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Perceptions and Concerns Regarding Diabetes Mellitus During Pregnancy Among American Indian Women.
Carson, L D; Henderson, J Neil; King, Kama; Kleszynski, Keith; Thompson, David M; Mayer, Patricia.
Afiliación
  • Carson LD; College of Public Health, University of Oklahoma Health Sciences Center American Indian Prevention Center, Oklahoma City.
  • Henderson JN; College of Public Health, University of Oklahoma Health Sciences Center American Indian Prevention Center, Oklahoma City.
  • King K; College of Public Health, University of Oklahoma Health Sciences Center American Indian Prevention Center, Oklahoma City.
  • Kleszynski K; College of Public Health, University of Oklahoma Health Sciences Center American Indian Prevention Center, Oklahoma City.
  • Thompson DM; College of Public Health, University of Oklahoma Health Sciences Center.
  • Mayer P; College of Public Health, University of Oklahoma Health Sciences Center American Indian Prevention Center, Oklahoma City.
Care Manag J ; 15(4): 160-169, 2014 12.
Article en En | MEDLINE | ID: mdl-26294897
Diabetes among American Indian (AI) people is a. condition that creates excessive morbidity and mortality and is a significant health disparity. This research delineated culturally constructed models of diabetes mellitus (DM) among 97 pregnant women in 2 large AI Nations to Oklahoma. Analysis of data revealed intense anxiety, fear, and dread related to DM during pregnancy. The sample was stratified by DM status: (a) absence of DM (n = 66), (b) DM prior to pregnancy (n = 4), and (c) gestational (n = 27). Structured and semistructured interviews elicited patient culturally based explanatory models (EMs) of etiology, course, and treatment. The research incorporated an integrated phenomenologic and ethnographic approach and yielded both quantitative and qualitative data. General findings comprised the following main categories of patients' concerns regarding DM as an illness: (a) care-seeking behaviors, (b) medical management, (c) adherence and self-management, (d) complications, and (e) the conceptual sense of DM as a "severe" and feared condition. Many findings varied according to acculturation status, but all included significant fear and anxiety surrounding (a) the health and well-being of the unborn child, (b) the use of insulin injections, (c) blindness, (d) amputation, and (e) death, but with (f) a paradoxically lowered anxiety level about diabetes severity overall, while at the same time expressing extreme dread of specific outcomes. The latter finding is considered consistent with the presence of chronic conditions that can usually be managed, yet still having risk if severe.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígenas Norteamericanos / Mujeres Embarazadas / Diabetes Mellitus Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Care Manag J Asunto de la revista: ENFERMAGEM / SERVICOS DE SAUDE Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Indígenas Norteamericanos / Mujeres Embarazadas / Diabetes Mellitus Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Care Manag J Asunto de la revista: ENFERMAGEM / SERVICOS DE SAUDE Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos