Older African American Men’s Perspectives on Factors That Influence Type 2 Diabetes Self-Management and Peer-Led Interventions
Abstract
:1. Introduction
1.1. Barriers to T2D Illness Management among Older Black Men
1.2. Interventions to Improve Older Black Men’s T2D Management
2. Methods
2.1. Study Design
2.2. Participant Characteristics
2.3. Participant Recruitment and Data Collection
- “When you were growing up, what did you learn about being a man from the men in your community?”
- “How has what you learned about being a man from men in your community impacted your decisions about your health?”
- “In your opinion, what kinds of things do you think a community health worker could do in your community to support men trying to manage their diabetes?”
- “What sorts of things would you rather a community health worker not do?”
2.4. Data Management and Analysis
3. Results
“When I found out I had cancer I got pretty scared and I ran for two years… without treatment. I went and had a biopsy … and he told me I had cancer. It was extremely aggressive and … I wasn’t playing superman, I was just scared. And I was scared to tell anybody that I was scared. Men ain’t scared, we’re superman and batman. I’ll beat up your Rottweiler.”
“The assumption is that all I got to do is tell this gentlemen that ‘oh, you need a glucose meter,’ … but now what we forget [is] that people are living to eat whatever food they can really afford. Now, it may or may not be the appropriate food for a diabetic … we need to know what financial conditions … they have.” Yet another participant reflected on his experiences with accessing consistent care, stating, “and every time I went to the doctor, it was so frustrating. Every time I went to that clinic I had a different doctor.” Other in-depth qualitative studies have documented that consistency in interacting with the same health provider is both perceived as a hallmark of patient-centered care and is reported to be an important motivator for medically underserved patients to adhere to preventive and other treatment recommendations for managing their conditions [31].
4. Discussion
Author Contributions
Funding
Conflicts of Interest
References
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African American Men(n = 12) | |
---|---|
Education | |
High School Diploma | 1 |
Some College or More | 11 |
Employment | |
Employed | 0 |
Not Employed/Retired | 12 |
Marital Status | |
Not Married | 1 |
Married | 8 |
Divorced/Widowed | 3 |
Average Age | 75 |
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Share and Cite
Hawkins, J.; Mitchell, J.; Piatt, G.; Ellis, D. Older African American Men’s Perspectives on Factors That Influence Type 2 Diabetes Self-Management and Peer-Led Interventions. Geriatrics 2018, 3, 38. https://doi.org/10.3390/geriatrics3030038
Hawkins J, Mitchell J, Piatt G, Ellis D. Older African American Men’s Perspectives on Factors That Influence Type 2 Diabetes Self-Management and Peer-Led Interventions. Geriatrics. 2018; 3(3):38. https://doi.org/10.3390/geriatrics3030038
Chicago/Turabian StyleHawkins, Jaclynn, Jamie Mitchell, Gretchen Piatt, and Deborah Ellis. 2018. "Older African American Men’s Perspectives on Factors That Influence Type 2 Diabetes Self-Management and Peer-Led Interventions" Geriatrics 3, no. 3: 38. https://doi.org/10.3390/geriatrics3030038