Asian Indians (AIs) have the highest prevalence rates (18.3%-29%) of diabetes in any minority group in the United States, yet little is known about their beliefs about what causes type 2 diabetes. The purpose of this study was to examine first generation AIs causal beliefs about type 2 diabetes.
Method
Interpretative phenomenology was used to interview 12 first-generation AI participants with type 2 diabetes to elicit causal beliefs of their disease. Interpretative and thematic analysis were completed.
Results
Beliefs about the causes of diabetes in AIs were influenced by a general familiarity with the disease, limited knowledge about causal and preventative factors of the disease, and gender specific roles and norms.
Discussion
Health programs that aim to incorporate AI’s cultural and health beliefs about the causes of diabetes are warranted.
BatalovaJ.FixM. (2008). Uneven progress: The employment pathways of skilled immigrants in the United States. Migration Policy Institute.
2.
BeanD.CundyT.PetrieK. J. (2007). Ethnic differences in illness perceptions, self-efficacy and diabetes self-care. Psychology & Health, 22(7), 787-811. https://doi.org/10.1080/14768320600976240
3.
BennerP. E. (1994). The tradition and skill of interpretive phenomenology in studying health, illness and caring practices. Sage.
4.
BennerP. E.TannerC. A.CheslaC. A. (2009). Expertise in nursing practice: Caring clinical judgement and ethics (2nd ed.). Springer.
5.
BudimanA. (2020). Asian Americans are the fastest-growing racial or ethnic group in the U.S electorate. Fact Tank. https://pewrsr.ch/2WBvxf6
6.
CheslaC. A.ChunK. M.KwanC. M. L. (2018). Biculturalism in couple support for diabetes care in U.S.-born Chinese Americans. Research in Nursing and Health, 42(1), 39-47. https://doi.org/10.1002/nur.21926
7.
CowieC. C.RustK. F.FordE. S.EberhardtM. S.Byrd-HoltD. D.LiC.WilliamD. E.GregE. W.BainbridgeK. E.SaydahS. H.GeissL. S. (2009). Full accounting of diabetes and pre-diabetes in the U.S. population in 1988-1994 and 2005-2006. Diabetes Care, 32(2), 287-294. https://doi.org/10.2337/dc08-1296
8.
DreyfusH. L. (1991). Being in the world, a commentary on Heidegger’s being and time. MIT Press.
9.
FarooqiA.NagraD.EdgarT.KhuntiK. (2000). Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study. Family Practice, 17(4), 293-298. https://doi.org/10.1093/fampra/17.4.293
10.
GraceC.BegumR.SubaniS.KopelmannP.GreenhalghT. (2008). Prevention of type 2 diabetes in British Bangledeshis: Qualitative study of community, religious and professiona perspectives. British Medical Journal, 337, a1931. https://doi.org/10.1136/bmj.a1931
KaikayaD. (2000). Identity development and conflicts among indian immigrant women. In ChinJ. (Ed.), Relationships among Asian American women (pp. 133-149). American Psychological Association.
13.
KanayaA. M.WassellC. L.MathurD.StewartA.HerringtonD.BudoffM. J.RanpuraVLiuK. (2010). Prevalence and correlates of diabetes in South Asian Indians in the United States: Findings from the metabolic syndrome and artherosclerosis in South Asians living in the America study and the multi-ethnic study of artheroscerosis. Metabolic Syndrome and Related Disorders, 8(2), 157-164. https://doi.org/10.1089/met.2009.0062
14.
LawtonJ.AhmadN.PeelE.HallowellN. (2007). Contextualizing accounts of illness: Notions of responsibility and blame in White and South Asian respondents’ accounts of diabetes causation. Sociological Health Illness, 29(6), 891-906. https://doi.org/10.1111/j.1467-9566.2007.01036.x
15.
MacadenL.ClarkeC. L. (2006). Risk perception among older South Asian people in the UK with type 2 diabetes. International Journal of Older People in Nursing, 1(13), 177-181. https://doi.org/10.1111/j.1748-3743.2006.00026.x
16.
MukherjeaA.Underwood ClarkK.StewartA. L.IveyS. L.KanayaA. M. (2013). Asian Indians view on diet and health in the United States: Importance of understanding cultural and social factors to address disparities. Family Community Health, 36(4), 311-323. https://doi.org/10.1097/FCH.0b013e182d2549
17.
SaeediP.PetersohnI.SalpeaP.MalandaB.KarurangaS.UnwinN.ColagiuriS.MotalaA.OgurtsovaA.ShawJ. E.BrightD.WilliamsR., & On behalf of the IDF Diabetes Atlas Committee. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Atlas (9th ed.). Diabetes Research and Clinical Practice, 157, Article 107843. https://doi.org/10.1016/j.diabres.2019.107843
StoneM.PoundE.PancholiA.FarooqiA.KhuntiK. (2005). Empowering patients with diabetes: A qualitative primary care study focusing on South Asians in Leicester, UK. Family Practice, 22(6), 647-652. https://doi.org/10.1093/fampra/cmi069
VenkataramanR.NandaN. C.BawejaG.ParikhN.BhatiaV. (2004). Prevalence of diabetes mellitus and related conditions in Asian Indians living in the United States. American Journal of Cardiology, 94(7), 977-980. https://doi.org/10.1016/j.amjcard.2004.06.048
