Gender Differences and Their Influences on T2DM Self-Management Among Spanish-Speaking Latinx Immigrants

Introduction: Evidence suggests that gender may influence many aspects of type 2 diabetes (T2DM) self-management (SM) and we posit that limited English language–proficient Latinx immigrants face additional challenges. Methods: Instruments and semi-structured interviews were used to examine gender differences on health literacy, diabetes knowledge, health-promoting behaviors, diabetes, eating and exercise self-efficacy (SE), and T2DM SM practices among a cohort of limited English language–proficient Latinx immigrants. Statistical and qualitative analysis procedures were performed comparing males and females. Results: Thirty persons participated. Males tended to be older, have higher educational achievement, and more financial security than females. Physiologic measures tended worse among female participants. Health literacy and exercise SE scores were similar, but females scored lower on Eating and Diabetes SE. Forty-seven percent ( n= 9) of the women reported a history of gestational diabetes mellitus and a majority of men ( n = 7) cited difficulty with excessive alcohol. Consumption: Males appeared to receive more SM support compared to females. Females more frequently noted how family obligations and a lack of support impeded their SM. Work environments negatively influenced SM practices. Conclusion: Men and women have unique SM challenges and as such require individualized strategies and support to improve T2DM management.

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Sometimes more is more: iterative participatory design of infographics for engagement of community members with varying levels of health literacy

Journal of the American Medical Informatics Association ◽

10.1093/jamia/ocv079 ◽

2015 ◽

Vol 23 (1) ◽

pp. 174-183 ◽

Cited By ~ 44

Author(s):

Adriana Arcia ◽

Niurka Suero-Tejeda ◽

Michael E Bales ◽

Jacqueline A Merrill ◽

Sunmoo Yoon ◽

...

Keyword(s):

Health Literacy ◽

Participatory Design ◽

Patient Reported Outcomes ◽

Self Management ◽

Community Members ◽

Health Promoting Behaviors ◽

Clinical Communication ◽

Learning Health System ◽

Patient Reported ◽

Health Promoting

Abstract Objective To collaborate with community members to develop tailored infographics that support comprehension of health information, engage the viewer, and may have the potential to motivate health-promoting behaviors. Methods The authors conducted participatory design sessions with community members, who were purposively sampled and grouped by preferred language (English, Spanish), age group (18–30, 31–60, >60 years), and level of health literacy (adequate, marginal, inadequate). Research staff elicited perceived meaning of each infographic, preferences between infographics, suggestions for improvement, and whether or not the infographics would motivate health-promoting behavior. Analysis and infographic refinement were iterative and concurrent with data collection. Results Successful designs were information-rich, supported comparison, provided context, and/or employed familiar color and symbolic analogies. Infographics that employed repeated icons to represent multiple instances of a more general class of things (e.g., apple icons to represent fruit servings) were interpreted in a rigidly literal fashion and thus were unsuitable for this community. Preliminary findings suggest that infographics may motivate health-promoting behaviors. Discussion Infographics should be information-rich, contextualize the information for the viewer, and yield an accurate meaning even if interpreted literally. Conclusion Carefully designed infographics can be useful tools to support comprehension and thus help patients engage with their own health data. Infographics may contribute to patients’ ability to participate in the Learning Health System through participation in the development of a robust data utility, use of clinical communication tools for health self-management, and involvement in building knowledge through patient-reported outcomes.

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Health literacy and health-promoting behaviors status among employees in Hamadan

hormozgan medical journal ◽

10.29252/hmj.22.2.122 ◽

2018 ◽

Vol 22 (2) ◽

pp. 122-129

Author(s):

Sahar Khoshravesh ◽

Fourozan Rezapur-Shahkolai ◽

Zahra Taheri-Kharameh ◽

Babak Moeini ◽

Khadijeh Bandehelahi ◽

...

Keyword(s):

Health Literacy ◽

Health Promoting Behaviors ◽

Health Promoting

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Gender Differences in Factors that Affect Health Promoting Behaviors of Adult Employees

Journal of the Korean society for Wellness ◽

10.21097/ksw.2020.05.15.2.609 ◽

2020 ◽

Vol 15 (2) ◽

pp. 609-620

Author(s):

Jun Hee Noh ◽

Eun Ju Lim ◽

Seong Eun Kim

Keyword(s):

Gender Differences ◽

Health Promoting Behaviors ◽

Health Promoting

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Identifying Key Elements to Inform the Development of an HIV Health Behavior Maintenance Intervention

American Journal of Health Promotion ◽

10.1177/0890117116669108 ◽

2016 ◽

Vol 32 (1) ◽

pp. 48-58 ◽

Cited By ~ 1

Author(s):

Stephen J. Hile ◽

Matthew B. Feldman ◽

Amanda R. Raker ◽

Mary K. Irvine

Keyword(s):

New York ◽

Low Income ◽

Self Management ◽

People Living With Hiv ◽

Health Promoting Behaviors ◽

Management Intervention ◽

Management Interventions ◽

Health Promoting ◽

Maintenance Intervention ◽

Behavior Maintenance

Purpose: To collect information that will inform the development of an intervention to support the maintenance of HIV-related health-promoting behaviors. Design: Focused, in-depth individual and group interviews. Setting: The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) and DOHMH-funded community-based organizations that primarily serve low-income people living with HIV within the five boroughs of NYC. Participants: A total of 42 individuals who had participated in The Positive Life Workshop—an HIV self-management intervention adapted and implemented by the NYC DOHMH. Method: Purposive sampling was used to recruit study participants. Five 60- to 90-minute focus groups (n = 38) and 4 individual interviews were conducted to assess motivations for and barriers to maintaining HIV-related health-promoting behaviors and to elicit feedback on the content and format for the proposed maintenance intervention. Thematic analysis was used to summarize the data. Results: Participants reported that relationships with family, a responsibility to protect others from HIV, and faith/spirituality supported the maintenance of health-promoting behaviors. Barriers to behavior maintenance included substance use and mental health issues. Meeting in small groups was also highlighted as a motivator to sustaining health behaviors, particularly in decreasing isolation and receiving affirmation from others. Conclusion: Participants identified several factors that could be incorporated into an intervention to support HIV-related health-promoting behavior maintenance that could supplement existing HIV self-management interventions.

