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Emotional and Behavioral Aspects of Diabetes in American Indians/Alaska Natives: A Systematic Literature Review

机译：糖尿病的情感和行为方面美国印第安人/阿拉斯加原住民:一个系统的文献综述

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American Indians and Alaska Natives (AI/ANs) bear a disproportionate burden of diabetes and associated long-term complications. Behavioral interventions play a vital role in promoting diabetes medical and psychological outcomes, yet the development of interventions for AI/AN communities has been limited. A systematic review was conducted of studies focused on the psychosocial and behavioral aspects of diagnosed diabetes among AI/ANs. Ovid and PubMed databases and published reference lists were searched for articles published between 1987 and 2014 that related to the psychosocial and behavioral aspects of type 1 or type 2 diabetes in the AI/AN population. Twenty studies were identified that met the inclusion criteria. Nineteen studies were observational and one study was intervention based. Two of the studies used community-based participatory research methodology. Of the 20 studies, 2 discussed cultural influences associated with diabetes self-management and 10 identified the specific tribes that participated in the study. Tribal affiliations among the studies were broad with the number of AI/AN participants in each study ranging from 30 to 23,529 participants. Emotional and behavioral topics found in the literature were adherence (n = 2), depression (n = 9), physical activity (n = 3), psychosocial barriers (n = 1), social support (n = 3), and stress (n = 2). Relatively few studies were identified using AI/AN populations over a 27-year period. This is in stark contrast to what is known about the prevalence and burden that type 1 and type 2 diabetes mellitus place on AI/AN communities. Future research should promote community engagement through the use of community-based participatory research methodologies, seek to further understand and describe the emotional and behavioral context for diabetes self-management in this population, and develop and test innovative interventions to promote the best possible diabetes outcomes.
机译：美国印第安人和阿拉斯加原住民(AI / ANs)熊不成比例的糖尿病和负担长期并发症有关。在促进干预起到至关重要的作用糖尿病医疗和心理的结果干预措施的发展为AI /社区是有限的。进行的研究集中在吗心理和行为方面的诊断糖尿病在AI /答。和发表的引用列表搜索文章发表在1987年和2014年之间相关的社会心理和行为方面的1型和2型糖尿病的AI /人口。符合入选标准。观测和研究的干预的基础。参与式研究方法。研究2讨论文化影响与糖尿病自我管理和10识别特定的部落了在这项研究中。研究广泛的AI /在每个研究从30到参与者23529名参与者。主题发现在文献(n的坚持= 2)、抑郁(n = 9),身体活动(n =3),心理障碍(n = 1),社会支持(n = 3)和压力(n = 2)相对较少研究发现使用AI /一个种群在27年的时间。所谓的患病率和负担1型和2型糖尿病的地方AI /社区。通过使用社区的参与社区参与研究方法,寻求进一步的理解和描述的情感和行为上下文糖尿病自我管理在这个人口开发和测试创新的干预措施促进糖尿病最好的结果。

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