TY - JOUR
T1 - Barriers to Type 2 Diabetes Management Among Older Adult Haitian Immigrants
AU - Magny-Normilus, Cherlie
AU - Whittemore, Robin
AU - Wexler, Deborah J.
AU - Schnipper, Jefferey L.
AU - Nunez-Smith, Marcella
AU - Fu, Mei R.
N1 - Funding Information:
This study was supported by the National Institute of Nursing Research of the National Institutes of Health (Grant No T32NR008346). This article was further supported by the National Institute of Nursing Research of the National Institutes of Health under award No 1K99NR019325-01. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of National Institutes of Health. The authors would also like to thank the participants and their church communities for taking part in this study. Dr. Magny-Normilus dedicates this paper to her late father, Mr. Previlon Magny, who inspired her to pursue her dreams and Ph.D. As Reed Markham said, “The quality of a father can be seen in the goals, dreams, and aspirations he sets not only for himself but for his family.”
Publisher Copyright:
© 2021 The Author(s).
PY - 2021/10
Y1 - 2021/10
N2 - Purpose: The purpose of this study was to describe the experiences of older adult Haitian immigrants in managing type 2 diabetes mellitus (T2DM). Methods: A descriptive qualitative approach using semistructured interviews was conducted with 20 older adult Haitian immigrants with T2DM. Interviews were transcribed verbatim and categorized using NVivo. An iterative descriptive data analysis method was used to examine the data, compare codes, challenge interpretations, and develop themes inductively. Results: Older adult Haitian immigrants reported that T2DM affected every aspect of their lives. Financial hardship and social isolation were described as the major barriers to T2DM management, which forced them to choose between basic needs and health care, and at times, they had to forgo medications or avoid seeking medical care. They recognized that creating and maintaining good community support was the key to self-management of T2DM. Conclusions: Financial hardship and social isolation have a tremendous impact on the ability of older Haitian immigrants to manage T2DM effectively. It is challenging to modify these barriers through individual efforts, and clinical, research, and public efforts may be necessary to address these concerns.
AB - Purpose: The purpose of this study was to describe the experiences of older adult Haitian immigrants in managing type 2 diabetes mellitus (T2DM). Methods: A descriptive qualitative approach using semistructured interviews was conducted with 20 older adult Haitian immigrants with T2DM. Interviews were transcribed verbatim and categorized using NVivo. An iterative descriptive data analysis method was used to examine the data, compare codes, challenge interpretations, and develop themes inductively. Results: Older adult Haitian immigrants reported that T2DM affected every aspect of their lives. Financial hardship and social isolation were described as the major barriers to T2DM management, which forced them to choose between basic needs and health care, and at times, they had to forgo medications or avoid seeking medical care. They recognized that creating and maintaining good community support was the key to self-management of T2DM. Conclusions: Financial hardship and social isolation have a tremendous impact on the ability of older Haitian immigrants to manage T2DM effectively. It is challenging to modify these barriers through individual efforts, and clinical, research, and public efforts may be necessary to address these concerns.
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U2 - 10.1177/26350106211040435
DO - 10.1177/26350106211040435
M3 - Article
C2 - 34610761
AN - SCOPUS:85116518061
VL - 47
SP - 382
EP - 390
JO - Science of Diabetes Self-Management and Care
JF - Science of Diabetes Self-Management and Care
SN - 2635-0106
IS - 5
ER -