This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (16) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Egede, L. E. Articles by Bonadonna, R. J. Search for Related Content PubMed PubMed Citation Articles by Egede, L. E. Articles by Bonadonna, R. J. Pubmed/NCBI databases Medline Plus Health Information Diabetes Social Bookmarking                         What's this?

Diabetes Self-Management in African Americans: An Exploration of the Role of Fatalism

Medical University of South Carolina, Division of General Internal Medicine and Geriatrics, McClennanBanks Adult Primary Care Clinic, 4th floor, 326 Calhoun Street, PO Box 25010, Charleston, SC 29425. egedel{at}musc.edu

Ramita J. Bonadonna, PhD, RN

College of Nursing, Medical University of South Carolina, Charleston.

PURPOSE

This study was conducted to explore the concept of fatalism in relation to diabetes self-management behavior in African Americans with type 2 diabetes.

METHODS

Participants (n=39) were recruited from a clinic sample of African Americans with type 2 diabetes. Seven focus groups were conducted; the sessions were recorded, transcribed, and analyzed to identify themes related to fatalism and diabetes self-management. The ISAS paradigm (individual, symbols, audience, situation), a social psychology theory, provided the theoretical framework for the study.

RESULTS

Four dimensions of fatalism were identified: the meaning of diabetes, the illness experience, the individual's coping response, and the individual's religious and spiritual beliefs. For the participants in this study, fatalism seemed to characterize the nature of the interaction between the individual with diabetes and others, the meanings they attached to such interactions, and the decision to adopt an effective or ineffective diabetes self-management behavior.

CONCLUSIONS

Fatalism was associated with diabetes self-management in African Americans with diabetes and was multidimensional in this population; the construct appeared to differ conceptually from the perspective of current measures.

The Diabetes Educator, Vol. 29, No. 1, 105-115 (2003)
DOI: 10.1177/014572170302900115


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				J. E. Aikens and J. D. Piette Diabetic Patients' Medication Underuse, Illness Outcomes, and Beliefs About Antihyperglycemic and Antihypertensive Treatments Diabetes Care, January 1, 2009; 32(1): 19 - 24. [Abstract] [Full Text] [PDF]

				S. W. Utz, I. C. Williams, R. Jones, I. Hinton, G. Alexander, G. Yan, C. Moore, J. Blankenship, R. Steeves, and M. N. Oliver Culturally Tailored Intervention for Rural African Americans With Type 2 Diabetes The Diabetes Educator, September 1, 2008; 34(5): 854 - 865. [Abstract] [Full Text] [PDF]

				K. Baptiste-Roberts, T. L. Gary, G. L.A. Beckles, E. W. Gregg, M. Owens, D. Porterfield, and M. M. Engelgau Family History of Diabetes, Awareness of Risk Factors, and Health Behaviors Among African Americans Am J Public Health, May 1, 2007; 97(5): 907 - 912. [Abstract] [Full Text] [PDF]

				L. Carter-Edwards, A. H. Skelly, C. S. Cagle, and S. J. Appel "They Care But Don't Understand": Family Support of African American Women With Type 2 Diabetes The Diabetes Educator, May 1, 2004; 30(3): 493 - 501. [PDF]