254933 Assessment and outreach regarding diabetes among the Cambodian, Hmong, Lao and Khmu communities

Tuesday, October 30, 2012 : 3:00 PM - 3:15 PM

Dian Baker, PhD, APRN-BC, PNP, PHN , School of Nursing, California State University Sacramento, Sacramento, CA
Diabetes is rampant among the Cambodian, Hmong, Lao and Khmu communities, particularly among those with low social economic status and those who are limited English proficient. Not only diabetes rapidly increasing, Southeast Asians suffer more from diabetic complications such as heart disease, kidney failure, amputation, vision loss, and premature death. Cambodian, Hmong, Lao and Khmu community organizations have declared diabetes a health crisis calling for urgent action to address the profound quality of life inequities that arise from diabetes when the disease is inadequately managed. To understand the extent of health inequities related to diabetes, we conducted focus groups and community surveys to determine the community's experience with healthcare related to diagnosis and management of diabetes. In addition we interviewed shaman, herbalists, and Western primary healthcare providers utilized by the Hmong community. Our study was framed by the social determinants of health model. We found several sociocultural barriers such as lack of accurate knowledge about the causes and treatment of diabetes, fear of finding out they are sick and fatalism, exclusive use of lay herbalists, lack of trust in Western healthcare and preferred cultural food intake and life styles that conflict with recommended diabetic care management. Community-level structural barriers included attitudes and practices of healthcare providers such as lack of adequate time during healthcare visits to fully discuss treatment options, complexity of treating multiply health conditions, and polypharmacology. Using results from our study we conducted a diabetes community outreach project that included a partnership with our local public radio station.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
1. Describe perceptions of the cause and treatments for diabetes and experiences of inequities in treatment among the Hmong, Cambodian, Lao and Khmu communities 2. Compare and contrast the difference between the four A&PIA groups in their perception and health education requirements regarding diabetes 3. Explain how community partnership partnered with our local National Public Radio station, Capitol Public Radio, for diabetes outreach.

Keywords: Asian and Pacific Islander, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a PhD in Nursing and over 30 years of experience as a practicing pediatric nurse practitioner in community settings. I have conducted several community based participatory research studies with Southeast Asian communities that include cancer prevention, diabetes, health literacy, youth violence, immunizations, and developmental disabilities.
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.