Assessing Barriers to Diabetic Self-Care among Black elderly Immigrants in New York

By

ACKNOWLEDGEMENT

I would like to thank my supervisor for supporting me throughout my project and giving his valuable suggestions. Finally thanks to all my friends and family for their utmost support and inspiration.

DECLARATION

I, (Your name), would like to declare that all contents included in this dissertation stand for my individual work without any aid, & this dissertation has not been submitted for any examination at academic as well as professional level previously. It also represents my own views & not essentially the ones associated with university.

Signed __________________ Date _________________

Table of Contents

ABSTRACT4

CHAPTER 1: INTRODUCTION5

BACKGROUND5

PROBLEM STATEMENT6

PURPOSE OF THE STUDY6

Current Scenario7

Target Population/ Area of Focus8

RESEARCH QUESTIONS9

Nature of the Study9

Key Terms10

OBJECTIVES OF THE STUDY11

Diabetes11

DIABETES AMONG ETHNIC GROUPS IN UNITED STATES12

CURRENT STATUS OF THE DISEASE13

Overview of Diabetes15

SCOPE OF THE STUDY16

Prevalence among Black Immigrants17

DIABETES SELF-CARE19

DIABETES-RELATED COMPLICATIONS20

SIGNIFICANCE OF THE STUDY21

RATIONALE OF THE STUDY24

REFERENCES26

ABSTRACT

The present study would examine the situation of diabetes among black immigrants in New York between the ages of 55 to 65. Diabetes is a severe chronic condition and is characterized by consistent fluctuations in the blood glucose level of a person. The disease affects over 20 million people in the United States and is now characterized as a leading health concern in the United States. A study on diabetes is important within this group because of the burden of the disease on the individuals, families and cost to the society. The importance of diabetes within this age group becomes even more important when one considers that there might be important phenomena practice by this group that may benefit or hinder care practices. The purpose of the study is to review and relate findings that may be beneficial to program planners as well as to individual diabetics. Theoretical foundation for the study is rooted in the social cognitive theory; and the behavioral theory. These theoretical frameworks together with the literature review set the stage for the research question; the overall questions are condensed to find out what meaning the target group give to diabetes and how they self-care. A qualitative approach based on a phenomenological concept is utilized. Sampling technique for the data collection strategies is purposeful. Data analysis is conducted using the Vivo software. Implication for social change includes finding unique characteristics among the target group that may advance or hinder diabetes treatment; unique findings among the group may be added to the body of literature to effect social change. Another positive change implication is program planning for the group may be advanced.

CHAPTER 1: INTRODUCTION

In this chapter, we would begin with the background to our study topic. A thorough background on the topic would be provided. It will be followed by a clear problem statement and purpose of the study. The purpose of the study would allow readers to better understand the motive of the researcher and draw inferences on the information provided in the text. The current scenario on self-care of diabetes and the target population of the study would be clearly ...