Skip to main content

Advertisement

SpringerLink
Log in

Factors that Influence Diabetes Self-Management in Hispanics Living in Low Socioeconomic Neighborhoods in San Bernardino, California

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

The growing incidence of diabetes among Hispanics is a serious public health concern. To identify factors that influence diabetes self-management in Hispanics, qualitative data gathered through five focus group interviews was examined using grounded theory methods. Four major themes emerged which were perceived by participants as enhancing or limiting factors: (1) access to resources, (2) struggle with diet, (3) self-efficacy, and (4) social support. The family’s role as a determinant of diabetes self-management emerged as the underlying sub-theme to all four themes and underscores its importance among Hispanics living with diabetes. Results suggest that for the family to be an enhancing factor, health care providers need to educate, empower, and include the family in diabetes management and prevention. Programs which aim to improve the practice of self-management should incorporate the sociocultural and socioeconomic context in which Hispanics with diabetes live.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Narayan K, Boyle JP, Geiss LS, Saaddine JB, Thompson TJ. Impact of recent increase in incidence on future diabetes burden. Diabetes Care. 2006;29(9):2114–6.

    Article  PubMed  Google Scholar 

  2. Humes KR, Jones NA, Ramirez RR. Overview of race and Hispanic origin 2010: 2010 census briefs. US Census Bureau; 2011. p. 3. Available at: http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf. Accessed 30 Oct 2011.

  3. CDC Health Disparities and Inequalities Report—United States, 2011. Centers for Disease Control and Prevention: morbidity and mortality weekly report. January 14, 2011; (60). Available at: http://www.cdc.gov/mmwr/pdf/other/su6001.pdf. Accessed 30 Oct 2011.

  4. Centers for Disease Control and Prevention. Prevalence of diabetes among Hispanics—selected areas, 1998—2002. MMWR. October 15, 2004;53(40):941–4. Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5340a3.htm. Accessed 17 Nov 2011.

  5. Centers for Disease Control and Prevention: National Diabetes Surveillance System. 2008. Available at: http://apps.nccd.cdc.gov/DDTSTRS/default.aspx. Accessed 28 Oct 2011.

  6. The Healthy Communities Network: Healthy San Bernardino County. Disparities dashboard. 2009. Available at: http://www.healthysanbernardinocounty.org. Accessed 31 Oct 2011.

  7. San Bernardino County 2010 Community Indicators Report, Board of Supervisors Country of San Bernardino. 2010. Available at: http://www.sbcounty.gov/iUploads/CAO/Feature/Content/ComIndicatorsReport10Rev.pdf. Accessed 10 Nov 2011.

  8. US Department of Health and Human Services Office of Minority Health, Hispanic/Latino Profile. 2009. Available at: http://www.minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=54. Accessed 13 Jan 2012.

  9. Davidoff AJ, Kenny GM. Uninsured Americans with Chronic Health Conditions. Key Findings from the National Health Interview Survey. Urban Institute, University of Maryland, Baltimore County. May 2, 2005. Available at http://www.urban.org/uploadedpdf/411161_uninsured_americans.pdf. Accessed 13 Jan 2012.

  10. PEW Hispanic Center. Demographic profile of hispanics in California, 2009. Available at http://www.pewhispanic.org/states/state/ca/. Accessed 13 Jan 2012.

  11. Brown S, Garcia A, Kouzekanani K, Hanis C. Culturally competent diabetes self-management education for Mexican Americans. Diabetes Care [serial online]. 2002; 25(2):259. Available from: Academic Search Premier, Ipswich, MA. Accessed 4 Jan 2012.

  12. Brown S, Garcia A, Winter M, Silva L, Brown A, Hanis C. Integrating education, group support, and case management for diabetic Hispanics. Ethn Dis. 2011;21(1):20–6.

    PubMed  Google Scholar 

  13. Salto LM, Cordero-MacIntyre Z, Beeson L, Schulz E, Firek A, De Leon M. En balance participants decrease dietary fat and cholesterol intake as part of a culturally sensitive Hispanic diabetes education program. Diabetes Educ. 2011;37(2):239–53.