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The relationship between functional health literacy and health promoting behaviors among older adults

Journal of Education and Health Promotion ◽

10.4103/2277-9531.145925 ◽

2014 ◽

Vol 3 (1) ◽

pp. 119 ◽

Cited By ~ 20

Author(s):

Gholamreza Sharifirad ◽

Mahnoush Reisi ◽

SeyedHomamodin Javadzade ◽

AkbarBabaei Heydarabadi ◽

Firouzeh Mostafavi ◽

...

Keyword(s):

Older Adults ◽

Health Literacy ◽

Functional Health ◽

Functional Health Literacy ◽

Health Promoting Behaviors ◽

Health Promoting ◽

The Relationship

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Working with sex offenders with a history of sexual trauma: An Interpretative Phenomenological Analysis

Abuse: An International Impact Journal ◽

10.37576/abuse.2021.027 ◽

2021 ◽

Vol 2 (2) ◽

pp. 85-103

Author(s):

Abbie Woodhouse ◽

◽

Sarah Craven-Staines ◽

Keyword(s):

Gender Differences ◽

Sex Offenders ◽

Nursing Staff ◽

Sexual Offenders ◽

Interpretative Phenomenological Analysis ◽

Sexual Trauma ◽

Phenomenological Analysis ◽

Structured Interviews ◽

History Of ◽

And Gender

Gender differences impact the work that professionals engage in with sexual offenders and victims of sexual trauma (with females often perceived as more likely to experience sexual trauma, and males as more likely to commit a sexual offence). However, there is no evidence looking at these factors in combination. This study aimed to address this gap, asking: “Are experiences of nursing staff working with sex offenders with a history of sexual trauma affected by gender differences, that is, in terms of gender of the staff member, and gender of the client they are working with?” Eight participants, (four male, four female) working within a Forensic Mental Health Service took part in semi-structured interviews. Interviews were transcribed and analysed using Interpretative Phenomenological Analysis. Five superordinate themes emerged from the data, along with a number of subordinate themes. Superordinate themes included: ‘Gender has a role’, ‘The trauma response’, ‘How we cope’, and ‘What we need’. Nursing staff working with sexual offenders with historic sexual trauma found work to be challenging both emotionally and socially. Such challenges were complicated by the gender interaction between them as professionals, and the patients who have experience of being both victims and perpetrators of sexual abuse.

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Fatalism Moderates the Relationship Between Family History of Cardiovascular Disease and Engagement in Health-Promoting Behaviors Among At-Risk Rural Kentuckians

The Journal of Rural Health ◽

10.1111/jrh.12094 ◽

2014 ◽

Vol 31 (2) ◽

pp. 206-216 ◽

Cited By ~ 8

Author(s):

Gia Mudd-Martin ◽

Mary Kay Rayens ◽

Terry A. Lennie ◽

Misook L. Chung ◽

Yevgeniya Gokun ◽

...

Keyword(s):

Cardiovascular Disease ◽

At Risk ◽

Family History ◽

Health Promoting Behaviors ◽

History Of ◽

Health Promoting ◽

The Relationship

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Menopause-related health literacy: a qualitative study of experiences and perceptions of menopause-related health care among Vietnamese-born women in Melbourne, Australia

10.21203/rs.2.11881/v1 ◽

2019 ◽

Author(s):

Karin Stanzel ◽

Karin Hammarberg ◽

Trang T Nguyen ◽

Jane Fisher

Keyword(s):

Health Care ◽

Health Literacy ◽

Qualitative Study ◽

Health Information ◽

Language Proficiency ◽

English Language ◽

Later Life ◽

Structured Interviews ◽

Natural Event ◽

Optimal Health

Abstract Background Health literacy refers to an individual’s capacity to access, understand, evaluate and use health information to make well informed health-related decision to maintain and promote optimal health. Low health literacy is linked with worse health outcomes and is more common in people from socio-economically disadvantaged backgrounds and from non-English speaking backgrounds and among people with limited education. Peri-menopausal and postmenopausal health behaviour predicts health in later life. This qualitative study was conducted in Melbourne, Australia. The aim of this study was to explored menopause-related health literacy and experiences with menopause-related health care among Vietnamese-born women who had immigrated to Australia as adults. Methods A qualitative study using semi-structured interviews was conducted with women aged between 45 – 60 years and peri or postmenopausal. Transcripts were analyised thematically. Results A total of 12 women were interviewed. Participants viewed menopause as a natural event and obtained most of their menopause-related information from family and friends. Limited English language proficiency affected their capacity to access, understand, evaluate and use menopause-related health information. They identified their Vietnamese speaking General Practitioners (GPs) as a reliable source of health information, but ‘shyness’ prevented them from asking questions about menopause and they suggested that GPs need to initiate menopause-related health conversations. Conclusion Low menopause-related health literacy among immigrant Vietnamese-born women may limit their opportunities to access information about and benefit from menopause-related health promoting behaviours. Access to menopause-related health information in relevant community languages is essential to support immigrant women to make well informed menopause-related health decisions.

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