影响不采纳有利于预防和控制 2 型糖尿病的规范的社会决定因素:定性研究

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Gisèle Mandiangu Ntanda, Drissa Sia, Eric Nguemeleu Tchouaket, Léonel Philibert
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引用次数: 0

摘要

饮食、体育锻炼和体型在 2 型糖尿病(T2D)的发病过程中起着至关重要的作用,也是卫生专业人员在预防和控制 T2D 的实践或干预中最关注的社会因素。然而,一些干预措施更多地关注个人因素,而较少关注可能影响采用有利于预防和控制 T2D 的饮食、身体和体育锻炼标准的社会决定因素。本研究旨在探讨影响撒哈拉以南非洲移民拒绝或采用有利于预防和控制 T2D 的饮食、身体和体育锻炼规范的社会决定因素。数据收集和分析以定性探索设计为指导。2022 年 10 月至 2023 年 3 月期间,在蒙特利尔和魁北克市进行了半结构化定性访谈和焦点小组讨论。参与者指出的主要决定因素包括:食品成本、难以获得某些食品、可靠的收入水平、工作时间安排、亲戚或社区的目光、移民政策、与移民身份相关的失望和压力状况、种族微观歧视以及缺乏适应 MASS 实际情况的食品指南。这些决定性因素可能会影响采用有关饮食的公共卫生建议来预防和控制终末期糖尿病。终末期糖尿病患者显然可以发挥重要作用,但他们无法控制大部分工作。因此,预防、临床或提高认识的干预措施应更多地考虑这些人所处的生活和结构环境,而不忽视他们迁移前的饮食、身体和体育活动规范规则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Determinants Influencing the Non-Adoption of Norms Favorable to the Prevention and Control of Type 2 Diabetes: Qualitative Research
Diet, physical activity, and body shape play an essential role in the development of type 2 diabetes (T2D) and are the social dimensions most targeted by health professionals in their practices or intervention aimed at preventing and controlling T2D. However, several interventions focus more on individual factors and less on social determinants likely to influence the adoption of dietary, body, and physical activity standards favorable to the prevention and control of T2D. This study aims to explore the social determinants influencing the rejection or adoption of dietary, bodily, and physical activity norms favorable to the prevention and control of T2D among migrants from sub-Saharan Africa. A qualitative exploratory design guided data collection and analysis. Semi-structured qualitative interviews and focus groups were conducted between October 2022 and March 2023 in Montreal and Quebec Cities. The cost of food, the difficulty of accessing certain foods, a reliable level of income, work schedules, the gazes of relatives or communities, migration policies, disappointment and stressful situations linked to migratory status, racial microaggressions, and the lack of food guides adapted to the realities of MASS were the main determinants identified by the participants. These determinants can influence the adoption of public health recommendations on diet for the prevention and control of T2D. People living with T2D obviously have an important role to play, but much of the work lies outside their control. Therefore, Preventive, clinical, or awareness-raising interventions should more consider the life and structural contexts in which these people navigate without ignoring their pre-migratory rules of dietary, body, and physical activity norms.
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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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