Pearl Anna McElfish1, Emily Hallgren2, L Jean Henry3, Mandy Ritok4, Jellesen Rubon-Chutaro4, Peter Kohler4. 1. Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. pamcelfish@uams.edu. 2. Department of Sociology, University of Chicago, Chicago, IL, USA. 3. University of Arkansas, Fayetteville, AR, USA. 4. University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.
Abstract
OBJECTIVES: The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior in the US Marshallese population living in Arkansas. METHODS: The study employs focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data were collected from 41 participants; bilingual community co-investigators provided translation as needed. RESULTS: The results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy. CONCLUSIONS: The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within Pacific Islander communities.
OBJECTIVES: The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior in the US Marshallese population living in Arkansas. METHODS: The study employs focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data were collected from 41 participants; bilingual community co-investigators provided translation as needed. RESULTS: The results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy. CONCLUSIONS: The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within Pacific Islander communities.
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