PMID- 36049788
OWN - NLM
STAT- MEDLINE
DCOM- 20220908
LR  - 20221207
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 135
IP  - 1561
DP  - 2022 Sep 2
TI  - Illness perceptions and diabetes self-care behaviours in Maori and New Zealand 
      Europeans with type 2 diabetes mellitus: a cross-sectional study.
PG  - 31-44
AB  - AIMS: This study investigated differences in illness perceptions and self-care 
      behaviours between Maori and New Zealand (NZ) Europeans with type 2 diabetes 
      mellitus (T2DM), and how these perceptions were related to clinical outcomes. 
      METHODS: Participants were 85 Maori and 85 NZ European adults, recruited from 
      outpatient clinics, who completed a cross-sectional questionnaire on illness 
      perceptions and self-care behaviours. Clinical data, including HbA1c, 
      retinopathy, neuropathy and nephropathy, were collected from medical records. 
      RESULTS: Compared to NZ Europeans, Maori had higher HbA1c, lower adherence to 
      medication and a healthy diet, and were more likely to smoke. Maori reported 
      greater perceived consequences of diabetes on their lives, and more severe 
      symptoms than NZ Europeans did. Maori were more likely to attribute T2DM to food 
      and drink, whereas NZ Europeans were more likely to attribute T2DM to weight. 
      Perceiving that treatment could help control diabetes was associated with lower 
      HbA1c and higher medication adherence in Maori and NZ Europeans independently. 
      CONCLUSIONS: Maori experienced and perceived worse T2DM outcomes than NZ 
      Europeans did. Research is needed to develop and test clinical interventions to 
      address these inequities and improve outcomes, possibly by asking patients about 
      their perceptions, providing tailored and culturally appropriate education, and 
      discussing patients' concerns.
CI  - (c) PMA.
FAU - Romana, Jordine
AU  - Romana J
AD  - Health Psychologist, Cardiology, Middlemore Hospital, Auckland, New Zealand.
FAU - Law, Mikaela
AU  - Law M
AD  - Research Assistant, Department of Psychological Medicine, Faculty of Medical and 
      Health Sciences, The University of Auckland, Auckland, New Zealand.
FAU - Murphy, Rinki
AU  - Murphy R
AD  - Associate Professor, Department of Medicine, Faculty of Medical and Health 
      Sciences, The University of Auckland, Auckland, New Zealand.
FAU - Morunga, Eva
AU  - Morunga E
AD  - Health Psychologist, Raukura Hauora O Tainui, Auckland, New Zealand.
FAU - Broadbent, Elizabeth
AU  - Broadbent E
AD  - Professor, Department of Psychological Medicine, Faculty of Medical and Health 
      Sciences, The University of Auckland, Auckland, New Zealand.
LA  - eng
PT  - Journal Article
DEP - 20220902
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus, Type 2/psychology/therapy
MH  - Glycated Hemoglobin
MH  - Humans
MH  - *Native Hawaiian or Other Pacific Islander
MH  - New Zealand
MH  - Self Care
MH  - *White People
COIS- Nil.
EDAT- 2022/09/02 06:00
MHDA- 2022/09/09 06:00
CRDT- 2022/09/01 20:42
PHST- 2022/09/01 20:42 [entrez]
PHST- 2022/09/02 06:00 [pubmed]
PHST- 2022/09/09 06:00 [medline]
PST - epublish
SO  - N Z Med J. 2022 Sep 2;135(1561):31-44.