Filipino Americans' Social and Cultural Experiences of Type 2 Diabetes Management: Cultural Paradox, Ownership, and Success Definition

J Transcult Nurs. 2024 Jan;35(1):41-52. doi: 10.1177/10436596231209041. Epub 2023 Nov 14.

Abstract

Background: Although type 2 diabetes mellitus (T2DM) disproportionately affects Filipino Americans, they have not received much attention in the literature. Focusing on how Filipino Americans' social and cultural contextual experiences affect their self-management is critical. This study examined T2DM self-management among Filipino Americans by describing their sociocultural experiences, strategies, and significance of self-management.

Method: An interpretive descriptive qualitative design was used. Data were analyzed using thematic analysis. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Results: Filipino Americans (n = 19) with T2DM were interviewed. Three themes emerged: (a) cultural paradox of being Filipino American, (b) movement from invisibility to ownership of T2DM, and (c) definition of successful management of T2DM.

Conclusion: Results contribute to a greater understanding of Filipino Americans' T2DM self-management experiences. Implications include the provision of culturally congruent health care, being aware of Filipino Americans' sociocultural experiences, and involvement of family/community.

Keywords: Filipino Americans; colonialism; decolonization of health; health equity; type 2 diabetes.

MeSH terms

  • Asian
  • Diabetes Mellitus, Type 2* / therapy
  • Humans
  • Ownership
  • Qualitative Research