Diabetes Beliefs among Low-Income, White Residents of a Rural North Carolina Community

Autor/inn/en	Arcury, Thomas A.; Skelly, Anne H.; Gesler, Wilbert M.; Dougherty, Molly C.
Titel	Diabetes Beliefs among Low-Income, White Residents of a Rural North Carolina Community
Quelle	In: Journal of Rural Health, 21 (2005) 4, S.337-345 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2005.tb00104.x
Schlagwörter	Diabetes; Low Income Groups; Whites; Rural Areas; Beliefs; Health Promotion; Prevention; Interviews; Adults; Health Behavior; North Carolina + Suchen Sie Ihr Suchwort? White; Weißer; Rural area; Ländlicher Raum; Belief; Glaube; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Prävention; Vorbeugung; Interviewing; Interviewtechnik; Health behaviour; Gesundheitsverhalten
Abstract	Context: Every social group shares beliefs about health and illness. Knowledge and understanding of these health beliefs are essential for education programs to address health promotion and illness prevention. Purpose: This analysis describes the diabetes Explanatory Models of Illness (EMs) of low-income, rural, white Southerners who have not been diagnosed with diabetes. Method: In-depth interviews were conducted with low-income white women (n = 19) and men (n = 20) aged 18 to 54 years who resided in a rural Southern town. The tape-recorded interviews were completed by trained interviewers and were transcribed verbatim. Computer-assisted text analysis was used, and all transcripts were coded by 2 investigators. Findings: Although all the participants had heard of diabetes, their EMs were vague and undeveloped. Women were more knowledgeable than men were. Family and heredity were widely believed to be causes, with heredity including genetic and learned behavior components. Participants disagreed about the role of diet and weight in causing diabetes; exercise was not perceived as related to causation. Participants had knowledge of those symptoms, complications, and treatments that could be observed. Conclusions: These rural, white Southerners did not share well-developed EMs for diabetes, with most having a vague and incomplete understanding of this disease. The diabetes beliefs of these rural Southerners differ significantly from current medical knowledge. To be effective, culturally appropriate primary prevention programs must recognize these lay beliefs. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10