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Exploring Cultural Influences of Self-Management of Diabetes in Coastal Kenya: An Ethnography

机译：在肯尼亚沿海地区探索糖尿病自我管理的文化影响

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In spite of increasing prevalence of diabetes among Kenyans and evidence suggesting Kenyans with diabetes maintain poor glycemic control, no one has examined the role of cultural attitudes, beliefs, and practices in their self-management of diabetes. The purpose of this ethnographic study was to describe diabetes self-management among the Swahili of coastal Kenya, and explore factors that affect diabetes self-management within the context of Swahili culture. Thirty men and women with type 2 diabetes from Lamu town, Kenya, participated in this study. Diabetes self-management was insufficiently practiced, and participants had limited understanding of diabetes. Economic factors such as poverty and the high cost of biomedical care appear to have more influence in self-management behavior than socio-cultural and educational factors do. Economic and socio-cultural influences on diabetes self-management should not be underestimated, especially in a limited resource environment like coastal Kenya, where biomedical care is not accessible or affordable to all.
机译：尽管肯尼亚人中糖尿病的患病率不断上升，并且有证据表明肯尼亚糖尿病患者的血糖控制不佳，但没有人检查过文化态度，信仰和实践在糖尿病自我管理中的作用。这项人种学研究的目的是描述肯尼亚沿海斯瓦希里语中的糖尿病自我管理，并探讨在斯瓦希里文化背景下影响糖尿病自我管理的因素。来自肯尼亚拉木镇的30名2型糖尿病男女参加了这项研究。糖尿病自我管理的实践不足，参与者对糖尿病的了解有限。与社会文化和教育因素相比，诸如贫困和生物医学护理成本高等经济因素似乎对自我管理行为的影响更大。不应低估对糖尿病自我管理的经济和社会文化影响，尤其是在肯尼亚沿海等资源匮乏的环境中，那里所有人都无法获得或负担得起生物医学护理。

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