Self-Management of Type 2 Diabetes in Adult Haitian Immigrants: A Qualitative Study.

Cherlie Magny-Normilus, Barbara Mawn, Joanne Dalton
Author Information
  1. Cherlie Magny-Normilus: University of Massachusetts Lowell, Lowell, MA, USA. ORCID
  2. Barbara Mawn: University of Massachusetts Lowell, Lowell, MA, USA.
  3. Joanne Dalton: Regis College, Weston, MA, USA.

Abstract

A large body of literature exists on self-management of type 2 diabetes (T2D) in a variety of populations. However, research is limited on how Haitian immigrants self-manage their T2D despite a prevalence of 6.9% in Haiti. The purpose of this study was to explore and describe the lived experience of adult Haitian immigrants managing T2D living in the United States. Moustakas's phenomenological approach guided this qualitative study. Adult Haitian immigrants diagnosed with T2D for at least 1 year were interviewed. Individual interviews were audio-recorded, transcribed verbatim, uploaded into NVivo, and analyzed using Moustakas's existential data analysis process. We interviewed 16 participants (mean age 56;12 females; an average of 11 years living in the United States; mean hemoglobin A1c 8.1%). Four themes emerged: self-reliance, spirituality, nostalgia for home, and a desire for positive patient-provider relationships. Cultural influences and health beliefs may affect individual self-management of T2D in this population. These results may assist clinicians in identifying factors that contribute to suboptimal self-management in Haitian immigrants and help patients reach glycemic control. Culturally competent assessment and interventions for Haitian immigrants with T2D may not be provided without considering these four themes.

Keywords

References

  1. Diabetes Care. 2011 Jan;34(1):58-60 [PMID: 20978100]
  2. J Urban Health. 2014 Oct;91(5):873-85 [PMID: 24532483]
  3. Diabetes Res Clin Pract. 2011 Jul;93(1):1-9 [PMID: 21382643]
  4. Prim Care Diabetes. 2017 Feb;11(1):29-36 [PMID: 27595215]
  5. J Nurs Scholarsh. 2012 Jun;44(2):136-44 [PMID: 22551013]
  6. Int J Qual Stud Health Well-being. 2014 Jun 24;9:24182 [PMID: 24964859]
  7. Diabetes Care. 2011 Jun;34(6):1424-30 [PMID: 21602431]
  8. J Transcult Nurs. 2016 Mar;27(2):147-56 [PMID: 25062700]
  9. Diabetes Educ. 2017 Aug;43(4):341-347 [PMID: 28627321]
  10. J Clin Endocrinol Metab. 2012 Sep;97(9):E1579-639 [PMID: 22730516]
  11. Diabetes Care. 2018 Jan;41(Suppl 1):S55-S64 [PMID: 29222377]

Grants

  1. T32 NR008346/NINR NIH HHS
  2. UL1 TR001102/NCATS NIH HHS

MeSH Term

Adult
Diabetes Mellitus, Type 2
Emigrants and Immigrants
Female
Haiti
Humans
Interviews as Topic
Male
Middle Aged
Qualitative Research
Self-Management

Word Cloud

Created with Highcharts 10.0.0T2DHaitianimmigrantsself-managementhealthmay2diabetesstudylivingUnitedStatesMoustakas'squalitativeAdultinterviewedmeanthemeslargebodyliteratureexiststypevarietypopulationsHoweverresearchlimitedself-managedespiteprevalence69%Haitipurposeexploredescribelivedexperienceadultmanagingphenomenologicalapproachguideddiagnosedleast1yearIndividualinterviewsaudio-recordedtranscribedverbatimuploadedNVivoanalyzedusingexistentialdataanalysisprocess16participantsage5612femalesaverage11yearshemoglobinA1c81%Fouremerged:self-reliancespiritualitynostalgiahomedesirepositivepatient-providerrelationshipsCulturalinfluencesbeliefsaffectindividualpopulationresultsassistcliniciansidentifyingfactorscontributesuboptimalhelppatientsreachglycemiccontrolCulturallycompetentassessmentinterventionsprovidedwithoutconsideringfourSelf-ManagementTypeDiabetesImmigrants:QualitativeStudydisparitiesmigrationphenomenologytranscultural

Similar Articles

Cited By (4)