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Living with Sugar Type 2 Diabetes Self-Management Among Latino and Afro-Caribbean Immigrants Chrystal A.S. Smith, Ph.D., M.P.H. University of South Florida.

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Presentation on theme: "Living with Sugar Type 2 Diabetes Self-Management Among Latino and Afro-Caribbean Immigrants Chrystal A.S. Smith, Ph.D., M.P.H. University of South Florida."— Presentation transcript:

1 Living with Sugar Type 2 Diabetes Self-Management Among Latino and Afro-Caribbean Immigrants Chrystal A.S. Smith, Ph.D., M.P.H. University of South Florida

2 Overview Conceptual framework Type 2 diabetes (henceforth referred to as diabetes) Morbidity and mortality Etiology and self-management Dissertation research Socioeconomic Status and Cultural Beliefs About Diabetes Among English-Speaking Afro-Caribbean Women Current research Cultural Beliefs About Diabetes and Financial Barriers to Diabetes Care among Latino Farmworkers Other research interests

3 Conceptual Framework Biological Etiology & Outcomes Disease Etiology & Outcomes Social, Political, & Economic Forces Cultural Beliefs & Behaviors B AER, H ANS, W ITH M ERRILL S INGER A ND J OHN H. J OHNSEN 1986 T OWARDS A C RITICAL M EDICAL A NTHROPOLOGY. S OCIAL S CIENCE A ND M EDICINE 23(2): Figure 1. Critical Medical Anthropology: An Integrative Approach to Studying Disease and Ill Health

4 Socioeconomic Status and Cultural Beliefs Type 2 Diabetes Among English-Speaking Afro-Caribbean Women

5 Traditional/Alternative Remedies 15 (50%) women used traditional/alternative remedies cerasse/caraili/bitter melon ( Momordica charantia ) cinnamon bark and pills ( Cinnamomum verum) mauby bark ( Colubrina arborescens ) aloe ( Aloe vera, Aloe barbadensis ) bush tea (unspecified medicinal plants) celery ( Apium graveolens ) 46 year old domestic worker : “ It helps keep the sugar down because caraili is a bitter thing. The green leaf herbs helps, anything green and leafy that you can blend, that you can juice, that you can drink, it helps bring down the sugar level.”

6 Acknowledgements My thanks to the following individuals: The women who participated my research, Lorena Madrigal, David Himmelgreen, Zita St. John, Kathryn Borman, Dinorah Martinez-Tyson, Nancy Romero-Daza, Collette Brown, Tasha-Neisha Wilson, Caroline Peterson, Laura DiDio, Patrick Watson, Sara Proctor, Marlene Rivera, Penny J. Gilmer and Vanessa Martinez


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