Culture brokerage strategies in diabetes education: Populations at risk across the lifespan: Case reports

Gina K. Alexander, Sharon W. Uz, Ivora Hinton, Ishan Williams, Randy Jones

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this article is to describe the elements of culture brokerage as applied in a recent educational pilot study among rural African Americans with type 2 diabetes mellitus. Culture Brokerage is a nursing intervention consisting of mediation between the traditional health beliefs and practices of a patient's culture and the health care system. The intervention of Culture Brokerage holds particular relevance for clinicians who work with chronically ill patients, including those with diabetes. Diabetes prevalence rates continue to rise with alarming swiftness, affecting people of all age groups and ethnicities. The burden of disease, however, disproportionately falls on ethnic minority groups, including African Americans. Notable health disparities in the prevalence and long-term complications of diabetes warrant the attention of health care professionals. One way in which public health nurses can address these disparities is to apply strategies of culture brokerage.

Original languageEnglish (US)
Pages (from-to)461-470
Number of pages10
JournalPublic Health Nursing
Volume25
Issue number5
DOIs
StatePublished - Sep 1 2008
Externally publishedYes

Keywords

  • Culture
  • Diabetes mellitus
  • Intervention
  • Racial and ethnic disparities
  • Social support

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health

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