235183 Promoting Community Resources for Type 2 Diabetes Self- Management: Findings from an African-American Case Study in Rural Arkansas

Monday, October 31, 2011: 9:10 AM

Gauri Bhattacharya, DSW, ACSW, LCSW (NYS) , Department of Social Work, College of Nursing and Health Professions, Arkansas State University-Jonesboro, State University, AR
BACKGROUND: Though underreported, type 2 diabetes (T2D) is ranked the number four health priority in Arkansas (AR). Within AR, 14.7% of African Americans (AAs) 20 years of age or older have a T2D diagnosis compared to 9.8% of non-Hispanic Whites and 10.4% of Hispanics. This case study presents a community-based qualitative research conducted among African Americans in rural AR. The study sought to identify possible ways of strengthening culture-specific, health-promoting factors and addressing barriers to T2D health care in an underserved AA community. METHODS: Qualitative data was collected from open-ended interviews with individuals who had a T2D diagnosis. These interviews focused on the roles of culture, self-care practices, social network and social support, spirituality, racism and discrimination, family health history, and health insurance status in T2D self-management. This study applied a grounded theory approach to its systematic, qualitative analysis of interview transcripts and development of themes and patterns. FINDINGS: A comprehensive model, one that covers interactive social, cultural, environmental, and economic factors and their interactions, is imperative to understanding the participants' health care seeking behaviors. CONCLUSIONS: This case study presents research findings and discusses: 1) perceptions of diabetes and its prevention and care within this rural AR community; 2) the influences of socio-historical contexts upon community norms, spirituality, and health care seeking behaviors; and 3) the promotion of better T2D prevention, management and treatment through better understanding of this community's cultural strengths in its own collectivist sociocultural contexts.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture
Public health or related nursing
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
This presentation will enable participants to: 1. Analyze effective strategies for increasing type 2 diabetes self-management behaviors of African American adults. 2. Formulate comprehensive, community-specific, culturally competent programs that integrate biomedical and cultural perspectives into type 2 diabetes prevention and management. 3. Design health initiatives that utilize the target community’s cultural strengths.

Keywords: African American, Rural Communities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I was this study’s Principal Investigator. Community based minority health research is my area of expertise.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.