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How stakeholders can support the development of self-management for immigrants with pre-diabetes or type 2 diabetes mellitus in Stockholm County: An explorative study – with a qualitative approach
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: Prevalence of developing pre-diabetes and type 2 diabetes mellitus (T2DM) is higher for certain immigrant groups compared with other populations. Immigrants also have higher incidence for risk factors that are typical in the development of T2DM. Purpose: To explore the views of key stakeholders that are essential for inclusion in the development of self-management among immigrants in Stockholm County. Furthermore, the aim was to explore stakeholders’ interest and awareness to increase coordination of diabetes prevention for immigrants. Method: The viewpoints of eight stakeholders were explored through individual, qualitative semi-structured interviews in a Swedish setting. The collected data was processed through manifest content analysis and Theory of change. The Community Readiness Model was used to rank stakeholders role, relevance and visualise links. Result: Stakeholders showed engagement for development of self-management among immigrants within the community, however at different levels based on their role, influence and interest. Stakeholders expressed that several factors need to be taken into account to decrease health inequalities. It was highlighted that self-management need to be clarified for immigrants with diabetes, as it defines their own role to handle the disease. Stakeholder expressed the importance that authorities work more collective and include immigrants’ views in the development of self-management. It was also shown that key persons have an essential role to reach immigrants. Conclusion: To ensure that implementation of self-management becomes as effective as possible a whole-community approach is needed. It also involves actions that prevent immigrants becoming obese and progression of diseases related to the development of pre-diabetes and T2DM.

Place, publisher, year, edition, pages
2016. , 39 p.
Keyword [en]
Type 2 diabetes mellitus, pre-diabetes, immigrants, self-management, stakeholders
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:uu:diva-296978OAI: oai:DiVA.org:uu-296978DiVA: diva2:940463
External cooperation
Karolinska Institutet
Subject / course
Public Health
Educational program
Master Programme in Public Health
Available from: 2016-06-21 Created: 2016-06-21 Last updated: 2016-06-21Bibliographically approved

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