Assessment of diabetes self-care behaviors and knowledge among Marshallese adults with type 2 diabetes in the Republic of the Marshall Islands

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Primary Care Diabetes Pub Date : 2024-02-01 DOI:10.1016/j.pcd.2023.11.009

Jennifer A. Andersen , Brett Rowland , Erin Gloster , Holly C. Felix , Sheldon Riklon , Desiree Jenkins , Williamina Ioanna Bing , Philmar Mendoza Kabua , Jonell S. Hudson , Dinesh Edem , Jack Niedenthal , Pearl A. McElfish

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Abstract

Aims

The aim of this study is to assess and document engagement in type 2 diabetes mellitus (T2DM) self-care behaviors and self-reported diabetes knowledge among Marshallese adults living in the Republic of the Marshall Islands (RMI).

Methods

The study uses data from a T2DM health screening study completed in the RMI; survey and biometric data were captured as part of the health screenings. Study objectives were examined using descriptive statistics to describe the characteristics of the participants, their diabetes self-care behaviors, and their levels of self-reported diabetes knowledge.

Results

Results indicate many Marshallese diagnosed with T2DM did not engage in adequate self-care behaviors, including blood sugar checks and foot examinations. Participants reported having forgone needed medical care and medication due to issues with cost and/or access, and participants reported low levels of diabetes knowledge.

Conclusions

The results demonstrate the need for further work in improving engagement in diabetes self-care by Marshallese living in the RMI. Increased engagement in self-care and diabetes education programs may help Marshallese with T2DM to improve control of their glucose and avoid long-term health complications, as well as reduce costs to the healthcare system.

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马绍尔群岛共和国马绍尔成人2型糖尿病患者糖尿病自我保健行为和知识评估

目的:本研究的目的是评估和记录生活在马绍尔群岛共和国(RMI)的马绍尔成年人参与2型糖尿病(T2DM)自我保健行为和自我报告的糖尿病知识。方法:该研究使用了在RMI完成的T2DM健康筛查研究的数据;作为健康检查的一部分，收集了调查和生物特征数据。研究目的是通过描述性统计来描述参与者的特征、他们的糖尿病自我护理行为和他们自我报告的糖尿病知识水平。结果:结果表明许多被诊断为2型糖尿病的马绍尔人没有充分的自我保健行为，包括血糖检查和足部检查。参与者报告说，由于费用和(或)获取方面的问题，他们放弃了必要的医疗和药物治疗，参与者报告说，他们对糖尿病的了解程度很低。结论:结果表明，需要进一步的工作，以提高参与糖尿病自我保健马绍尔人生活在RMI。加强自我保健和糖尿病教育计划可以帮助马绍尔群岛2型糖尿病患者改善血糖控制，避免长期的健康并发症，并降低医疗保健系统的成本。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.

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