Strathprints Home | Open Access | Browse | Search | User area | Copyright | Help | Library Home | SUPrimo

Associations between knowledge, illness perceptions, self-management and metabolic control of type 2 diabetes among African and European-origin patients

Abubakari, Abdul-Razak and Jones, Martyn C. and Lauder, William and Kirk, Alison and Anderson, John and Devendra, Devasenan (2011) Associations between knowledge, illness perceptions, self-management and metabolic control of type 2 diabetes among African and European-origin patients. Journal of Nursing and Healthcare of Chronic Illness, 3 (3). pp. 245-256.

Full text not available in this repository. (Request a copy from the Strathclyde author)

Abstract

Using Leventhal’s Common-sense self-regulation model, this study investigated associations between illness perceptions, self-management and metabolic-control outcomes for diabetes among European and African-origin patients with type 2 diabetes. Background. Compared to the general populations of their host countries, African-origin populations in the diaspora are disproportionately affected by diabetes and its microvascular complications. However, comparatively little is known about how African-origin patients with type 2 diabetes perceive about their condition and whether such perceptions influence their self-management behaviours. Design. Cross-sectional design. Methods. Participants were recruited from diabetes clinics in London. Illness perceptions and adherence to self-management recommendations were assessed using questionnaires and data for metabolic-control outcomes were obtained from patient records. Associations between variables were investigated using correlations and multiple-regression techniques. Data collection for the study was conducted between February and June 2008. Results. In all, 359 patients participated in the study. The results indicated that perceiving diabetes with severe consequences was associated with poor self-management in both African-origin (black-African and black-Caribbean) and European-origin (white-British) patients with type 2 diabetes. However, personal control perceptions were associated with better self-management in African-origin patients. In multivariate analysis, illness perceptions explained significant proportions of the variations in self-management behaviours in both European-origin and African-origin patients. Perceived personal control over diabetes was a main determinant of the variations in self-management among European and African-origin patients. Other dimensions of illness perceptions, including consequences and emotional representations contributed to variations in self-management among African-origin patients. After controlling for demographic/disease characteristics, self-management of diabetes did not predict any metabolic-control outcome for diabetes in any ethnic group. Conclusion. Illness perceptions are important determinants of self-management among African-origin patients.

Item type: Article
ID code: 35916
Keywords: African-origin, black-African, black-Caribbean, common-sense self-regulation model, ethnic groups, European-origin, illness perceptions, self-management, Personal health and hygiene, including exercise, nutrition
Subjects: Medicine > Public aspects of medicine > Personal health and hygiene, including exercise, nutrition
Department: Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Physical Activity for Health
Related URLs:
    Depositing user: Pure Administrator
    Date Deposited: 16 Nov 2011 14:22
    Last modified: 12 Mar 2012 11:40
    URI: http://strathprints.strath.ac.uk/id/eprint/35916

    Actions (login required)

    View Item