Abstract:
BACKGROUND:The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM). METHODS:35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus groups and nine individual interviews were conducted to explore men and women's diabetes self-management experiences. RESULTS:The average age of participants was 57 years and just over half (51.4%) were female. Analyses revealed five themes: disclosure and identity as a person living with diabetes; self-monitoring of blood glucose (SMBG); diet struggles across varying contexts; utilization of diabetes resources; and social support. Women disclosed their diabetes more readily and integrated management into their daily lives, whereas men were more reluctant to tell friends and family about their diabetes and were less observant of self-management practices in social settings. Men focused on practical aspects of SMBG and experimented with various aspects of management to reduce reliance on medications whereas women focused on affective components of SMBG. Women restricted foods from their diets perceived as prohibited whereas many men moderated their intake of perceived unhealthy foods, except in social situations. Women used socially interactive resources, like education classes and support groups whereas men relied more on self-directed learning but also described wanting more guidance to help navigate the healthcare system. Finally, men and women reported wanting physician support for both affective and practical aspects of self-management. CONCLUSIONS:Our findings highlight the differences in needs and challenges of diabetes self-management among men and women, which may inform gender-sensitive diabetes, care, counseling and support.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Mathew R,Gucciardi E,De Melo M,Barata Pdoi
10.1186/1471-2296-13-122subject
Has Abstractpub_date
2012-12-19 00:00:00pages
122issn
1471-2296pii
1471-2296-13-122journal_volume
13pub_type
杂志文章abstract:BACKGROUND:The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a wh...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-017-0580-x
更新日期:2017-02-24 00:00:00
abstract:BACKGROUND:Ultrasound imaging is utilized in Swiss primary care; however, little is known regarding the extent to which it is performed. With this study, we aim to (1) provide an overview of ultrasound use by general practitioners (GPs), and (2) determine the clinical indications of ultrasound in Swiss general practice...
journal_title:BMC family practice
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abstract:BACKGROUND:The prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This st...
journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2012-07-25 00:00:00
abstract:BACKGROUND:Assessing the cost effectiveness of training aimed at increasing general practitioners' (GP) work awareness and patients' work-related self-efficacy and quality of life. METHODS:A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GP...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12875-019-0924-9
更新日期:2019-03-02 00:00:00
abstract:BACKGROUND:While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of bo...
journal_title:BMC family practice
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更新日期:2018-11-29 00:00:00
abstract:BACKGROUND:The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic care, and to determine whether referral decisions were biased by gender or socioeconomic status. We ...
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doi:10.1186/s12875-014-0182-9
更新日期:2014-11-30 00:00:00
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更新日期:2017-05-26 00:00:00
abstract:BACKGROUND:In medical malpractice litigations in recent years in Japan, it is notable that the growing number of medical litigation cases includes the issue of a doctor's explanation to the patient as a pivotal point. The objective of this study was to identify factors of physicians' communication skills with patients,...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-9-43
更新日期:2008-07-25 00:00:00
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更新日期:2015-02-13 00:00:00
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更新日期:2014-12-12 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-13-99
更新日期:2012-10-10 00:00:00
abstract:BACKGROUND:Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients' perspectives on the role of primary care in obesity management and their experience with existing resources, with a view to develop an improved understanding of this...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-017-0596-2
更新日期:2017-02-08 00:00:00
abstract:BACKGROUND:Frailty is a condition of increasing importance, given the aging adult population. With an anticipated shortage of geriatricians, primary care physicians will increasingly need to manage care for frail adults with complex functional risks and social-economic circumstances. METHODS:We used cross-sectional da...
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更新日期:2018-10-19 00:00:00
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更新日期:2019-08-03 00:00:00
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doi:10.1186/s12875-015-0397-4
更新日期:2015-12-15 00:00:00
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journal_title:BMC family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1186/1471-2296-4-7
更新日期:2003-05-14 00:00:00
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2014-05-09 00:00:00
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更新日期:2007-09-03 00:00:00
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更新日期:2020-09-08 00:00:00
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更新日期:2020-02-05 00:00:00
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pub_type: 杂志文章
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更新日期:2016-09-08 00:00:00
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pub_type: 杂志文章
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更新日期:2011-10-18 00:00:00
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pub_type: 杂志文章
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更新日期:2009-08-26 00:00:00
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pub_type: 杂志文章
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更新日期:2015-01-28 00:00:00
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pub_type: 杂志文章
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更新日期:2005-09-09 00:00:00