Medical College of Wisconsin
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Diabetes self-management in African Americans: an exploration of the role of fatalism. Diabetes Educ 2003 Jan-Feb;29(1):105-15 PMID: 12632689

Pubmed ID



PURPOSE: This study was conducted to explore the concept of fatalism in relation to diabetes self-management behavior in African Americans with type 2 diabetes.

METHODS: Participants (n = 39) were recruited from a clinic sample of African Americans with type 2 diabetes. Seven focus groups were conducted; the sessions were recorded, transcribed, and analyzed to identify themes related to fatalism and diabetes self-management. The ISAS paradigm (individual, symbols, audience, situation), a social psychology theory, provided the theoretical framework for the study.

RESULTS: Four dimensions of fatalism were identified: the meaning of diabetes, the illness experience, the individual's coping response, and the individual's religious and spiritual beliefs. For the participants in this study, fatalism seemed to characterize the nature of the interaction between the individual with diabetes and others, the meanings they attached to such interactions, and the decision to adopt an effective or ineffective diabetes self-management behavior.

CONCLUSIONS: Fatalism was associated with diabetes self-management in African Americans with diabetes and was multidimensional in this population; the construct appeared to differ conceptually from the perspective of current measures.

Author List

Egede LE, Bonadonna RJ


Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin


2-s2.0-0037261837   73 Citations

MESH terms used to index this publication - Major topics in bold

Adaptation, Psychological
African Americans
Attitude to Health
Diabetes Mellitus, Type 2
Focus Groups
Middle Aged
Religion and Psychology
Self Care
Southeastern United States
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e