PMID- 32195450
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2473-1242 (Electronic)
IS  - 2473-1242 (Linking)
VI  - 4
IP  - 1
DP  - 2020
TI  - Cultural Influences on Dietary Self-Management of Type 2 Diabetes in East Asian 
      Americans: A Mixed-Methods Systematic Review.
PG  - 31-42
LID - 10.1089/heq.2019.0087 [doi]
AB  - Purpose: Many East Asian Americans (EAAs) (populations originating from China, 
      Korea, Japan, and Taiwan) with type 2 diabetes mellitus (T2DM) experience unique 
      challenges in managing their disease, including language barriers and traditional 
      cultural beliefs, particularly among first-generation immigrants.. The purpose of 
      this mixed-methods systematic review was to examine cultural perspectives of EAAs 
      that influence dietary self-management of T2DM and identify education 
      interventions and their approaches to enhance EAAs' dietary self-management of 
      diabetes. Methods: A mixed-methods systematic review was conducted to examine 
      EAAs' perspectives from qualitative studies and to identify education 
      interventions and their approaches from quantitative studies. A literature search 
      was conducted using PubMed/MEDLINE, SCOPUS, CINAHL, and Web of Science from 1995 
      to 2018. Sixteen studies (10 qualitative and 6 quantitative) met criteria for 
      analysis. Thematic synthesis of qualitative data was conducted using a 
      line-by-line coding strategy. Extracted quantitative data were assessed for 
      cultural approaches used in the interventions and diabetes-related outcomes. 
      Results: In the qualitative studies, beliefs about food impacted EAAs' abilities 
      to adopt appropriate dietary recommendations for diabetes management. Requiring a 
      specialized diet disrupted social harmony and made EAAs feel burdensome to 
      others. Having bilingual and bicultural resources eased the stress of making 
      dietary modifications. The most commonly incorporated approaches in diabetes 
      education interventions were bilingual education and culturally specific dietary 
      recommendations. Social roles and harmony were not discussed. Significant 
      reductions in hemoglobin A1c and increases in diabetes knowledge were reported 
      post-intervention. Conclusions: Beliefs about food, beliefs about social roles, 
      and access to culturally competent care play an important role in dietary 
      self-management of T2DM among EAAs. Understanding the cultural influences on 
      dietary self-management of T2DM and tailoring interventions to meet the needs of 
      EAAs are essential in effort to address the growing epidemic and improve patient 
      outcomes.
CI  - (c) Tony Li-Geng et al. 2020; Published by Mary Ann Liebert, Inc.
FAU - Li-Geng, Tony
AU  - Li-Geng T
AD  - Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, 
      Connecticut.
FAU - Kilham, Jessica
AU  - Kilham J
AD  - Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, 
      Connecticut.
AD  - University of Massachusetts Medical School, Worcester, Massachusetts.
FAU - McLeod, Katherine M
AU  - McLeod KM
AD  - Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, 
      Connecticut.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20200318
PL  - United States
TA  - Health Equity
JT  - Health equity
JID - 101708316
PMC - PMC7081245
OTO - NOTNLM
OT  - Asian American
OT  - diabetes
OT  - diet
OT  - self-management
COIS- No competing financial interests exist.
EDAT- 2020/03/21 06:00
MHDA- 2020/03/21 06:01
PMCR- 2020/03/18
CRDT- 2020/03/21 06:00
PHST- 2020/03/21 06:00 [entrez]
PHST- 2020/03/21 06:00 [pubmed]
PHST- 2020/03/21 06:01 [medline]
PHST- 2020/03/18 00:00 [pmc-release]
AID - 10.1089/heq.2019.0087 [pii]
AID - 10.1089/heq.2019.0087 [doi]
PST - epublish
SO  - Health Equity. 2020 Mar 18;4(1):31-42. doi: 10.1089/heq.2019.0087. eCollection 
      2020.