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Compos C.
Addressing Cultural Barriers to the Successful Use of
Insulin in Hispanics with Type 2 Diabetes Southern
Medical Journal August 2007; 100 (8): 812 - 20
Hispanics experience a higher incidence of diabetes than
non-Hispanic whites and those with diabetes tend to have
less glycemic control leading to greater incidence of
complications. Previous studies have shown that
Hispanic patients are often resistant to
starting and increasing insulin to control their
diabetes. Some of the barriers to insulin use are
socioeconomic (cost and insurance status), language and
health literacy issues, and cultural beliefs that impede
a good patient-provider relationship. These Hispanic
cultural values can affect the patient-provider
relationship: simpatia, personalismo, respeto, familismo,
and fatalismo. The author
addresses each with recommendations for
culturally competent care using the LEARN model.
It concludes with simplified insulin therapy that has been proven effective for
Hispanic patients.
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DID YOU KNOW? |
- A North Carolina
medical center study found that a smaller proportion of African
American than Caucasian women with osteoporosis
received any recommended medication after diagnosis.
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- Attitudes towards
menopause have been found to vary were found to be most
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- The Pediatric Passport,
developed by the Georgia Pediatric Sickle Cell Program, is a
tool to empower children with the disease to be involved in
their own care.
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- Sickle cell anemia is
common among people whose ancestors come from sub-Saharan
Africa, South America, Cuba and Central America, Saudi
Arabia, India, and Mediterranean countries as Turkey, Greece
and Italy.
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