Diabetes Self-Care Behaviors and Barriers to Clinical Care During COVID-19 Pandemic for Marshallese Adults

Details

• Alternative Title:
  Sci Diabetes Self Manag Care
• Personal Author:
  Purvis, Rachel S. ; Moore, Ramey A. ; Ayers, Britni L. ; Felix, Holly C. ; Riklon, Sheldon ; Andersen, Jennifer A. ; Hudson, Jonell S. ; O’Connor, Gail ; Kelen, Meetu ; Heely-Rolston, Lee-Ann Noelani ; Shields, Xochitl ; McElfish, Pearl A.
  More +
• Description:
  Purpose: ; The purpose of the study was to explore experiences of Marshallese adults related to diabetes self-care behaviors during the COVID-19 pandemic. ; Methods: ; A qualitative descriptive design was utilized to understand participants’ diabetes self-care behaviors during the pandemic. Nine focus groups with 53 participants were held via videoconference and conducted in English, Marshallese, or a mixture of both languages. A priori codes based on diabetes self-care behaviors provided a framework for analyzing and summarizing participant experiences. ; Results: ; Both increases and decreases in healthy eating and exercise were described, with improvements in health behaviors attributed to health education messaging via social media. Participants reported increased stress and difficulty monitoring and managing glucose. Difficulty obtaining medication and difficulty seeing their health care provider regularly was reported and attributed to health care provider availability and lack of insurance due to job loss. ; Conclusions: ; The study provides significant insight into the reach of health education campaigns via social media and provides important information about the reasons for delays in care, which extend beyond fear of contracting COVID-19 to structural issues.
• Subjects:
  • Adult
  • COVID-19
  • Diabetes Mellitus
  • Humans
  • Language
  • Pandemics
  • SARS-CoV-2
  • Self Care
• Keywords:
  • Alzheimer's disease
  • Alzheimer's disease sequencing project
  • antiviral agents
  • herpes simplex
  • human papillomavirus
  • torque teno viruses
  • whole exome sequencing
  • whole genome sequencing
• Source:
  Sci Diabetes Self Manag Care. 48(1):35-43
• Pubmed ID:
  35023402
• Pubmed Central ID:
  PMC9082400
• Document Type:
  Journal Article
• Funding:
  KL2 TR003108/TR/NCATS NIH HHSUnited States/ ; P20 GM109096/GM/NIGMS NIH HHSUnited States/ ; U01 DP006595/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR003107/TR/NCATS NIH HHSUnited States/
• Volume:
  48
• Issue:
  1
• Download URL:
  https://stacks.cdc.gov/view/cdc/117317/cdc_117317_DS1.pdf
• File Type:
  [PDF - 78.93 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:9fbc4281fa22ed1f4c0b2fb15e4db7451dc395cc399428afde0724169ea982c4662c1737f96bcb44d10bce42896eb0ac329f7d156ffab650d43c84e26028636c