Towards a Conceptual Model of Diabetes Self-Management among Chinese Immigrants in the United States

Bin Zeng, Wenjie Sun, Rebecca A. Gary, Changwei Li and Tingting Liu
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Bin Zeng: Neurosurgical Intensive Care Unit, Sichuan Provincial People's Hospital, Chengdu 610072, China
Wenjie Sun: School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China
Rebecca A. Gary: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA
Changwei Li: School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
Tingting Liu: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA

IJERPH, 2014, vol. 11, issue 7, 1-16

Abstract: Background : Chinese immigrants have been disproportionally affected by type 2 diabetes. This paper presents the state of science regarding the factors that may influence diabetes self-management among Chinese immigrants in the US and the potential health outcomes. Design : Using Walker and Avant’s techniques, a search of the literature was conducted from CINAHL, PubMed, OVID, and Web of Science. Findings : Factors most relevant to diabetes self-management were grouped under five categories: socio-demographic characteristics, behavioral and psychological characteristics, social support, linguistic barriers, and cultural characteristics. Potential outcomes derived from improved diabetes self-management include quality of life, glycosylated hemoglobin, and blood pressure and other cardiovascular risk factors. Discussion : A conceptual model was provided to guide future research. Based on the review of the literature, specific research topics that need to fill the gaps in the literature were provided, including family-focused interventions for Chinese immigrant patients with diabetes and the effectiveness of these interventions to improve family functioning.

Keywords: Chinese immigrants; diabetes self-management; transcultural health; conceptual model; type 2 diabetes (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
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