African Americans are disproportionately affected by diabetes in comparison to the general population. The prevalence of diagnosed diabetes is 1.6-fold higher in African Americans compared with white Americans (Marshall, 2005). African Americans have high rate of inadequate glycemic control, hypertension, and dyslipidemia relative to the population as a whole, and are thus at risk for micro-vascular complications (Utz & Clark, 2011).
Understanding the broader cultural context in which families are enmeshed can serve as important data for conducting assessments and planning interventions strategies (Tripp-Reimer et al., 2001). Culture can be defined as a way of life of a group of people that includes the behaviors, beliefs, and norms that distinguishes one group of people from another. An examination of the beliefs and values inherent in the biomedical culture illuminates many barriers in caring for minority clients (Tripp-Reimer et al., 2001). Some of these include:
- Patients who do not practice healthy behaviors “don’t care about their health.”
- Personal health is the most important priority for each family member
- Biomedicine is “right.”
- Science is the only appropriate basis for