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Migrants with diabetes believe diabetic foot ulcers being unavoidable and impossible to prevent.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
Diabetes-och Endokrin kliniken, Universitetssjukhuset i Malmö, Lunds universitet.
2015 (English)In: 50th annual meeting of the EUROPEAN DIABETES EPIDEMIOLOGY GROUP.25-28 April 2015. Les Fontaines, Gouvieux-Chantilly, France.Study group of the European Association for the Study of Diabetes (EASD), Paris, France.: EUROPEAN DIABETES EPIDEMIOLOGY GROUP - EDEG , 2015Conference paper, Poster (Refereed)
Abstract [en]

Background: Since type 2 diabetes is developing into a pandemic, particularly affecting migrants in industrializing countries, the prevalence of diabetes complications is expected to increase. Diabetic foot disorders are the predominant source of complications and are serious and costly but highly preventable particularly by self-care. Health-related behavior, including self care and health care seeking, is guided by beliefs about health/illness but has not previously been studied in different migrant groups. We aim to describe beliefs about health/illness in foreign-born persons with diabetic foot ulcers that might affect self-care and health care seeking and to study whether there are dissimilarities related to origin. ‘

Material and methods: Qualitative descriptive study. Semi-structured interviews with 26 persons, aged 38-86 years, whereof 13 born in European and 13 in non European countries, all except one in the Middle East, being residents in Sweden between 7-60 years (Md 18 yrs).

Results: Most believed foot ulcers being unavoidable and problematic to detect, and mainly caused by internal factors such as diabetes, sometimes combined with external factors as inappropriate foot wear, hot water, or bare foot walking. Perceived health had deteriorated after onset of the foot problems due to immobility and pain. Middle Easterners differed as they discussed the importance to adapt to the will of Allah, leading to even poorer quality of life and view of future health. They described more foot problems and perceived religion (Muslim) with washing rituals of the feet being of importance for health. They were less often regularly monitored than European migrants. Economy affected health, more so in Europeans, due to expenses for medications and shoes. Many described limited activity in self-care, few had searched help for their foot problems and if so solely among professionals and had limited knowledge about the influence of glycaemic control on diabetes/foot status.

Conclusions: Foreign-born persons perceived foot ulcers being impossible to prevent, experienced problems with detection, and had limited knowledge about self-care. Dissimilarities in beliefs related to origin were found that negatively affected self-care of the feet why it is important to assess individual beliefs and plan care and education accordingly. 

Place, publisher, year, edition, pages
Paris, France.: EUROPEAN DIABETES EPIDEMIOLOGY GROUP - EDEG , 2015.
Series
, 50th annual meeting of the EUROPEAN DIABETES EPIDEMIOLOGY GROUP.
Keyword [en]
Diabetes Mellitus, Migrants, Diabetic, Diabetes related complications
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-118636OAI: oai:DiVA.org:liu-118636DiVA: diva2:816188
Conference
50th annual meeting of the EUROPEAN DIABETES EPIDEMIOLOGY GROUP. 25-28 April 2015. Les Fontaines, Gouvieux-Chantilly, France. Study group of the European Association for the Study of Diabetes (EASD)
Projects
Migration and health
Funder
Vårdal Foundation
Available from: 2015-06-02 Created: 2015-06-02 Last updated: 2015-06-16

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Hjelm, Katarina
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Division of Health, Activity and CareFaculty of Health Sciences
Health Care Service and Management, Health Policy and Services and Health Economy

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