Falling into a deep dark hole: Tongan people’s perceptions of being at risk of developing type 2 diabetes
| Autor: | Judith McCool, Julienne Faletau, Rosie Dobson, Vili Nosa, Maryann Heather |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
media_common.quotation_subject Pacific Island Population Type 2 diabetes prediabetes 03 medical and health sciences 0302 clinical medicine risk perception Perception medicine Ethnicity Humans 030212 general & internal medicine Prediabetes Family history education media_common Uncategorized education.field_of_study lcsh:R5-920 030503 health policy & services lcsh:Public aspects of medicine Tonga Public Health Environmental and Occupational Health lcsh:RA1-1270 medicine.disease Type 2 Diabetes Original Research Paper Risk perception Falling (accident) Diabetes Mellitus Type 2 medicine.symptom Thematic analysis 0305 other medical science Psychology lcsh:Medicine (General) Original Research Papers New Zealand |
| Zdroj: | Health Expectations, Vol 23, Iss 4, Pp 837-845 (2020) Health Expectations : An International Journal of Public Participation in Health Care and Health Policy |
| DOI: | 10.26181/5fc48965ce7aa |
| Popis: | © 2020 The Authors Health Expectations published by John Wiley & Sons Ltd Background: Prediabetes is a precursor for type 2 diabetes. Compared to the New Zealand/European and other population groups (24.6%), the prevalence of prediabetes is higher within Pacific groups (29.8%). The diagnosis of prediabetes presents a potential opportunity to intervene to prevent progression to type 2 diabetes. Objective: To develop an understanding of how being ‘at risk’ of developing type 2 diabetes is perceived by Tongan people with prediabetes living in Auckland, New Zealand. Methods: The Kakala and Talanga Tongan methodologies underpinned this study. Twelve one-on-one, semi-structured interviews with Tongan patients who had prediabetes from a primary health-care clinic in Auckland, New Zealand, were conducted. Thematic analysis was used to identify recurrent themes from the data. Results: Participants were not aware of their prediabetes diagnosis, emotions associated with the diagnosis reflected fear and disbelief and a perception of imminent danger. Family history informed perceptions of the risk of developing type 2 diabetes. Participants could not differentiate prediabetes from type 2 diabetes, and recollections of being ‘back in the Islands’ of Tonga were consistent with healthy lifestyles. Conclusions: Prediabetes appeared to be poorly understood and was believed to be irreversible, which could discourage behaviour change, social and physical improvements in health. Appropriate culturally tailored messages to accompany a prediabetes diagnosis, including cause and management, would be beneficial for Pacific peoples. |
| Databáze: | OpenAIRE |
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