- Zoumenou, VM; Magnus, M; Himburg, S; Johnson, P; Lobar, S; Pyles, CD; Adoueni, V
- The objective of this study is to describe and compare the strength of commitment to following the recommended lifestyle (eating and exercise habits) among six Black groups, with type 2 diabetes in Miami, Florida, and Abidjan, Côte d'Ivoire. Four public clinics in Miami and one clinic in Abidjan were used. Approximately 180 Black Americans (African-Americans, Caribbean-Americans, Haitian-Americans) and 180 Black Africans (Akan, Krou, Malinke), aged 20 years and older, were surveyed in a cross sectional design. One-way ANOVA, Chi square statistics, Canonical correlations, and content analysis were computed. The Commitment to Lifestyle Self-Management (CLSM) instrument (Zoumenou et al., 2009) was used to assess participants' strength of commitment to lifestyle self-management. Overall, African American participants showed the most negative attitude towards recommended foods, Caribbean American respondents reported the least perceived negative attitudes and behaviors towards weight control regimen. Black African groups had significantly more strength of commitment to dietary adherence and weight control than Black American groups. There is no dose response between diabetes services and strength of commitment to lifestyle self-management. Black Africans living in Africa reported less access to facilities, less attendance to diabetes classes but higher strength compared to African Americans. Being African living in Africa (r=.99), married (r=.36), following dietary recommendations (r=.52), were significantly correlated to participants' strength of commitment with a canonical correlation of .88. Adherence to diabetes self-management is a multi-factorial phenomenon. Black groups cannot be considered as a homogenous group. Cultural factors and individualized assessment of strength of commitment to lifestyle self-management should be considered before goal setting during counseling. © EuroJournals Publishing, Inc. 2010.
- January 1, 2010
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