Health literacy issues in the care of Chinese American immigrants with diabetes: A qualitative study

Yee Man Angela Leung, Ai Bo, Hsin Yi Hsiao, Song Song Wang, Iris Chi

Research output: Journal article publicationJournal articleAcademic researchpeer-review

46 Citations (Scopus)


Participants: 29 Chinese immigrants aged .45 years and diagnosed with type 2 diabetes for at least 1 year.Results: Eight key themes were found to potentially affect Chinese immigrantsf capacity to obtain, communicate, process and understand diabetes related health information and consequently alter their decision making in self-care. Among the themes, three major categories emerged: cultural factors, structural barriers, and personal barriers.Objectives: To investigate why first-generation Chinese immigrants with diabetes have difficulty obtaining, processing and understanding diabetes related information despite the existence of translated materials and translators.Conclusions: Findings highlight the importance of cultural sensitivity when working with first-generation Chinese immigrants with diabetes. Implications for health professionals, local community centres and other potential service providers are discussed.Design: This qualitative study employed purposive sampling. Six focus groups and two individual interviews were conducted. Each group discussion lasted approximately 90 min and was guided by semistructured and open-ended questions.Setting: Data were collected in two community health centres and one elderly retirement village in Los Angeles, California.
Original languageEnglish
Article numbere005294
JournalBMJ Open
Issue number11
Publication statusPublished - 1 Jan 2014
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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