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      Factors that influence diabetes self-management in Hispanics living in low socioeconomic neighborhoods in San Bernardino, California.

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          Abstract

          The growing incidence of diabetes among Hispanics is a serious public health concern. To identify factors that influence diabetes self-management in Hispanics, qualitative data gathered through five focus group interviews was examined using grounded theory methods. Four major themes emerged which were perceived by participants as enhancing or limiting factors: (1) access to resources, (2) struggle with diet, (3) self-efficacy, and (4) social support. The family's role as a determinant of diabetes self-management emerged as the underlying sub-theme to all four themes and underscores its importance among Hispanics living with diabetes. Results suggest that for the family to be an enhancing factor, health care providers need to educate, empower, and include the family in diabetes management and prevention. Programs which aim to improve the practice of self-management should incorporate the sociocultural and socioeconomic context in which Hispanics with diabetes live.

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          Author and article information

          Journal
          J Immigr Minor Health
          Journal of immigrant and minority health
          1557-1920
          1557-1912
          Dec 2012
          : 14
          : 6
          Affiliations
          [1 ] School of Nursing, Loma Linda University, Loma Linda, CA, USA. eramal@llu.edu
          Article
          10.1007/s10903-012-9601-y
          22427108

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