Deconstructing type 2 diabetes self-management of Australian Pacific Islander women: Using a community participatory research and talanoa approach.

Akbar, H; Gallegos, D; Anderson, D; Windsor, C

Deconstructing type 2 diabetes self-management of Australian Pacific Islander women: Using a community participatory research and talanoa approach.

Akbar, H Gallegos, D Anderson, D

Windsor, C

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Health Soc Care Community, 2021
Issue Date:: 2021-09-27

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Field	Value	Language
dc.contributor.author	Akbar, H
dc.contributor.author	Gallegos, D
dc.contributor.author	Anderson, D https://orcid.org/0000-0001-8996-9624
dc.contributor.author	Windsor, C
dc.date.accessioned	2021-10-07T04:03:05Z
dc.date.available	2021-09-03
dc.date.available	2021-10-07T04:03:05Z
dc.date.issued	2021-09-27
dc.identifier.citation	Health Soc Care Community, 2021
dc.identifier.issn	0966-0410
dc.identifier.issn	1365-2524
dc.identifier.uri	http://hdl.handle.net/10453/150883
dc.description.abstract	Community-based participatory research using culturally appropriate talanoa approaches provided the framework to explore diabetes self-management of Australian Pacific Islander (API) women living with type 2 diabetes in South-East Queensland. Data collection included interviews with key informants (21), in-depth interviews with API women with diabetes (10), talanoa group discussions (7) and monthly steering committee meetings. Using an interpretive-constructionist lens and the interpretations of community members, four cultural constructs in diabetes self-management emerged: self-identity, spirituality, stigma and denial, and structural factors. Self-identity connected the women to their Pacific heritage that framed their collective roles as primary caregivers in the community. This gave the women a strong sense of belonging and helped maintain cultural, family and relational connections which were important for their day-to-day management of diabetes. Although spirituality through religion supported the women to cope with their diabetes a total reliance on God resulted in disengagement with self-care. Shame associated with disclosure also prevented effective self-management. Finally, structural factors such as access to healthcare, poor health literacy and cultural barriers associated with obesogenic environments impeded women from seeking appropriate diabetes care. However, family and community were critical in ensuring women were supported with their diabetes self-management. The findings highlight the importance of engaging families in healthcare planning decisions in the development of culturally responsive models of diabetes support care for API women with type 2 diabetes.
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Health Soc Care Community
dc.relation.isbasedon	10.1111/hsc.13580
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services, 1607 Social Work
dc.subject.classification	Nursing
dc.title	Deconstructing type 2 diabetes self-management of Australian Pacific Islander women: Using a community participatory research and talanoa approach.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1607 Social Work
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-10-07T04:03:04Z
pubs.publication-status	Published online

Abstract:

Community-based participatory research using culturally appropriate talanoa approaches provided the framework to explore diabetes self-management of Australian Pacific Islander (API) women living with type 2 diabetes in South-East Queensland. Data collection included interviews with key informants (21), in-depth interviews with API women with diabetes (10), talanoa group discussions (7) and monthly steering committee meetings. Using an interpretive-constructionist lens and the interpretations of community members, four cultural constructs in diabetes self-management emerged: self-identity, spirituality, stigma and denial, and structural factors. Self-identity connected the women to their Pacific heritage that framed their collective roles as primary caregivers in the community. This gave the women a strong sense of belonging and helped maintain cultural, family and relational connections which were important for their day-to-day management of diabetes. Although spirituality through religion supported the women to cope with their diabetes a total reliance on God resulted in disengagement with self-care. Shame associated with disclosure also prevented effective self-management. Finally, structural factors such as access to healthcare, poor health literacy and cultural barriers associated with obesogenic environments impeded women from seeking appropriate diabetes care. However, family and community were critical in ensuring women were supported with their diabetes self-management. The findings highlight the importance of engaging families in healthcare planning decisions in the development of culturally responsive models of diabetes support care for API women with type 2 diabetes.

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http://hdl.handle.net/10453/150883