Self-Management of HIV and Diabetes in African American Women: A Systematic Review of Qualitative Literature
Autor: | Chelsi West Ohueri, Julie A. Zuñiga, Alexandra A. García, Jonathan Fordyce, Charlotte Wright |
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Rok vydání: | 2018 |
Předmět: |
Adult
0301 basic medicine Gerontology Endocrinology Diabetes and Metabolism Family support MEDLINE Stigma (botany) HIV Infections Health Professions (miscellaneous) 03 medical and health sciences Social support 0302 clinical medicine Diabetes mellitus Diabetes Mellitus Humans Medicine 030212 general & internal medicine Qualitative Research Depression (differential diagnoses) Self-management business.industry Self-Management medicine.disease 030112 virology Black or African American Female business Qualitative research |
Zdroj: | The Diabetes Educator. 44:419-434 |
ISSN: | 1554-6063 0145-7217 |
DOI: | 10.1177/0145721718794879 |
Popis: | PurposeThe purpose of this systematic review of qualitative literature was (1) to identify self-management strategies, (2) to identify women’s barriers to self-management, and (3) to compare self-management strategies of diabetes and human immunodeficiency virus (HIV). African American women living with HIV are at high risk for developing diabetes because of genetics, lifestyle, and HIV treatment. Self-management of each of these conditions is critical to decrease morbidity and mortality.ConclusionsA literature search resulted in 15 articles: 10 on the topic of HIV and 5 on diabetes. Self-management strategies included spirituality, family and social support, and indulgent self-care. Barriers included depression, stigma, and the role of caregiver. The themes identified for HIV and diabetes self-care barriers and facilitators were exceptionally similar. Themes of spirituality, family support, and indulgent self-care were part of both HIV and diabetes self-care. Women with HIV were less concerned with their independence than women with diabetes, and focused on disclosure of their HIV status and development of a support system. |
Databáze: | OpenAIRE |
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