    Article  PubMed  Google Scholar 

  14. Rosal M, Ockene S, Restrepo A, et al. Randomized trial of a literacy-sensitive, culturally tailored diabetes self-management intervention for low-income Latinos. Diabetes Care. 2011;34:838–44.

    Article  PubMed  Google Scholar 

  15. McEwen MM, Pasvogel A, Gallegos G, Barrera L. Type 2 diabetes self-management social support intervention at the US-Mexico Border. Public Health Nurs. 2010;27(4):310–9.

    Article  PubMed  Google Scholar 

  16. Lopez-Class M, Jurkowski J. The limits of self-management: community and health care system barriers among Latinos with diabetes. J Hum Behav Soc Environ [serial online]. 2010;20(6):808–26. Available from: Academic Search Premier, Ipswich, MA. Accessed 2 Nov 2011.

    Google Scholar 

  17. Weinger K. Promoting diabetes self-management psychosocial issues and self-care. AJN. 2007;107(6):34–8.

    Article  PubMed  Google Scholar 

  18. Strauss A, Corbin J. Basics of qualitative research. Newbury Park, CA: Sage; 1990.

    Google Scholar 

  19. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. Los Angeles: Sage; 2006.

    Google Scholar 

  20. Morgan D. Successful focus groups: advancing the state of the art. Newbury Park, CA: Sage; 1993.

    Google Scholar 

  21. Krueger R. The future of focus groups. Qual Health Res. 1995;5(4):524.

    Article  Google Scholar 

  22. Kitzinger J. The methodology of focus groups: the importance of interaction between research participants. Sociol Health Ill. 1994;16(1):103–21.

    Article  Google Scholar 

  23. Gleeson-Kreig J, Bernal H, Wooley S. The role of social support in the self-management of diabetes mellitus among a Hispanic population. Public Health Nurs. 2002;19(3):215–22.

    Article  PubMed  Google Scholar 

  24. Glasgow RE, Toober DJ, Gillete C. Psychosocial barriers to diabetes self-management and quality of life. Diabetes Spectr. 2001;14(1):33–40.

    Article  Google Scholar 

  25. National Diabetes Education Program. Guiding principles for diabetes care. NIH. April 2009; 09-4343. Available at: http://ndep.nih.gov/publications/PublicationDetail.aspx?PubId=108#page6. Accessed 19 Oct 2011.

  26. Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care. 2006;29(4):823–9.

    Article  PubMed  Google Scholar 

  27. Vincent D. Culturally tailored education to promote lifestyle change in Mexican Americans with type 2 diabetes. J Am Acad Nurse Prac. 2009;21(9):520–7.

    Article  Google Scholar 

  28. Rosal M, Olendzki B, Reed G, Gumieniak O, Scavron J, Ockene I. Diabetes self-management among low-income Spanish-speaking patients: a pilot study. Ann Behav Med. 2005;29(3):225–35.

    Article  PubMed  Google Scholar 

  29. Liao Y, Bang D, Cosgrove S, Dulin R, Harris Z, Stewart A, Taylor A, White S, Yatabe G, Liburd L, Giles W. Surveillance of Health Status in Minority Communities—Racial and Ethnic Approaches to Community Health Across the US (REACH US) Risk Factor Survey, United States, 2009. Morb Mortal Wkly Rep. 2011;60(SS06):1–41.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of Nursing, Loma Linda University, Loma Linda, CA, 92350, USA

    Edelweiss Ramal, Anne Berit Petersen & Kathie Marlene Ingram

  2. 3041 Canyon Vista Dr., Colton, CA, 92324, USA

    Edelweiss Ramal

  3. 5405 Circle View Drive, Riverside, CA, 92505, USA

    Andrea Marie Champlin

Authors
  1. Edelweiss Ramal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anne Berit Petersen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kathie Marlene Ingram
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Andrea Marie Champlin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Edelweiss Ramal.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ramal, E., Petersen, A.B., Ingram, K.M. et al. Factors that Influence Diabetes Self-Management in Hispanics Living in Low Socioeconomic Neighborhoods in San Bernardino, California. J Immigrant Minority Health 14, 1090–1096 (2012). https://doi.org/10.1007/s10903-012-9601-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-012-9601-y

Keywords

Search

Navigation