{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:10:18Z","timestamp":1771672218223,"version":"3.50.1"},"reference-count":81,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011533","name":"Academy of Medical Surgical Nurses","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011533","id-type":"DOI","asserted-by":"crossref"}]},{"name":"North Carolina Nurses Association-Triangle Region"},{"name":"Sigma Theta Tau-Alpha Alpha Chapter"},{"name":"The UNC-CH School of Nursing Bio-behavioral Laboratory"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Research in Nursing &amp; Health"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:label\/><jats:p>This article is a report of qualitative findings of a mixed\u2010methods study of the relationships among knowledge, self\u2010efficacy, health promoting behaviors, and type 2 diabetes mellitus (T2DM) self\u2010management among limited\u2010english\u2010proficient recent Hispanic immigrants, a population with increased incidence of T2DM and barriers to successful T2DM management. Semi\u2010structured interviews were conducted with 30 participants, and physiological and demographic data also were collected. The participants generally attributed developing the disease to strong emotions and viewed T2DM as a serious disease. Although a majority understood the importance of exercise and diet in T2DM self\u2010management, other aspects such as medication adherence were not well\u2010understood. Obstacles to effective T2DM self\u2010management were negative interactions and communications with health care providers and other personnel, cultural stigma related to the disease, financial constraints, immigration status, and the complexity of the disease. Suggested interventions to improve the care and self\u2010management of this at\u2010risk population are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nur.21817","type":"journal-article","created":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T21:06:39Z","timestamp":1504731999000},"page":"541-554","source":"Crossref","is-referenced-by-count":23,"title":["Diabetes affects everything: Type 2 diabetes self\u2010management among Spanish\u2010speaking hispanic immigrants"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9927-8920","authenticated-orcid":false,"given":"Cheryl A.","family":"Smith\u2010Miller","sequence":"first","affiliation":[{"name":"University of North Carolina Hospital, Nursing Quality and Research, Adjunct Professor, School of Nursing University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane C.","family":"Berry","sequence":"additional","affiliation":[{"name":"School of Nursing University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cass T.","family":"Miller","sequence":"additional","affiliation":[{"name":"Environmental Sciences and Engineering, Gillings School of Global Public Health University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,6]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.2337\/diaclin.34.1.3","article-title":"Standards of medical care in diabetes\u20102016 abridged for primary care providers","volume":"34","year":"2016","journal-title":"Clinical Diabetes"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(85)90347-8"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0739986310373210"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.03.024"},{"key":"e_1_2_9_6_1","first-page":"Cd006424","article-title":"Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus","volume":"9","author":"Attridge M.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300273"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721714540220"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1403-4"},{"key":"e_1_2_9_10_1","volume-title":"Social foundations of thought and action: A social cognitive theory","author":"Bandura A.","year":"1986"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.44.9.1175"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987107081254"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182419"},{"key":"e_1_2_9_14_1","unstructured":"Centers for Disease Control and Prevention (ND).Sharps safety for healthcare professionals. 1\u20132. Retrieved fromwww.cdc.gov\/sharpssafety\/tools.html"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721709354606"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-186"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-6697-1_2"},{"key":"e_1_2_9_18_1","volume-title":"The Sage handbook of qualitative research","author":"Denzin N.","year":"2005"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.03.012"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-008-9200-0"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1M389"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327019eb0904_5"},{"key":"e_1_2_9_23_1","unstructured":"Gonzalez\u2010Barrera A. Lopez M.(2013).A demographic portrait of Mexican\u2010origin Hispanics in the United States. Retrieved fromhttp:\/\/www.pewhispanic.org\/2013\/05\/01\/a-demographic-portrait-of-mexican-origin-hispanics-in-the-united-states\/"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-13-43"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.03.007"},{"key":"e_1_2_9_26_1","volume-title":"Handbook for team\u2010based qualitative research","author":"Guest G.","year":"2008"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1060826515582495"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12021"},{"key":"e_1_2_9_29_1","first-page":"1","article-title":"How are qualitative methods used in diabetes research? A 30\u2010year systematic review","volume":"12","author":"Hennink M. M.","year":"2016","journal-title":"Global Public Health"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721713486200"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412986274"},{"key":"e_1_2_9_33_1","first-page":"e517\u2010523","article-title":"Physician Enabling Skills Questionnaire: Validation of a newly developed instrument in primary health care","volume":"61","author":"Hudon