-em class="a-plus-plus">We are out of balance here- a Hmong Cultural Model of Diabetes

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• 作者：Kathleen A. Culhane-Pera (1) (2) (3)
  Cheng Her (4) (5)
  Bee Her (6)
  
• 关键词：Culture ; Hmong ; Diabetes mellitus
• 刊名：Journal of Immigrant and Minority Health
• 出版年：2007
• 出版时间：July 2007
• 年：2007
• 卷：9
• 期：3
• 页码：179-190
• 全文大小：279KB
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• 作者单位：Kathleen A. Culhane-Pera (1) (2) (3)
  Cheng Her (4) (5)
  Bee Her (6)
  
  1. West Side Community Health Services, St. Paul, MN, USA
  2. Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA
  3. 475 Holly Ave, St. Paul, MN, 55102, USA
  4. Gundersen Lutheran Clinic in La Crosse, La Crosse, WI, USA
  5. University of Wisconsin Medical School, Madison, WI, USA
  6. College of Pharmacy, University of Southern Nevada, Las Vegas, NV, USA
  

文摘

A Hmong cultural model of type 2 diabetes has not been described. We analyzed 20 group discussions during 21 group visits over 1?year with 39 Hmong adults with type 2 diabetes in order to describe a model that underlines their discussions. These Hmong adults attribute their diabetes to their refugee experience. They do not fit with the food, activity, weather, or community in the United States. Consuming sugar, salt, fat, and chemicals and then not sweating them out of the body, combined with emotional losses of being refugees, the participants feel they are out of balance. And being out of balance, they develop diabetes. The participants interpret biomedical information, community experiences, and personal sensations of diabetes in terms of a traditional health model of balance and in the context of refugee loss of place. Throughout their discussions, the shared suffering of their personal experiences of diabetes was evident. This cultural model may help providers implement diabetes treatment and prevention programs.