Ethnic differences and socio-demographic predictors of illness perceptions, self-management, and metabolic control of type 2 diabetes

A.R Abubakari, M. C. Jones, W. Lauder, Alison Kirk, J Anderson, D S Devendra, Ebrahim K. Naderali

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

OBJECTIVES: This study investigated ethnic differences in diabetes-specific knowledge, illness perceptions, self-management, and metabolic control among black-African, black-Caribbean,and white-British populations with type 2 diabetes. The study also examined associations between demographic/disease characteristics and diabetes-specific knowledge, illness perceptions, self-management, and metabolic control in each of the three ethnic groups.

DESIGN: Cross-sectional.

SETTING: Diabetes/retinal screening clinics in Hackney and Brent, London.

METHODS: Black-African, black-Caribbean and white-British populations with type 2 diabetes were asked to participate. Questionnaires measuring demographic/disease characteristics, diabetes-specific knowledge, self-management, and illness perceptions were used for data collection. Data for glycated hemoglobin (HbA1c) and microvascular complications were obtained from medical records. Ethnic differences in diabetes-related measures were estimated using analysis of variance/covariance. Multiple regression techniques were used to determine relationships between demographic/disease characteristics and measured diabetes-related outcomes.

RESULTS: Three hundred and fifty-nine patients participated in the study. White-British participants had high diabetes-specific knowledge compared to their black-African and black-Caribbean counterparts. Black-Africans reported better adherence to self-management recommendations than the other ethnic groups. Compared to the white-British patients, black-African and black-Caribbean participants perceived diabetes as a benign condition that could be cured. Educational status and treatment category were determinants of diabetes-specific knowledge in all three ethnic groups. However, different demographic/disease characteristics predicted adherence to self-management recommendations in each ethnic group.

CONCLUSION: Clearly, there is disease (diabetes) knowledge-perception variation between different ethnic groups in the UK which may partly influence overall disease outcome. It is plausible to recommend screening, identifying, and dispelling misconceptions about diabetes among ethnic minority patients by health care professionals as well as emphasizing the importance of self-management in managing chronic diseases such as diabetes.

LanguageEnglish
Pages617-628
Number of pages12
JournalInternational Journal of General Medicine
Volume6
DOIs
Publication statusPublished - Jul 2013

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Self Care
Type 2 Diabetes Mellitus
Ethnic Groups
Demography
Minority Health
Knowledge Management
Educational Status
Glycosylated Hemoglobin A
Population
Medical Records
Patient Care
Analysis of Variance
Chronic Disease
Delivery of Health Care

Keywords

  • black-African
  • black-Caribbean
  • white-British
  • diabetes
  • illness perceptions
  • self-management

Cite this

Abubakari, A.R ; Jones, M. C. ; Lauder, W. ; Kirk, Alison ; Anderson, J ; Devendra, D S ; Naderali, Ebrahim K. / Ethnic differences and socio-demographic predictors of illness perceptions, self-management, and metabolic control of type 2 diabetes. In: International Journal of General Medicine. 2013 ; Vol. 6. pp. 617-628.
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Ethnic differences and socio-demographic predictors of illness perceptions, self-management, and metabolic control of type 2 diabetes. / Abubakari, A.R; Jones, M. C.; Lauder, W.; Kirk, Alison; Anderson, J; Devendra, D S; Naderali, Ebrahim K.

In: International Journal of General Medicine, Vol. 6, 07.2013, p. 617-628.

Research output: Contribution to journalArticle

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AU - Abubakari, A.R

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AB - OBJECTIVES: This study investigated ethnic differences in diabetes-specific knowledge, illness perceptions, self-management, and metabolic control among black-African, black-Caribbean,and white-British populations with type 2 diabetes. The study also examined associations between demographic/disease characteristics and diabetes-specific knowledge, illness perceptions, self-management, and metabolic control in each of the three ethnic groups.DESIGN: Cross-sectional.SETTING: Diabetes/retinal screening clinics in Hackney and Brent, London.METHODS: Black-African, black-Caribbean and white-British populations with type 2 diabetes were asked to participate. Questionnaires measuring demographic/disease characteristics, diabetes-specific knowledge, self-management, and illness perceptions were used for data collection. Data for glycated hemoglobin (HbA1c) and microvascular complications were obtained from medical records. Ethnic differences in diabetes-related measures were estimated using analysis of variance/covariance. Multiple regression techniques were used to determine relationships between demographic/disease characteristics and measured diabetes-related outcomes.RESULTS: Three hundred and fifty-nine patients participated in the study. White-British participants had high diabetes-specific knowledge compared to their black-African and black-Caribbean counterparts. Black-Africans reported better adherence to self-management recommendations than the other ethnic groups. Compared to the white-British patients, black-African and black-Caribbean participants perceived diabetes as a benign condition that could be cured. Educational status and treatment category were determinants of diabetes-specific knowledge in all three ethnic groups. However, different demographic/disease characteristics predicted adherence to self-management recommendations in each ethnic group.CONCLUSION: Clearly, there is disease (diabetes) knowledge-perception variation between different ethnic groups in the UK which may partly influence overall disease outcome. It is plausible to recommend screening, identifying, and dispelling misconceptions about diabetes among ethnic minority patients by health care professionals as well as emphasizing the importance of self-management in managing chronic diseases such as diabetes.

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