PMID- 31088212
OWN - NLM
STAT- MEDLINE
DCOM- 20200610
LR  - 20221207
IS  - 2150-1327 (Electronic)
IS  - 2150-1319 (Print)
IS  - 2150-1319 (Linking)
VI  - 10
DP  - 2019 Jan-Dec
TI  - Geographic and Race/Ethnicity Differences in Patient Perceptions of Diabetes.
PG  - 2150132719845819
LID - 10.1177/2150132719845819 [doi]
LID - 2150132719845819
AB  - OBJECTIVES: The present study takes a culture-centered approach to better 
      understand how the experiences of culture affect patient's perception of type 2 
      diabetes mellitus (T2DM). This study explores personal models of T2DM and 
      compares personal models across regional and race/ethnicity differences. METHODS: 
      In a practice-based research network, a cross-sectional survey was distributed to 
      patients diagnosed with T2DM at medical centers in Nevada and Georgia. In 
      analyses of covariance, controlling for age, health literacy, and patient 
      activation, geographic location, and race/ethnicity were tested onto 5 dimensions 
      of illness representation. RESULTS: Among 685 patients, race/ethnicity was 
      significantly associated with lower reported understanding diabetes ( P < .01) 
      and less perceived longevity of diabetes ( P < .001). Geographic location was 
      significantly associated with seriousness of the disease ( P < .005) and impact 
      of diabetes ( P < .001). CONCLUSION: Non-Hispanic White Americans report greater 
      understanding and perceive a longer disease course than non-Hispanic Black 
      Americans and Asian Americans. Regionally, patients in Nevada perceive T2DM as 
      more serious and having more impact on their lives than patients living in 
      Georgia. Primary care physicians should elicit patient perceptions of diabetes 
      within the context of the patient's ethnic and geographic culture group to 
      improve discussions about diabetes self-management. Specifically, primary care 
      physicians should address the seriousness of a diabetes diagnosis and the chronic 
      nature of the disease with patients who belong to communities with a higher 
      prevalence of the disease.
FAU - Ledford, Christy J W
AU  - Ledford CJW
AUID- ORCID: 0000-0001-5523-454X
AD  - 1 Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
FAU - Seehusen, Dean A
AU  - Seehusen DA
AD  - 2 Augusta University, Augusta, GA, USA.
FAU - Crawford, Paul F
AU  - Crawford PF
AD  - 3 Mike O'Callaghan Military Medical Center, Nellis Air Force Base, NV, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - J Prim Care Community Health
JT  - Journal of primary care & community health
JID - 101518419
SB  - IM
MH  - Adult
MH  - *Black or African American
MH  - *Asian
MH  - Attitude to Health/*ethnology
MH  - *Diabetes Mellitus, Type 2
MH  - Female
MH  - Geography
MH  - Georgia
MH  - Health Literacy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nevada
MH  - *White People
PMC - PMC6537251
OTO - NOTNLM
OT  - cultural differences
OT  - diabetes
OT  - psychosocial
OT  - race and ethnicity
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2019/05/16 06:00
MHDA- 2020/06/11 06:00
PMCR- 2019/05/15
CRDT- 2019/05/16 06:00
PHST- 2019/05/16 06:00 [entrez]
PHST- 2019/05/16 06:00 [pubmed]
PHST- 2020/06/11 06:00 [medline]
PHST- 2019/05/15 00:00 [pmc-release]
AID - 10.1177_2150132719845819 [pii]
AID - 10.1177/2150132719845819 [doi]
PST - ppublish
SO  - J Prim Care Community Health. 2019 Jan-Dec;10:2150132719845819. doi: 
      10.1177/2150132719845819.