scholarly journals An exploratory study into the health beliefs and behaviours of British Indians with type II diabetes

2016 ◽  
Vol 18 (01) ◽  
pp. 97-103 ◽  
Author(s):  
Vishal Patel ◽  
Steve Iliffe

Aim To explore the influence of health beliefs and behaviours on diabetes management in British Indians, as successful management of diabetes is dependent on underlying cultural beliefs and behaviours. Background British South Asians are six times more likely to suffer from type II diabetes than those in the general population. Yet, little research has been carried out into beliefs about diabetes among the British Indian population. Method The study used semi-structured interviews, a structured vignette and a pile-sorting exercise. In all, 10 British Indians were interviewed at a General Practice in North West London. Findings Those interviewed were informed about their diabetes but had difficulties in adapting their diet. Themes identified included causal beliefs of diabetes, use of alternative therapies, moderation of food, adaption of exercise regimes and sources of information. All were aware of avoiding certain foods yet some still continued to consume these items. Participants expressed the need for culturally sensitive forums to help manage their diabetes.

2015 ◽  
Vol 2 (2) ◽  
pp. 78
Author(s):  
Valerie Onyinyechi Umaefulam

Introduction: Diabetes mellitus is a major public health problem and its burden is expected to increase in developing countries such as Nigeria. One of the most frequent complications of type II diabetes is diabetic retinopathy, and a major cause of blindness worldwide especially among adults. Objective: To determine the awareness of diabetes – related eye health risks and complications among type II diabetics in Lagos, Nigeria. Method: The study was carried out in Rhowil Medical Centre in Lagos, Nigeria and adopted qualitative methodology. Data was collected via semi-structured interviews. Interviews were carried out on nine type II diabetes patients above the age of eighteen via purposive sampling. The interviews were analyzed based on Kvale’s framework for the qualitative data analysis. Results: Knowledge of diabetes, sources of information, cultural health beliefs and practices, and communication were themes that emerged from the thematic analysis. The data revealed significant gaps in awareness of diabetes-related eye complications amongst type II diabetics. Data showed poor knowledge of diabetes-related eye diseases and of inadequate awareness of the connection between diabetes and ocular complications. Also, education, health literacy and communication barrier problems between health professionals and diabetic patients were also evident. In addition, sources of information on diabetes and eye care, as well as health beliefs influenced awareness. Conclusion: Findings from this study can inform strategic plans of public health authorities in addressing the growing diabetes epidemic by developing effective health education programs with the aim to increase awareness amongst people living with diabetes in the region.


2019 ◽  
Vol 37 (3) ◽  
pp. 418-423
Author(s):  
Mariana L Henry ◽  
Judith H Lichtman ◽  
Kendra Hanlon ◽  
Danya E Keene

Abstract Background Housing is a growing challenge for US adults in an increasingly unaffordable housing market. These housing challenges can create barriers to effective management and control of Type II Diabetes. However, little is known about how housing challenges are perceived and navigated by clinicians who care for patients with Type II Diabetes. Objective To examine how primary care clinicians perceive and navigate their patients’ housing challenges in the context of Type II Diabetes management. Methods We conducted semi-structured interviews with 18 primary care clinicians practising in four clinical settings in New Haven, Connecticut. Two investigators systematically coded the interviews. Analysis of coded data was used to determine themes. Results Participants considered housing as significant to their patients’ health and a potential barrier to optimal diabetes management. Participants sought to improve their patients’ housing through advocacy, referrals and interdisciplinary collaborations. They also adjusted clinical decisions to adapt to patients’ housing challenges. In making clinical adjustments, participants struggled to find a balance between what they perceived to be feasible for unstably housed patients and maintaining a standard of care. Some participants navigated this balanced by employing creative strategies and individualized care. Conclusion In highlighting the challenges that clinicians face in maintaining a standard of care for unstably housed diabetes patients, our findings speak to the need for more guidance, resources and support to address housing in a clinical setting.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Behzad Aliahmad ◽  
Dinesh Kant Kumar ◽  
Rajeev Jain

This study has investigated the association between retinal vascular parameters with type II diabetes in Indian population with no observable diabetic retinopathy. It has introduced two new retinal vascular parameters: total number of branching angles (TBA) and average acute branching angles (ABA) as potential biomarkers of diabetes in an explanatory model. A total number of 180 retinal images (two (left and right) × two (ODC and MC) × 45 subjects (13 diabetics and 32 nondiabetics)) were analysed. Stepwise linear regression analysis was performed to model the association between type II diabetes with the best subset of explanatory variables (predictors), consisting of retinal vascular parameters and patients’ demographic information. P value of the estimated coefficients (P<0.001) indicated that, at α level of 0.05, the newly introduced retinal vascular parameters, that is, TBA and ABA together with CRAE, mean tortuosity, SD of branching angle, and VB, are related to type II diabetes when there is no observable sign of retinopathy.


2021 ◽  
Vol 12 ◽  
Author(s):  
Akram Ahmad ◽  
Muhammad Umair Khan ◽  
Parisa Aslani

Background: Australia has a high proportion of migrants with an increasing migration rate from India. Type II diabetes is a long-term condition common amongst the Indian population.Aims: To investigate patients’ medication-taking behaviour and factors that influence adherence at the three phases of adherence.Methods: Semi-structured interviews were conducted with a convenience sample of 23 Indian migrants living in Sydney. All interviews were audio-recorded, transcribed verbatim and thematically analysed.Results: 1) Initiation: The majority of participants were initially prescribed oral antidiabetic medicine and only two were started on insulin. Most started taking their medicine immediately while some delayed initiating therapy due to fear of side-effects. 2) Implementation: Most participants reported taking their medicine as prescribed. However, some reported forgetting their medicine especially when they were in a hurry for work or were out for social events. 3) Discontinuation: A few participants discontinued taking their medicine. Those who discontinued did so to try Ayurvedic medicine. Their trial continued for a few weeks to a few years. Those who did not receive expected results from the Ayurvedic medicine restarted their prescribed conventional medicine.Conclusion: A range of medication-taking behaviours were observed, ranging from delays in initiation to long-term discontinuation, and swapping of prescribed medicine with Ayurvedic medicine. This study highlights the need for tailored interventions, including education, that focus on factors that impact medication adherence from initiation to discontinuation of therapy.


2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Latonya F Been ◽  
Sarju Ralhan ◽  
Gurpreet S Wander ◽  
Narinder K Mehra ◽  
JaiRup Singh ◽  
...  

Author(s):  
Sheida Jamalnia ◽  
Sorur Javanmardifard ◽  
Zhaleh Najafi

Objective: The theory of self-efficacy is based on the assumption that people’s beliefs about their abilities and talents have a favorable effect on their actions. It is the most important determinant of behavior. This study aimed to investigate the relationship between Emotional Intelligence (EI) and self-efficacy in type II diabetes (T2DM) patients. Materials and Methods: In this analytical cross-sectional study, 128 T2DM patients were selected via simple random sampling. At first, the patients’ demographic data were recorded. Then, the persian version of Diabetes Management Self-Efficacy Scale (DMSES) and EI questionnaire developed by Petrides and Furnham were completed. Results: The mean (±SD) age of the patients was 53.55 (±6.2) years. The results showed a significant positive correlation between the total scores of self-efficacy and EI ( P -value: 0.001). Accordingly, increase in the EI score was accompanied with an increase in the score of self-efficacy. Conclusion: EI plays an important role in nurturing self-efficacy beliefs and positive self-concepts in patients and promoting their mental and physical health status. Hence, training courses on EI components can make patients feel highly self-efficacious.


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