Racial Disparities in Technology Use in Children With Type 1 Diabetes: A Qualitative Content Analysis of Parents’ Perspectives
| العنوان: | Racial Disparities in Technology Use in Children With Type 1 Diabetes: A Qualitative Content Analysis of Parents’ Perspectives |
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| المؤلفون: | Carol J. Howe, Jennifer Morone, Colin P. Hawkes, Terri H. Lipman |
| المصدر: | The Science of Diabetes Self-Management and Care. 49:55-64 |
| بيانات النشر: | SAGE Publications, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Health (social science), Endocrinology, Diabetes and Metabolism, Health Professions (miscellaneous) |
| الوصف: | Purpose: The purpose of the study was to describe differences in non-Hispanic Black (NHB) and non-Hispanic White (NHW) parents’ perceptions of factors that influence the use of diabetes technology. Methods: Focus groups were conducted with parents of NHB and NHW children at a pediatric diabetes center in the Northeast United States. Kilbourne’s health disparities framework informed the focus group guide and a priori coding for directed content analysis. Further analysis allowed subcategories to emerge inductively. Results: Twenty-one parents participated. Five subcategories emerged, describing differences in NHB and NHW parent decisions regarding diabetes technology: (1) child’s choice, (2) shame versus pride, (3) pros and cons of technology, (4) time frame, and (5) blood glucose indications of readiness. NHB parents feared technology malfunction, worried that visible devices could worsen experienced stigma of diabetes diagnosis, and described the diabetes team as gatekeepers, who changed eligibility criteria for diabetes technology use for their research purposes. In contrast, NHW parents reported diabetes team expectation of diabetes technology use and did not report provider-related barriers. Conclusion: This study adds to existing literature advancing our understanding of the patient and provider mechanisms underlying racial disparities in diabetes technology use. This understanding may guide development of interventions focused on patients, providers, and structural factors to improve equity in use of diabetes technology by youth with type 1 diabetes. |
| تدمد: | 2635-0114 2635-0106 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::927fa3d823c3cd696bfcde49339bb233 https://doi.org/10.1177/26350106221145323 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....927fa3d823c3cd696bfcde49339bb233 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 26350114 26350106 |
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