C.","year":"2015","journal-title":"Canadian Family Physician"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.01.029"},{"key":"e_1_2_9_35_1","unstructured":"Joint Commission. (2008).The Joint Commission 2008 requirement related to the provision of culturally and linguistically appropriate health care. Retrieved fromhttp:\/\/www.jointcommission.org\/NR\/rdonlyres\/6941959E-D4BE-48D7-A2F8-A4834E84B263\/0\/JC_Standards_Document_2008.pdf"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2011.569936"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.2298\/MPNS1410339K"},{"key":"e_1_2_9_38_1","volume-title":"InterViews: Learning the craft of qualitative research interviewing","author":"Kvale S.","year":"2008"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.2307\/2094442"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2010.03.009"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.03.001"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/07399863870092005"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1504\/IJMBS.2014.065069"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2011.0055"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/maq.12215"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30402-6"},{"key":"e_1_2_9_47_1","volume-title":"Qualitative research: A guide to design and implementation","author":"Merriam S.","year":"2009"},{"key":"e_1_2_9_48_1","unstructured":"Migration Policy Institute. (2016).Frequently requested statistics on immigrants and immigration in the United States. Retrieved fromhttp:\/\/www.migrationpolicy.org\/article\/frequently-requested-statistics-immigrants-and-immigration-united-states#Mexican Immigrants"},{"key":"e_1_2_9_49_1","volume-title":"Qualitative research methods for health professionals","author":"Morse J. F. P.","year":"1995"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.02.002"},{"key":"e_1_2_9_51_1","first-page":"137","volume-title":"Handbook for team\u2010based qualitative research","author":"Namey E.","year":"2008"},{"key":"e_1_2_9_52_1","unstructured":"National Center for Chronic Disease Prevention and Health Promotion. (2014).National Diabetes Statistics Report 2014. Retrieved fromhttp:\/\/www.cdc.gov\/diabetes\/pubs\/statsreport14\/national-diabetes-report-web.pdf"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.10.010"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.17226\/10883"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.5172\/mra.455.3.1.13"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-2081(00)80008-X"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/137.4.860"},{"key":"e_1_2_9_58_1","unstructured":"Pew Hispanic Center. (2016).Statistical profiles of the Hispanic and foreign\u2010born populations in the U.S. Retrieved fromhttp:\/\/pewhispanic.org\/reports\/report.php?ReportID=120"},{"key":"e_1_2_9_59_1","unstructured":"Pew Research Center. (2014).Hispanic trends. Retrieved fromhttp:\/\/www.pewhispanic.org\/interactives\/unauthorized-immigrants\/map\/all-immigrant-share\/"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2009.07.009"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/1034912X.2013.812188"},{"key":"e_1_2_9_62_1","first-page":"310","article-title":"Differences in diabetes mellitus onset for older Black, White, and Mexican Americans","volume":"23","author":"Quinones A. R.","year":"2013","journal-title":"Ethnicity & Disease"},{"key":"e_1_2_9_63_1","volume-title":"Qualitative interviewing: The art of hearing data","author":"Rubin H. J.","year":"2012"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S5383"},{"key":"e_1_2_9_65_1","volume-title":"The coding manual for qualitative researchers","author":"Salda\u00f1a J.","year":"2013"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558689809334210"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.09.008"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-363"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.12.022"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-213"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781506335193"},{"key":"e_1_2_9_73_1","volume-title":"Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences","author":"Teddlie C.","year":"2009"},{"key":"e_1_2_9_74_1","unstructured":"US Census Bureau. (2010).State and county QuickFacts \u2212 North Carolina. Profile of general population and housing characteristics: 2010 Summary File 1 Table PCT 11. DP 1 2010 Demographic profile data. Retrieved fromhttp:\/\/factfinder2.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?src=bkmk"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-185"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxp008"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.12.037"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721708329545"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2013.0177"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30261-1"},{"key":"e_1_2_9_81_1","first-page":"308","volume-title":"Applications of social research methods to questions in information and library science","author":"Zhang Y.","year":"2009"},{"key":"e_1_2_9_82_1","unstructured":"Zong J. Batalova J.(2016).Mexican immigrants in the United States. Retrieved fromhttp:\/\/www.migrationpolicy.org\/article\/mexican-immigrants-united-states#Age Education and Employment"}],"container-title":["Research in Nursing &amp; Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnur.21817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nur.21817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T13:39:59Z","timestamp":1695735599000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nur.21817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,6]]},"references-count":81,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1002\/nur.21817"],"URL":"https:\/\/doi.org\/10.1002\/nur.21817","archive":["Portico"],"relation":{},"ISSN":["0160-6891","1098-240X"],"issn-type":[{"value":"0160-6891","type":"print"},{"value":"1098-240X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,6]]}}}