Social Determinants of Health and Health Care Delivery: African American Women's T2DM Self-Management
AffiliationUniv Arizona, Coll Nursing
MetadataShow full item record
PublisherSAGE PUBLICATIONS INC
CitationOchieng, J. M., & Crist, J. D. (2020). Social Determinants of Health and Health Care Delivery: African American Women’s T2DM Self-Management. Clinical Nursing Research. https://doi.org/10.1177/1054773820916981
JournalCLINICAL NURSING RESEARCH
RightsCopyright © The Author(s) 2020.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractAfrican 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.
VersionFinal accepted manuscript
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