TY - JOUR
T1 - Social Determinants of Health and Health Care Delivery
T2 - African American Women’s T2DM Self-Management
AU - Ochieng, Judith M.
AU - Crist, Janice D.
N1 - Funding Information:
I would like to express my deep appreciation to the ten African American women for sharing their stories experiences, knowledge, and insights during the interview process. To the community leaders & clergy members for their support accessing the community. To my editors: The late Dr. Beverly Rosenthal, John Haradon, Wendy Britt, Dr. Linda Phillips, Judith Mwanga & Edson College of Nursing and health innovation writing group. My special thanks to my dissertation chair and Mentor Dr. Janice D. Crist, Thank you for your encouragement, guidance and contribution. To my committee members Dr. Deborah Vincent and Marylyn McEwen; special thanks for your guidance, expertise and support throughout my study Last, but certainly not least, to my family thank you for your love, support, encouragement, and prayers. My heartfelt gratitude to my husband, Charles Ochieng Maduma, who is my hero and shining star throughout this process. Special thanks to my sons Peter and Sam, my daughters Holly and Risper Ochieng who was also my transcriptionist The author(s) received no financial support for the research, authorship, and/or publication of this article.
PY - 2020
Y1 - 2020
N2 - African American (AA) women have high prevalence of Type 2 diabetes mellitus (T2DM) and complications. No studies have been conducted about how social determinants of health and health care delivery affect their T2DM self-management. The purpose was to describe how social determinants of health and healthcare delivery may influence AA women’s T2DM self-management using qualitative descriptive methodology (N = 10). Ten participants were interviewed. Participants’ geographical location, education, level of income, health literacy, and systemic racism, that is, healthcare delivery services, for example, inadequate healthcare services, providers’ assumptions about the patient’s knowledge of diabetes, providers’ attitudes toward patients, and stigma related to diabetes as a disease were identified. Understanding the role of social determinants of health and the health care delivery system in influencing T2DM self-management is a powerful tool for providers and practitioners for improving practice and health care policies to decrease health disparities and improve health outcomes among AA women with T2DM.
AB - African American (AA) women have high prevalence of Type 2 diabetes mellitus (T2DM) and complications. No studies have been conducted about how social determinants of health and health care delivery affect their T2DM self-management. The purpose was to describe how social determinants of health and healthcare delivery may influence AA women’s T2DM self-management using qualitative descriptive methodology (N = 10). Ten participants were interviewed. Participants’ geographical location, education, level of income, health literacy, and systemic racism, that is, healthcare delivery services, for example, inadequate healthcare services, providers’ assumptions about the patient’s knowledge of diabetes, providers’ attitudes toward patients, and stigma related to diabetes as a disease were identified. Understanding the role of social determinants of health and the health care delivery system in influencing T2DM self-management is a powerful tool for providers and practitioners for improving practice and health care policies to decrease health disparities and improve health outcomes among AA women with T2DM.
KW - African American women
KW - health care delivery
KW - social determinants of health
KW - type 2 diabetes
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U2 - 10.1177/1054773820916981
DO - 10.1177/1054773820916981
M3 - Article
AN - SCOPUS:85084041451
JO - Clinical Nursing Research
JF - Clinical Nursing Research
SN - 1054-7738
ER -