispanic Black and Latino Patients in Boston’s Urban Community Health Centers on their Experiences with Diabetes and Hypertension
Journal of General Internal Medicine
Volume 25, Issue 6 , pp 504-509
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- racial disparities
- Industry Sectors
- Author Affiliations
- 1. The Center for Community Health Education Research and Service CCHERS, 716 Columbus Ave, Suite 398, Boston, MA, 02120, USA
- 2. The Division of General Internal Medicine of Brigham and Women’s Hospital, Boston, MA, USA
- 3. The Department of Health Care Policy, Harvard Medical School, Boston, MA, USA