Developing a Family-based Diabetes Program for Latino Immigrants: Do Men and Women Face the Same Barriers?

Overview

Journal Fam Community Health

Specialties Health Services
Public Health

Date 2011 Sep 2

PMID 21881415

Citations 18

Authors

Andrea Cherrington

Guadalupe X Ayala

Isabel Scarinci

Giselle Corbie-Smith

Affiliations

Soon will be listed here.

Abstract

This study examined barriers and facilitators to diabetes self-management among Latino immigrants with diabetes and whether similarities and differences were observed by gender. Eight focus groups were conducted with 24 women and 21 men Latinos; four focus groups involved women only and four involved men only. Themes were identified using a combined deductive/inductive approach and an iterative process of consensus coding. Gender similarities and differences emerged. Barriers to self-management were primarily social for the women, whereas for men, structural aspects related to work were prominent. Interventions aimed at improving diabetes self-management among US Latino immigrants should consider tailored approaches to help men and women overcome distinct barriers.

Citing Articles

Interests and Preferences in Programs to Improve Health Among Men With or at Risk for Type 2 Diabetes in Racial and Ethnic Minority Groups, 2019.

Hulbert L, Mensa-Wilmot Y, Rutledge S, Owens-Gary M, Skeete R, Cannon M Prev Chronic Dis. 2025; 22:E04.

PMID: 39784112 PMC: 11721013. DOI: 10.5888/pcd22.240268.

Gender differences in the context of interventions for improving health literacy in migrants: a qualitative evidence synthesis.

Aldin A, Baumeister A, Baumeister PhD A, Chakraverty D, Monsef I, Noyes J Cochrane Database Syst Rev. 2024; 12:CD013302.

PMID: 39665382 PMC: 11635922. DOI: 10.1002/14651858.CD013302.pub2.

Barriers and facilitators to self-management of chronic conditions reported by women: a systematic review of qualitative studies.

Dwyer L, Barber C, Dowding D, Kearney R BMJ Open. 2024; 14(11):e088568.

PMID: 39532370 PMC: 11555107. DOI: 10.1136/bmjopen-2024-088568.

Men With Type II Diabetes in Peru: The Role of Masculine Gender Norms in the Perception of Family Support.

Ferrazza I, Pesantes M Am J Mens Health. 2024; 18(2):15579883241239552.

PMID: 38567927 PMC: 10993681. DOI: 10.1177/15579883241239552.

Interventions for improving health literacy in migrants.

Baumeister A, Aldin A, Chakraverty D, Hubner C, Adams A, Monsef I Cochrane Database Syst Rev. 2023; 11:CD013303.

PMID: 37963101 PMC: 10645402. DOI: 10.1002/14651858.CD013303.pub2.

References

Nathan D, Genuth S, Lachin J, Cleary P, Crofford O, Davis M . The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993; 329(14):977-86. DOI: 10.1056/NEJM199309303291401. View

Wiginton K . Advancing on the Discussion of Gender-Specific Health Determinants. Health Educ Behav. 2006; 33(6):744-6. DOI: 10.1177/1090198106288044. View

Maillet N, DEramo Melkus G, Spollett G . Using focus groups to characterize the health beliefs and practices of black women with non-insulin-dependent diabetes. Diabetes Educ. 1996; 22(1):39-46. DOI: 10.1177/014572179602200106. View

Van Duyn M, McCrae T, Wingrove B, Henderson K, Boyd J, Kagawa-Singer M . Adapting evidence-based strategies to increase physical activity among African Americans, Hispanics, Hmong, and Native Hawaiians: a social marketing approach. Prev Chronic Dis. 2007; 4(4):A102. PMC: 2099267. View

Mier N, Medina A, Ory M . Mexican Americans with type 2 diabetes: perspectives on definitions, motivators, and programs of physical activity. Prev Chronic Dis. 2007; 4(2):A24. PMC: 1893123. View

Cowie C, Harris M . Ambulatory medical care for non-Hispanic whites, African-Americans, and Mexican-Americans with NIDDM in the U.S. Diabetes Care. 1997; 20(2):142-7. DOI: 10.2337/diacare.20.2.142. View

Wen L, Shepherd M, Parchman M . Family support, diet, and exercise among older Mexican Americans with type 2 diabetes. Diabetes Educ. 2005; 30(6):980-93. DOI: 10.1177/014572170403000619. View

Fisher L, Chesla C, Skaff M, Gilliss C, Kanter R, Lutz C . Disease management status: a typology of Latino and Euro-American patients with type 2 diabetes. Behav Med. 2001; 26(2):53-66. DOI: 10.1080/08964280009595752. View

Strobino D, Grason H, Minkovitz C . Charting a course for the future of women's health in the United States: concepts, findings and recommendations. Soc Sci Med. 2002; 54(5):839-48. DOI: 10.1016/s0277-9536(01)00113-7. View

10.

Bacha G, Ziemer D, Musey V, Gallina D, Dunbar V, Phillips L . Diabetes in urban African Americans. V. Use of discussion groups to identify barriers to dietary therapy among low-income individuals with non-insulin-dependent diabetes mellitus. Diabetes Educ. 1996; 22(5):488-92. DOI: 10.1177/014572179602200508. View

11.

Monterrosa A, Haffner S, Stern M, Hazuda H . Sex difference in lifestyle factors predictive of diabetes in Mexican-Americans. Diabetes Care. 1995; 18(4):448-56. DOI: 10.2337/diacare.18.4.448. View

12.

Gallant M . The influence of social support on chronic illness self-management: a review and directions for research. Health Educ Behav. 2003; 30(2):170-95. DOI: 10.1177/1090198102251030. View

13.

Fernandez A, Schillinger D, Grumbach K, Rosenthal A, Stewart A, Wang F . Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients. J Gen Intern Med. 2004; 19(2):167-74. PMC: 1492135. DOI: 10.1111/j.1525-1497.2004.30266.x. View

14.

. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998; 352(9131):837-53. View

15.

Elder J, Ayala G, Parra-Medina D, Talavera G . Health communication in the Latino community: issues and approaches. Annu Rev Public Health. 2009; 30:227-51. DOI: 10.1146/annurev.publhealth.031308.100300. View

16.

Ramirez A, Suarez L, Chalela P, Talavera G, Marti J, Trapido E . Cancer risk factors among men of diverse Hispanic or Latino origins. Prev Med. 2004; 39(2):263-9. DOI: 10.1016/j.ypmed.2004.03.034. View

17.

Siegrist J . Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996; 1(1):27-41. DOI: 10.1037//1076-8998.1.1.27. View

18.

Harris M . Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001; 24(3):454-9. DOI: 10.2337/diacare.24.3.454. View

19.

Williams D . The health of men: structured inequalities and opportunities. Am J Public Health. 2003; 93(5):724-31. PMC: 1447828. DOI: 10.2105/ajph.93.5.724. View

20.

Carbone E, Rosal M, Torres M, Goins K, Bermudez O . Diabetes self-management: perspectives of Latino patients and their health care providers. Patient Educ Couns. 2007; 66(2):202-10. DOI: 10.1016/j.pec.2006.12.003. View