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"Plenty of Sickness"Descriptions by African Americans Living in Rural Areas With Type 2 DiabetesFrom the University of Virginia School of Nursing, Charlottesville. Correspondence to Sharon W. Utz, PhD, RN, Division of Acute and Specialty Care Nursing, University of Virginia School of Nursing, PO Box 800782, Charlottesville, VA 22908-0782 (swu2q{at}virginia.edu). Purpose The purposes of this study were to (1) describe facilitators and barriers to self-care for African Americans with type 2 diabetes living in a rural community, (2) compare experiences of men and women, and (3) solicit recommendations for programs of care. Methods Focus groups with small numbers of men and women (n = 7) were held to explore facilitators and barriers to self-management. Groups were led by moderators of the same gender and race as participants. Data from these information-rich cases were analyzed thematically using FolioViews® and Inspiration® software. Results Final categories included "being diagnosed," "diabetes as betrayal by the body," "provider-individual-family relationship," "self-management," and "difficulty getting help." Although limited by sample size and methodology, results indicate differences by gender that require additional investigation. Conclusions Knowledge of self-care patterns is foundational to designing culturally appropriate interventions and programs of care for rural African Americans living with diabetes.
The Diabetes Educator, Vol. 31, No. 1,
98-107 (2005) This article has been cited by other articles:
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