J Korean Diabetes.  2023 Jun;24(2):102-106. 10.4093/jkd.2023.24.2.102.

Diabetes Self-Management in Vulnerable Populations

Affiliations
  • 1Department of Social Welfare, Cheongju University, Cheongju, Korea

Abstract

For medically, socially, or economically vulnerable populations, diabetes self-management in daily life may be difficult due to trouble accessing healthcare and social, economic, and cultural barriers associated with poverty. Doctors, nurses, nutritionists, and social workers meet various patients from vulnerable populations (e.g., low-income single-person households) in clinical settings. However, there has been a lack of discussion on the characteristics and needs of vulnerable patients with diabetes and relevant interventions. The purpose of this study is, first, to examine the characteristics and psychosocial difficulties of low-income single-person households, and second, to discuss ways to support diabetes selfmanagement.

Keyword

Low-income single-person households; Self-management of diabetes; Vulnerable populations

Reference

1.Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2007. Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention;2008.
2.Centers for Disease Control and Prevention. National diabetes statistics report, 2020: estimates of diabetes and its burden in the United States. Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention;2020.
3.Christensen NI., Drejer S., Burns K., Lundstrøm SL., Hempler NF. A qualitative exploration of facilitators and barriers for diabetes self-management behaviors among persons with type 2 diabetes from a socially disadvantaged area. Patient Prefer Adherence. 2020. 14:569–80.
5.Kang EN., Lee MH. Single-person households in South Korea and their policy implications. Health Welf Policy Forum. 2016. 234:47–56.
6.Cacioppo JT., Hughes ME., Waite LJ., Hawkley LC., Thist-ed RA. Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psy-chol Aging. 2006. 21:140–51.
Article
7.Song JS., Kyung JA. Support plan for social network for-mation of middle-aged male single-person households. Seoul: Seoul 50 Plus Foundation;2021.
8.Ewha Womans University. A preliminary planning study to establish a basic plan for dying alone. Sejong: Ministry of Health and Welfare;2021.
9.Lee HN., Cho YT. Comparison of health behaviors, dis-ease prevalence between middle aged one-person house-holds and multi-member households in South Korea. Health Soc Welf Rev. 2019. 39:380–407.
Article
10.Korean Diabetes Association. Diabetes fact sheet in Korea 2020. Seoul: Korean Diabetes Association;2020.
11.Ministry of Health and Welfare. 2021 National mental health survey. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=369088 (updated 2021 Dec 29).
12.Jung WY. Alcohol drinking, smoking, and diabetes. J Korean Diabetes. 2022. 23:192–200.
Article
13.Jang SM., Choi KA., Yoo HJ. Alcohol drinking problems and diabetes self-care in male diabetcs. J Korean Diabetes Assoc. 2004. 28:139–48.
14.Kreps GL., Sparks L. Meeting the health literacy needs of immigrant populations. Patient Educ Couns. 2008. 71:328–32.
Article
15.Chin YR., Choi KW. Readability and suitability evaluation of educational materials on diabetes mellitus. Korean J Health Serv Manag. 2014. 8:161–74.
Article
16.Pesantes MA., Lazo-Porras M., Abu Dabrh AM., Ávi-la-Ramírez JR., Caycho M., Villamonte GY, et al. Resilience in vulnerable populations with type 2 diabetes mellitus and hypertension: a systematic review and meta-analysis. Can J Cardiol. 2015. 31:1180–8.
Article
17.Miller W., Rollnick S. Motivational interviewing: helping people change. 3rd ed.New York: The Guilford Press;2012.
18.Hill-Briggs F., Adler NE., Berkowitz SA., Chin MH., Gary-Webb TL., Navas-Acien A, et al. Social determinants of health and diabetes: a scientific review. Diabetes Care. 2020. 44:258–79.
Article
19.Vest BM., Kahn LS., Danzo A., Tumiel-Berhalter L., Schus-ter RC., Karl R, et al. Diabetes self-management in a low-income population: impacts of social support and relationships with the health care system. Chronic Illn. 2013. 9:145–55.
Article
20.Glazier RH., Bajcar J., Kennie NR., Willson K. A systematic review of interventions to improve diabetes care in socially disadvantaged populations. Diabetes Care. 2006. 29:1675–88.
Article
21.Yoo B. Social determinants of health in diabetes patient care. J Korean Diabetes. 2022. 23:138–43.
Article
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