Emotional and Behavioral Aspects of Diabetes in American Indians/Alaska Natives
| العنوان: | Emotional and Behavioral Aspects of Diabetes in American Indians/Alaska Natives |
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| المؤلفون: | Mary de Groot, Lisa Scarton |
| المصدر: | Health Education & Behavior. 44:70-82 |
| بيانات النشر: | SAGE Publications, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Gerontology, education.field_of_study, 030505 public health, business.industry, Population, Public Health, Environmental and Occupational Health, Psychological intervention, Type 2 Diabetes Mellitus, 030209 endocrinology & metabolism, Context (language use), 03 medical and health sciences, Social support, 0302 clinical medicine, Systematic review, Arts and Humanities (miscellaneous), Community health, Medicine, 0305 other medical science, education, business, Psychosocial |
| الوصف: | American Indians and Alaska Natives (AI/ANs) bear a disproportionate burden of diabetes and associated long-term complications. Behavioral interventions play a vital role in promoting diabetes medical and psychological outcomes, yet the development of interventions for AI/AN communities has been limited. A systematic review was conducted of studies focused on the psychosocial and behavioral aspects of diagnosed diabetes among AI/ANs. Ovid and PubMed databases and published reference lists were searched for articles published between 1987 and 2014 that related to the psychosocial and behavioral aspects of type 1 or type 2 diabetes in the AI/AN population. Twenty studies were identified that met the inclusion criteria. Nineteen studies were observational and one study was intervention based. Two of the studies used community-based participatory research methodology. Of the 20 studies, 2 discussed cultural influences associated with diabetes self-management and 10 identified the specific tribes that participated in the study. Tribal affiliations among the studies were broad with the number of AI/AN participants in each study ranging from 30 to 23,529 participants. Emotional and behavioral topics found in the literature were adherence ( n = 2), depression ( n = 9), physical activity ( n = 3), psychosocial barriers ( n = 1), social support ( n = 3), and stress ( n = 2). Relatively few studies were identified using AI/AN populations over a 27-year period. This is in stark contrast to what is known about the prevalence and burden that type 1 and type 2 diabetes mellitus place on AI/AN communities. Future research should promote community engagement through the use of community-based participatory research methodologies, seek to further understand and describe the emotional and behavioral context for diabetes self-management in this population, and develop and test innovative interventions to promote the best possible diabetes outcomes. |
| تدمد: | 1552-6127 1090-1981 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::1db329b6512cb59bfebae5b039c199e2Test https://doi.org/10.1177/1090198116639289Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........1db329b6512cb59bfebae5b039c199e2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526127 10901981 |
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