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    Social Determinants of Health and Health Care Delivery: African American Women's T2DM Self-Management

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    Author
    Ochieng, Judith M
    Crist, Janice D
    Affiliation
    Univ Arizona, Coll Nursing
    Issue Date
    2020-04-22
    Keywords
    social determinants of health
    type 2 diabetes
    African American women
    health care delivery
    
    Metadata
    Show full item record
    Publisher
    SAGE PUBLICATIONS INC
    Citation
    Ochieng, 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
    Journal
    CLINICAL NURSING RESEARCH
    Rights
    Copyright © The Author(s) 2020.
    Collection Information
    This 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 repository@u.library.arizona.edu.
    Abstract
    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.
    ISSN
    1054-7738
    PubMed ID
    32321292
    DOI
    10.1177/1054773820916981
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1177/1054773820916981
    Scopus Count
    Collections
    UA Faculty Publications

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