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Social Determinants of Health and Health Care Delivery: African American Women’s T2DM Self-Management

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  • Judith M. Ochieng
  • Janice D. Crist

Abstract

African American (AA) women have high prevalence of Type 2 diabetes mellitus (T2DM) and complications. No studies have been conducted about how social determinants of health and health care delivery affect their T2DM self-management. The purpose was to describe how social determinants of health and healthcare delivery may influence AA women’s T2DM self-management using qualitative descriptive methodology ( N  = 10). Ten participants were interviewed. Participants’ geographical location, education, level of income, health literacy, and systemic racism, that is, healthcare delivery services, for example, inadequate healthcare services, providers’ assumptions about the patient’s knowledge of diabetes, providers’ attitudes toward patients, and stigma related to diabetes as a disease were identified. Understanding the role of social determinants of health and the health care delivery system in influencing T2DM self-management is a powerful tool for providers and practitioners for improving practice and health care policies to decrease health disparities and improve health outcomes among AA women with T2DM.

Suggested Citation

  • Judith M. Ochieng & Janice D. Crist, 2021. "Social Determinants of Health and Health Care Delivery: African American Women’s T2DM Self-Management," Clinical Nursing Research, , vol. 30(3), pages 263-272, March.
    • Handle: RePEc:sae:clnure:v:30:y:2021:i:3:p:263-272
    DOI: 10.1177/1054773820916981
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    References listed on IDEAS

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    2. Victor Mogre & Natalie A. Johnson & Flora Tzelepis & Christine Paul, 2019. "Barriers to diabetic self‐care: A qualitative study of patients’ and healthcare providers’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2296-2308, June.
    3. Braveman, P.A. & Kumanyika, S. & Fielding, J. & LaVeist, T. & Borrell, L.N. & Manderscheid, R. & Troutman, A., 2011. "Health disparities and health equity: The issue is justice," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 149-155.
    4. Weaver, Robert R. & Lemonde, Manon & Payman, Naghmeh & Goodman, William M., 2014. "Health capabilities and diabetes self-management: The impact of economic, social, and cultural resources," Social Science & Medicine, Elsevier, vol. 102(C), pages 58-68.
    5. Jasmin Schabert & Jessica Browne & Kylie Mosely & Jane Speight, 2013. "Social Stigma in Diabetes," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 6(1), pages 1-10, March.
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    Cited by:

    1. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).

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