{"title":"社会支持在美国印第安人2型糖尿病管理中的作用:一项定性研究。","authors":"I. Ishak, Melissa L. Walls, B. Aronson","doi":"10.5820/aian.2901.2022.59","DOIUrl":null,"url":null,"abstract":"The purpose of this study is to gain insights of American Indian (AI) communities on the role of social support in type 2 diabetes (T2D) management. Social support is a means of enhancing social and personal resources that can address underlying stressors that contribute to T2D inequities and represents a potential channel of intervention to improve management of T2D in these communities. This community-based participatory research included AI adults from the Bois Forte and Lac Courte Oreilles Bands of Ojibwe and consisted of focus groups that were conducted with people with T2D, social support persons, and service providers. Overall findings underscore the importance of social support in T2D management, especially in providing emotional support, fulfilling an appraisal function, and enabling positive health behaviors. It is also important for policies and practices to consider the social and cultural contexts, particularly the socio-historical context of life within AI communities that has inevitably shaped certain mindsets that may present barriers to care-seeking and optimal T2D management. These findings can inform interventions related to T2D management, especially in incorporating social support and complementing community strengths in achieving a broader goal of reducing diabetes inequities in AI communities.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"145 1","pages":"59-91"},"PeriodicalIF":1.9000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Role of Social Support in the Management of Type 2 Diabetes Mellitus among American Indians: A Qualitative Study.\",\"authors\":\"I. Ishak, Melissa L. Walls, B. Aronson\",\"doi\":\"10.5820/aian.2901.2022.59\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The purpose of this study is to gain insights of American Indian (AI) communities on the role of social support in type 2 diabetes (T2D) management. Social support is a means of enhancing social and personal resources that can address underlying stressors that contribute to T2D inequities and represents a potential channel of intervention to improve management of T2D in these communities. This community-based participatory research included AI adults from the Bois Forte and Lac Courte Oreilles Bands of Ojibwe and consisted of focus groups that were conducted with people with T2D, social support persons, and service providers. Overall findings underscore the importance of social support in T2D management, especially in providing emotional support, fulfilling an appraisal function, and enabling positive health behaviors. It is also important for policies and practices to consider the social and cultural contexts, particularly the socio-historical context of life within AI communities that has inevitably shaped certain mindsets that may present barriers to care-seeking and optimal T2D management. These findings can inform interventions related to T2D management, especially in incorporating social support and complementing community strengths in achieving a broader goal of reducing diabetes inequities in AI communities.\",\"PeriodicalId\":46147,\"journal\":{\"name\":\"American Indian and Alaska Native Mental Health Research\",\"volume\":\"145 1\",\"pages\":\"59-91\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2022-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Indian and Alaska Native Mental Health Research\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.5820/aian.2901.2022.59\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Indian and Alaska Native Mental Health Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.5820/aian.2901.2022.59","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
摘要
本研究的目的是了解美国印第安人(AI)社区对2型糖尿病(T2D)管理中社会支持的作用。社会支持是增强社会和个人资源的一种手段,可以解决导致T2D不平等的潜在压力源,并代表了改善这些社区T2D管理的潜在干预渠道。这项以社区为基础的参与性研究包括来自Ojibwe Bois Forte和Lac Courte Oreilles部落的AI成年人,并包括与T2D患者、社会支持人员和服务提供者进行的焦点小组。总体研究结果强调了社会支持在T2D管理中的重要性,特别是在提供情感支持、履行评估功能和促进积极健康行为方面。同样重要的是,政策和实践要考虑社会和文化背景,特别是人工智能社区生活的社会历史背景,这些背景不可避免地形成了某些心态,可能对寻求护理和最佳T2D管理构成障碍。这些发现可以为与糖尿病管理相关的干预措施提供信息,特别是在纳入社会支持和补充社区优势方面,以实现减少人工智能社区糖尿病不平等的更广泛目标。
The Role of Social Support in the Management of Type 2 Diabetes Mellitus among American Indians: A Qualitative Study.
The purpose of this study is to gain insights of American Indian (AI) communities on the role of social support in type 2 diabetes (T2D) management. Social support is a means of enhancing social and personal resources that can address underlying stressors that contribute to T2D inequities and represents a potential channel of intervention to improve management of T2D in these communities. This community-based participatory research included AI adults from the Bois Forte and Lac Courte Oreilles Bands of Ojibwe and consisted of focus groups that were conducted with people with T2D, social support persons, and service providers. Overall findings underscore the importance of social support in T2D management, especially in providing emotional support, fulfilling an appraisal function, and enabling positive health behaviors. It is also important for policies and practices to consider the social and cultural contexts, particularly the socio-historical context of life within AI communities that has inevitably shaped certain mindsets that may present barriers to care-seeking and optimal T2D management. These findings can inform interventions related to T2D management, especially in incorporating social support and complementing community strengths in achieving a broader goal of reducing diabetes inequities in AI communities.
期刊介绍:
American Indian and Alaska Native Mental Health Research: The Journal of the National Center is a professionally refereed scientific journal. It contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives. All topical areas relating to this field are addressed, such as psychology, psychiatry, nursing, sociology, anthropology, social work, and specific areas of education, medicine, history, and law. Through a standardized format (American Psychological Association guidelines) new data regarding this special population is easier to retrieve, compare, and evaluate.