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    Exploring the Understanding of Pre-diabetes and the Possibility of Developing Diabetes among Mexican Americans at the U.S.-Mexico Border

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    Author
    Valenzuela, Rudy
    Issue Date
    2010
    Keywords
    diabetes
    Freire
    Mexican Americans
    nursing
    pre-diabetes
    U.S.-Mexico Border
    Committee Chair
    McEwen, Marylyn Morris
    Boyle, Joyceen
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    The purpose of this ethnographic study was to explore the understanding of pre-diabetes and the possibility of developing diabetes among Mexican Americans at the U.S.-Mexico border. This study also explored how Mexican Americans adjust to living with pre-diabetes. While extensive research has been conducted regarding pre-diabetes, diabetes, and how individuals perceive their susceptibility to these illnesses, few studies have examined how Mexican Americans understand pre-diabetes and the possibility of developing diabetes. The increased prevalence of diabetes among this population, the divergent understandings of risk held by diverse cultural groups, and the large presence of Mexican Americans in the U.S.-Mexico border region prompted this study.There are gaps in the literature about how Mexican Americans understand pre-diabetes and their possibility of developing diabetes. Current literature focuses on studies of causality, folk beliefs, symptoms, and treatments. Current studies do not provide a framework in which healthcare professionals can identify how Mexican Americans understand pre-diabetes and the possibility for developing diabetes or how to incorporate these lay understandings into their practice, research, and education.An ethnographic study, guided by Freire's framework (2000) was conducted to provide insight into the understanding of pre-diabetes and the possibility of developing diabetes among Mexican Americans living at the U.S.-Mexico border. An overarching theme Living with Pre-diabetes emerged. This theme emerged from two major themes: 1) Awareness; and 2) Adjusting to Living with Pre-diabetes.This study revealed that Mexican Americans may not understand pre-diabetes or their possibility of developing diabetes until told of having pre-diabetes by a healthcare provider. Becoming aware of pre-diabetes may not necessarily imply understanding of what pre-diabetes is. The study also revealed that an awareness of having pre-diabetes may lead to changes in lifestyle, but may not always make these changes sustainable. The use of Freire's framework may prove useful when addressing the needs of Mexican Americans with pre-diabetes.
    Type
    text
    Electronic Dissertation
    Degree Name
    Ph.D.
    Degree Level
    doctoral
    Degree Program
    Nursing
    Graduate College
    Degree Grantor
    University of Arizona
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