Patient Barriers to Insulin Use in Multi-Ethnic Populations

Visram, Hasina

doi:10.1016/j.jcjd.2013.02.054

Cited by 8 publications

(10 citation statements)

References 29 publications

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“…People from Asian cultures also may see the initiation of insulin as indicative of a failure of the patient to care for him- or herself rather than as a result of the natural progression of diabetes. Members of these populations also may believe insulin causes more complications in the long term (12,14,15,22). Similarly, the underutilization of insulin in African Americans is linked to a perception that insulin causes organ damage (9,23).…”

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

“…For example, certain Asian cultures view insulin as a form of handicap that may indicate severe illness and feel it may prevent a person with diabetes from finding a marriage partner (22). Some Asians also are more likely to be influenced by other people’s views about taking injections; this can prompt requests to their HCP to change their therapy even if the change is not as effective at controlling glucose (12).…”

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

“…It has also been reported that African-American patients use religion and spirituality as a coping strategy for diabetes management and to change unhealthy behaviors (42). Among Muslims, fasting is part of their religious beliefs, and this sometimes affects their decisions about insulin therapy because of potential interference with their religious obligations (22). Muslim patients are also concerned about the origin of insulin and often believe it is a porcine derivative (22,43).…”

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

“…Among Muslims, fasting is part of their religious beliefs, and this sometimes affects their decisions about insulin therapy because of potential interference with their religious obligations (22). Muslim patients are also concerned about the origin of insulin and often believe it is a porcine derivative (22,43). Guidelines have been created in an effort to address such concerns when treating Muslim patients during Ramadan (44).…”

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

“…Having discussions with patients about the role of insulin early in the course of diabetes and providing education about the natural progression of the disease should be included in the conversation at each visit to help prevent encountering these barriers in the future, when insulin may be needed (22). …”

Section: Conquering Barriers To the Use Of Insulinmentioning

confidence: 99%

See 4 more Smart Citations

Cultural Differences and Considerations When Initiating Insulin

Rebolledo

Arellano

2016

Diabetes Spectrum

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Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

Section: Barriers To the Use Of Insulinmentioning

confidence: 99%

Section: Conquering Barriers To the Use Of Insulinmentioning

confidence: 99%

See 3 more Smart Citations

Cultural Differences and Considerations When Initiating Insulin

Rebolledo

Arellano

2016

Diabetes Spectrum

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Mechanisms underlying the development of eating disorders and disordered eating in adolescent females with type 1 diabetes

Abild,

Vestergaard,

Bruun

et al. 2024

Diabet Med

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ObjectivePeople with Type 1 diabetes (T1D) face an increased risk of eating disorders/disordered eating (ED/DE), with adolescents being particularly vulnerable. Empirical knowledge on the mechanisms underlying development of ED/DE in T1D is crucial for evolving prevention strategies.Research Design and MethodsFourteen semi‐structured interviews with adolescent females with T1D and ED/DE between 14 and 18 years were conducted and analyzed using reflexive thematic analysis.ResultsAnalyses identified four main themes; ‘Interconnected afflictions’, ‘Judgment’, ‘Feeling Different’, and ‘Chaos & Control’, These themes explore the interconnectedness of T1D and ED/DE, with shame and guilt emerging as common underlying mechanism. The development of a biopsychosocial model was based on the integration of these data with existing models.ConclusionsThe study extends previous developmental pathways of ED/DE in adolescents with T1D. We propose a biopsychosocial model that incorporates various factors: predisposing factors such as parental management of T1D and weight gain during adolescence; precipitating factors including comments on weight, frequency of weighing, perceptions of surveillance; the perpetuating bilateral influence of ED/DE and T1D and finally highlighting the protective mechanisms of disease acceptance encompassing parental handling of diagnosis and the contribution of healthcare professionals (HCP's) role in psychoeducation. The present study highlight the vulnerability of adolescence in the presence of T1D, particularly concerning issues related to eating, weight, and body. It offers clinically relevant insights, with the aim to improve communication and management strategies for this very specific group.

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Chronic Illness Management in Culturally and Linguistically Diverse Patients: Exploring the Needs, Access, and Understanding of Information

Lambert

Loban

et al. 2021

Qual Health Res

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In Canada, people from culturally and linguistically diverse (CALD) backgrounds are at a greater risk of developing a chronic illness, and are more likely to experience adverse health effects and challenges in accessing high-quality care compared with Canadian-born individuals. This, in part, has been attributed to having inadequate access to information and resources needed to manage their illness(es). A qualitative descriptive design and inductive content analysis were used to explore the information needs of 24 CALD patients with chronic illnesses. Participants identified medical, lifestyle, and psychosocial information needs. How much information was needed depended on such antecedents as illness trajectory, severity, and perception. Most information needs remained unmet. A number of communication strategies were identified to bridge language barriers that go beyond translation and are based on effective health education strategies. Findings can help health care professionals better identify CALD patients’ information needs and provide strategies that go beyond translation.

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Patient Barriers to Insulin Use in Multi-Ethnic Populations

Cited by 8 publications

References 29 publications

Cultural Differences and Considerations When Initiating Insulin

Cultural Differences and Considerations When Initiating Insulin

Mechanisms underlying the development of eating disorders and disordered eating in adolescent females with type 1 diabetes

Chronic Illness Management in Culturally and Linguistically Diverse Patients: Exploring the Needs, Access, and Understanding of Information

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