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Published in: Journal of Community Health 4/2014

01-08-2014 | Original Paper

Health and Diabetes Self-efficacy: A Study of Diabetic and Non-diabetic Free Clinic Patients and Family Members

Authors: Akiko Kamimura, Nancy Christensen, Kyl Myers, Maziar M. Nourian, Jeanie Ashby, Jessica L. J. Greenwood, Justine J. Reel

Published in: Journal of Community Health | Issue 4/2014

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Abstract

Free clinics across the country provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. This study examined perceived health status among diabetic and non-diabetic free clinic patients and family members of the patients. Diabetes self-efficacy among diabetic free clinic patients was also investigated with the goal of developing appropriate diabetes health education programs to promote diabetes self-management. English or Spanish speaking patients and family members (N = 365) aged 18 years or older completed a self-administered survey. Physical and mental health and diabetes self-efficacy were measured using standardized instruments. Diabetic free clinic patients reported poorer physical and mental health and higher levels of dysfunction compared to non-diabetic free clinic patients and family members. Having a family history of diabetes and using emergency room or urgent care services were significant factors that affected health and dysfunction among diabetic and non-diabetes free clinic patients and family members. Diabetic free clinic patients need to receive services not only for diabetes, but also for overall health and dysfunction issues. Diabetes educational programs for free clinic patients should include a component to increase diabetes empowerment as well as the knowledge of treatment and management of diabetes. Non-diabetic patients and family members who have a family history of diabetes should also participate in diabetes education. Family members of free clinic patients need help to support a diabetic family member or with diabetes prevention.
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Metadata
Title
Health and Diabetes Self-efficacy: A Study of Diabetic and Non-diabetic Free Clinic Patients and Family Members
Authors
Akiko Kamimura
Nancy Christensen
Kyl Myers
Maziar M. Nourian
Jeanie Ashby
Jessica L. J. Greenwood
Justine J. Reel
Publication date
01-08-2014
Publisher
Springer US
Published in
Journal of Community Health / Issue 4/2014
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-014-9831-0

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