Date of Award

2015

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College

College of Nursing

First Advisor

Lynne Nemeth

Second Advisor

Susan D. Newman

Third Advisor

Kathleen Cartmell

Fourth Advisor

Keiko Goto

Abstract

Despite advances in medical care for diabetes, a diabetes health disparity exists among ethnic minorities. Diabetes is a new concept for Hmong Americans. Research has highlighted the high risk that Hmong Americans face of having this chronic disease. This dissertation is a compendium of three manuscripts related to diabetes care in the Hmong population. The first manuscript is a scoping review of the prevalence of diabetes and factors affecting diabetes care in the Hmong American population. Sustaining self-management is often difficult for people with diabetes. The second manuscript focuses on sustaining self-management behaviors using a theoretical model that describes strategies for multi-level interventions. The third manuscript is a qualitative grounded study that explores the diabetes education experience of a group of Hmong Americans living in Central California. Both an inductive and deductive method of analysis was applied to this study to identify themes in diabetes education experience. The information presented within this dissertation creates the foundation for future studies focusing on diabetes in the Hmong and implementing culturally appropriate education interventions to increase access to health care and thus, improve diabetes outcomes in Hmong Americans.

Rights

All rights reserved. Copyright is held by the author.

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