Understanding Prediabetes and Diabetes Among Vietnamese Americans: Exploring Biological, Psychological, and Social Factors.

IF 1.2 4区医学 Q3 NURSING

Journal of Transcultural Nursing Pub Date : 2025-07-12 DOI:10.1177/10436596251353035

Angelina P Nguyen, Weiming Ke, Sabrina Mei, Tam H Nguyen

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Abstract

Introduction: Vietnamese Americans, a growing population in the United States, face unique challenges in managing diabetes due to cultural, social, and psychological factors. This study examined potential predictive for diabetes risk in Vietnamese Americans.

Methodology: A cross-sectional study was conducted with 304 Vietnamese American adults using validated PhenX-selected surveys and snowball sampling.

Results: Older age (adjusted odds ratios [AOR] = 1.18), mental health concerns (AOR = 4.50), higher BMI (AOR = 1.61), family history of diabetes (AOR = 16.11), and hypertension (AOR = 18.65) were significant independent predictors of diabetes or high diabetes risk (p ≤ .05). Gender, health numeracy, disability, and various social factors were initially significant but became non-significant after adjustment, suggesting confounding effects.

Discussion: Findings highlight the need for culturally tailored care for Vietnamese Americans with diabetes or high diabetes risk, focusing on body mass index as a modifiable predictor and other biological and health-related factors for focused targeting and disease management.

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了解糖尿病前期和糖尿病在越南裔美国人：探索生物，心理和社会因素。

引言：越南裔美国人是美国一个不断增长的人口，由于文化、社会和心理因素，他们在管理糖尿病方面面临着独特的挑战。本研究考察了越南裔美国人糖尿病风险的潜在预测因素。方法：采用经验证的phenx选择调查和滚雪球抽样对304名越南裔美国成年人进行了横断面研究。结果：年龄较大（调整后优势比[AOR] = 1.18）、精神健康问题（AOR = 4.50）、BMI较高（AOR = 1.61）、糖尿病家族史（AOR = 16.11）和高血压（AOR = 18.65）是糖尿病或糖尿病高危的显著独立预测因子（p≤0.05）。性别、健康计算能力、残疾和各种社会因素最初显著，但调整后变得不显著，提示混淆效应。讨论：研究结果强调了对越南裔美国糖尿病患者或糖尿病高风险患者进行文化定制护理的必要性，重点关注体重指数作为可修改的预测指标和其他生物和健康相关因素，以集中靶向和疾病管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Transcultural Nursing 医学-护理

CiteScore

4.60

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Transcultural Nursing (TCN) is a peer-reviewed journal that offers nurses, educators, researchers, and practitioners theoretical approaches and current research findings that have direct implications for the delivery of culturally congruent health care and for the preparation of health care professionals who will provide that care. This journal is a member of the Committee on Publication Ethics (COPE).