@article {McElfish:2016:1087-3244:248,
title = "Health Beliefs of Marshallese Regarding Type 2 Diabetes",
journal = "American Journal of Health Behavior",
parent_itemid = "infobike://png/ajhb",
publishercode ="png",
year = "2016",
volume = "40",
number = "2",
publication date ="2016-03-01T00:00:00",
pages = "248-257",
itemtype = "ARTICLE",
issn = "1087-3244",
eissn = "1945-7359",
url = "https://www.ingentaconnect.com/content/png/ajhb/2016/00000040/00000002/art00010",
doi = "doi:10.5993/AJHB.40.2.10",
keyword = "PACIFIC ISLANDERS, DIABETES, HEALTH DISPARITIES, COMMUNITY-BASED PARTICIPATORY RESEARCH, MINORITY HEALTH",
author = "McElfish, Pearl Anna and Hallgren, Emily and Henry, L Jean and Ritok, Mandy and Rubon-Chutaro, Jellesen and Kohler, Peter",
abstract = "
Objectives: The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior in the US Marshallese population living in Arkansas. Methods: The study
employs focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data were collected from 41 participants; bilingual community co-investigators provided translation as needed. Results: The
results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers
to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy. Conclusions: The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within
Pacific Islander communities.",
}