Abstract:
This research portfolio sought to explore the health perceptions and practices of older Chinese migrants with Type 2 diabetes in New Zealand. A thorough literature review was conducted to explore the prevalence, incidence and issues relating to Chinese people with Type 2 diabetes living in New Zealand and overseas. A qualitative methodology - narrative inquiry - was used to capture the lived experiences of older Chinese migrants with Type 2 diabetes. Data was collected from in-depth interviews with ten participants who are living with Type 2 diabetes in New Zealand. The interview transcripts were analysed using a thematic analysis. Five core themes were revealed in the narratives of older Chinese migrants in relation to their experiences and views of living with Type 2 diabetes: 1) culturally unique perceptions and knowledge of diabetes; 2) lifestyle modification by incorporating Western diabetes regimens into Chinese lifestyle; 3) cultural needs including maintaining harmony and family roles; 4) their views and practice of Western and traditional Chinese medicines; and 5) their experiences of the healthcare service. These themes form a unique cultural framework for understanding the healthcare needs of older Chinese migrants with Type 2 diabetes. This study extends the existing knowledge and understanding of the risk factors related to health perceptions and behaviours pertinent to disease self-management. The cultural framework may enable diabetes care providers and educators to have a more holistic focus when planning care and education programs. To investigate how Chinese immigrants perceive the current diabetes education and health information, it is necessary to address their cultural needs.