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Western Journal of Nursing Research, Vol. 28, No. 1, 9-29 (2006)
DOI: 10.1177/0193945905280298

African American Beliefs About Diabetes

Anne H. Skelly

University of North Carolina at Chapel Hill

Molly Dougherty

University of North Carolina at Chapel Hill

Wilbert M. Gesler

University of North Carolina at Chapel Hill

April C. M. Soward

University of North Carolina at Chapel Hill

Dorothy Burns

Hampton University

Thomas A. Arcury

Wake Forest University School of Medicine

In this presentation, a diabetes explanatory model of rural, African American adults at high risk for diabetes is described. Kleinman’s explanatory model of illness was used as the organizing framework. African American men and women (N = 42), between the ages of 18 and 51, participated. Participants described their knowledge and beliefs about diabetes, preventing diabetes, and whether diabetes could be cured or controlled. A common explanatory model of diabetes was not shared among the participants, and gender and age differences were apparent. Common themes included diabetes "running in families," "eating too much sugar," and "not taking care of yourself" as causes of diabetes. Weight and physical activity or exercise were not seen as contributing to the development of diabetes. Participants were not sure if diabetes could be prevented. These results provide information to address primary prevention of diabetes in this at-risk group.

Key Words: African American • diabetes • explanatory models • prevention • rural


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