文化实践、价值观和规范在中国移民II型糖尿病治疗中的作用综述

Cameron K. Ormiston
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摘要

尽管美国华人移民中II型糖尿病(T2D)的患病率持续上升,但研究和临床护理方面的差距仍然存在。这些差距主要是由于亚洲移民人口的普遍性、生物医学文化中的障碍以及缺乏对文化敏感的治疗计划。很少注意每个亚群体中独特的社会文化因素和背景,如家庭影响或传统医学方法。在对现有文献进行分析后,发现民间对疾病的解释、家庭单位和文化饮食习惯对T2D的治疗有显著影响。在治疗过程中,中国移民努力解决胰岛素的污名化、提供食物作为护理的重要性以及家庭幸福与和谐等问题。了解PVN的这些因素如何以及为什么影响T2D治疗,对于根据中国移民社区的需求定制医疗护理至关重要。
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A review of the role of cultural practices, values, and norms in type II diabetes treatment for Chinese immigrants
Although Type II diabetes (T2D) prevalence in US Chinese immigrants continues to rise, gaps in research and clinical care persist. These gaps are largely due to generalizations of the Asian immigrant population, barriers within biomedical culture, and a lack of culturally sensitive treatment plans. Little attention is paid to the unique sociocultural factors and contexts within each subpopulation, such as family influences or traditional medicine approaches. After an analysis of available literature, folk interpretations of disease, the family unit, and cultural food practices were found to be significant influences on T2D treatment. As they navigate their treatment, Chinese immigrants grapple with issues such as the stigmatization of insulin, the importance of providing food as care, and family well-being and harmony. Understanding how and why these elements of PVN affect T2D treatment is crucial to tailoring medical care to the needs of Chinese immigrant communities.
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