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    Caregiving Abuelas: Mexican American Grandmothers’ Self-Management of T2DM while Caring for Grandchildren

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    Author
    Rascón, Aliria Muñoz
    Issue Date
    2019
    Keywords
    caregiving
    diabetes type 2
    intergenerational
    kinship care
    Mexican American
    multigenerational
    Advisor
    McEwen, Marylyn M.
    
    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, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Embargo
    Release after 01/07/2021
    Abstract
    Purpose: The purpose of this study was to describe the perceptions of Mexican American grandmothers managing type 2 diabetes (T2DM) while caring for a grandchild. The author explored these women’s behaviors, barriers, facilitators, and perceived resources necessary when managing T2DM. With the T2DM crisis becoming increasingly prevalent in the Mexican American population, a clear understanding of experiences of caregiving grandmothers managing T2DM as traditional family nurturers is critically important. Background: Mexican Americans are more likely to be diagnosed with, suffer complications from, and die from T2DM than Non-Hispanic Whites. Older Mexican American women, often seen as the family nurturer, are likely to be managing this disease in the context of caring for a grandchild. Women in this role often report self-sacrificing behaviors, fatigue, and stress- but also fulfillment and a sense of purpose in the caregiving role. Methods: Eight Mexican American women managing T2DM for at least one year while regularly caring for grandchildren were interviewed in English and Spanish for this qualitative description study. Interviews were transcribed verbatim and analyzed using qualitative content analysis. Results: Three domains emerged under the overarching theme of T2DM Self-Management in the Context of Caring for Grandchildren: 1) T2DM Attitudes, Beliefs and Perceptions, 2) T2DM Self-Management Behaviors, and 3) T2DM Self-Management in the Family System. Grandmothers consistently reported feeling a personal responsibility for their T2DM self-management as well as for the health and wellbeing of their families, including their grandchildren. Conclusions: Mexican American grandmothers saw themselves as family caregivers while emphasizing personal ownership for their T2DM self-management. Fundamental motivators for T2DM self-management included grandchildren and other family members. This also extended into descriptions of behaviors reflecting a responsibility to prevent diabetes and promote health across generations. These grandmother’s descriptions of barriers, facilitators, perceived necessary resources, and the impact of grandchild caregiving on T2DM self-management fills a previous knowledge gap and the new valuable insights will guide tailoring T2DM self-management interventions for Mexican American grandfamilies.
    Type
    text
    Electronic Dissertation
    Degree Name
    Ph.D.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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