286737
Gender differences in self efficacy and behavior outcomes among diabetic Bangladeshis in New York City
Yousra Yusuf, MPH,
Department of Epidemiology, School of Public Health, SUNY Downstate Medical Center, Brooklyn, NY
Lindsey Riley, MPH,
NYU School of Medicine, Center for the Study of Asian American Health, New York, NY
Gulnahar Alam,
Center for the Study of Asian American Health, NYU Institute of Community Health and Research, NYU School of Medicine, New York, NY
Laura Wyatt, MPH,
Center for the Study of Asian American Health, Institute of Community Health and Research, NYU School of Medicine, New York, NY
Mamnunul Haq,
Department of Population Health, NYU School of Medicine, New York, NY
MD Taher, MPH,
Department of Population Health, NYU School of Medicine, New York, NY
Chau Trinh-Shevrin, DrPH,
Center for the Study of Asian American Health, Institute of Community Health and Research, NYU School of Medicine, New York, NY
Mariano Rey, MD,
Center for the Study of Asian American Health, Institute of Community Health and Research, NYU School of Medicine, New York, NY
Nadia Islam, PhD,
Department of Population Health, NYU School of Medicine, New York, NY
Background/Significance: South-Asians have the highest prevalence of diabetes compared to other Asian subgroups. Self-efficacy plays a role in diabetes management, yet few studies have examined this concept among South-Asian diabetics, particularly among Bangladeshis. Objective/Purpose: To examine gender differences in health-related self-efficacy and diabetes outcomes among Bangladeshi individuals participating in a diabetes management community health worker (CHW) intervention. Methods: Eligible diabetic Bangladeshis were randomized into treatment and control groups. Treatment group participants received monthly group educational seminars and one-on-one visits from a CHW, while control group participants received an introductory seminar. Surveys were collected at baseline, midpoint, and endpoint (6-months). Chi-square tests were performed to reveal trends in self-efficacy overall, by gender, and by study group. Changes in clinical outcomes, including HbA1c and weight, were examined using paired sample t-tests and repeated measures ANOVA. Additionally, field notes collected by CHWs were examined to help understand and explain observed trends. Results: Preliminary analysis was conducted using two intervention rounds (n=84). A significant increase in overall self-efficacy among the intervention group was seen (p<0.10) while there was no significant change in the control group. Furthermore, results stratified by gender showed improvement in self-efficacy among females in the treatment group (p<0.05); females felt more comfortable going to the doctor alone at endpoint compared to baseline. No significant changes in self-efficacy were seen among males in either group, or among females in the control group. Moreover, females in the intervention group demonstrated a significant decrease in weight at 6-months (p<0.10). Further analysis will be performed with an additional round using repeated measures ANOVA to look at trends in clinical measures. Discussion/Conclusion: Results provide insight on the role of self-efficacy in diabetes management for Bangladeshis, especially among women. Further research is needed to help understand and address cultural and social norms to improve health care access.
Learning Areas:
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Learning Objectives:
Assess the importance of research focusing on gender differences in health and behavior outcomes among South-Asian immigrants.
Identify and evaluate the need for culturally- and linguistically-appropriate health programs for South-Asian, specifically Bangladeshi, immigrants to increase self-efficacy and diabetes outcomes.
Keyword(s): Asian Women, Diabetes
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am a 2nd year MPH student with courses in Epidemiology and Community Health. I have been involved with research of this nature for two years. I have also completed a one-year intense fellowship on epidemiologic research on this topic.
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.
