2.50
Hdl Handle:
http://hdl.handle.net/10755/211475
Type:
Research Study
Title:
PSYCHOLOGICAL AND BEHAVIORAL RISK FACTORS FOR DIABETES AMONG KOREAN IMMIGRANTS
Abstract:
Aims: The aims of this project are to: 1) assess the risk of type 2 diabetes (DM) among Korean immigrants through health behaviors; 2) describe their psychological environment; and 3) examine the relationship between psychological environment and DM risk behaviors. Background: Korean immigrants are the 4th largest group of Asian Americans in the United States and suffer one of the highest rates of DM among Asians and have two to three times the likelihood of DM relative to Caucasians. However, information on behavioral and psychological risk factors for DM in this population is scarce. Methods: A cross-sectional descriptive study design was used. Data were collected from 145 Korean immigrant men and women between the ages of 21-79 who have never been diagnosed with DM but are at risk for DM. “At risk” was defined by 1) positive family history of DM in first degree relatives; 2) BMI>23; or 3) history of gestational diabetes (women).  Participants completed questionnaires in English or Korean. Psychological environment was assessed by five indicators (feeling nervous, hopeless, restless, anxious, and stressed) and the frequency of experiencing these symptoms. Results: In terms of health behaviors, more than half (56%) reported eating one serving or less of fruit and 89% reported eating one serving or less of vegetables per day over the past week. On a positive note, however, 74% reported engaging in moderate physical activity, and 50% reported engaging in vigorous physical activity at least one day in the past week. In terms of psychological environment, about 30 % reported feeling nervous, 13% hopelessness, 37% restless, 51% anxious, and 65% stressed at least some of the time during the past 30 days. The summary score across the 5 psychological symptoms was significantly related to whether or not individuals reported doing any moderate exercise. Higher mean score (higher frequency) across the 5 psychological symptoms was related to a decreased likelihood to report doing at least 10 minutes of moderate exercise in the past week (r = -.183, p = .027). Implications: Findings indicate high prevalence of anxiety and stress among Korean immigrants at risk for DM.  Considering the link between emotional distress and increased risk for obesity and diabetes, this study’s findings add to the concern for this population at risk. Assessment of psychological environment should be incorporated in designing and implementing preventive measures for DM such as promoting physical activity to prevent further growth of diabetes prevalence among Korean immigrants.
Keywords:
Korean Immigrants; Type 2 diabetes
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5227
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titlePSYCHOLOGICAL AND BEHAVIORAL RISK FACTORS FOR DIABETES AMONG KOREAN IMMIGRANTSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211475-
dc.description.abstractAims: The aims of this project are to: 1) assess the risk of type 2 diabetes (DM) among Korean immigrants through health behaviors; 2) describe their psychological environment; and 3) examine the relationship between psychological environment and DM risk behaviors. Background: Korean immigrants are the 4th largest group of Asian Americans in the United States and suffer one of the highest rates of DM among Asians and have two to three times the likelihood of DM relative to Caucasians. However, information on behavioral and psychological risk factors for DM in this population is scarce. Methods: A cross-sectional descriptive study design was used. Data were collected from 145 Korean immigrant men and women between the ages of 21-79 who have never been diagnosed with DM but are at risk for DM. “At risk” was defined by 1) positive family history of DM in first degree relatives; 2) BMI>23; or 3) history of gestational diabetes (women).  Participants completed questionnaires in English or Korean. Psychological environment was assessed by five indicators (feeling nervous, hopeless, restless, anxious, and stressed) and the frequency of experiencing these symptoms. Results: In terms of health behaviors, more than half (56%) reported eating one serving or less of fruit and 89% reported eating one serving or less of vegetables per day over the past week. On a positive note, however, 74% reported engaging in moderate physical activity, and 50% reported engaging in vigorous physical activity at least one day in the past week. In terms of psychological environment, about 30 % reported feeling nervous, 13% hopelessness, 37% restless, 51% anxious, and 65% stressed at least some of the time during the past 30 days. The summary score across the 5 psychological symptoms was significantly related to whether or not individuals reported doing any moderate exercise. Higher mean score (higher frequency) across the 5 psychological symptoms was related to a decreased likelihood to report doing at least 10 minutes of moderate exercise in the past week (r = -.183, p = .027). Implications: Findings indicate high prevalence of anxiety and stress among Korean immigrants at risk for DM.  Considering the link between emotional distress and increased risk for obesity and diabetes, this study’s findings add to the concern for this population at risk. Assessment of psychological environment should be incorporated in designing and implementing preventive measures for DM such as promoting physical activity to prevent further growth of diabetes prevalence among Korean immigrants.en_GB
dc.subjectKorean Immigrantsen_GB
dc.subjectType 2 diabetesen_GB
dc.date.available2012-02-20T11:57:20Z-
dc.date.issued2012-02-20T11:57:20Z-
dc.date.accessioned2012-02-20T11:57:20Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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