Spicing up your advice for South Asian and Anglo-Australians with type 2 diabetes and CVD: Do cultural constructions of diet matter?

South Asians are a growing migrant population, both globally and in Australia. This group are at higher risk for both cardiovascular disease and type 2 diabetes. The aim of this qualitative study was to compare dietary practices of South Asians, n = 41 (Indian, n = 25; Sri Lankan, n = 16) and Anglo-...

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Bibliographic Details
Published in:Appetite 2018-01, Vol.120, p.679-697
Main Authors: Gupta, Sabrina S., Teede, Helena, Aroni, Rosalie
Format: Article
Language:English
Subjects:
Acculturation
Aged
Asia
Asian Continental Ancestry Group
Australia
Blood Glucose - metabolism
Cardiovascular disease
Cardiovascular Diseases - epidemiology
Cohort Studies
Culturally Competent Care
Diabetes Mellitus, Type 2 - epidemiology
Diet
European Continental Ancestry Group
Female
Health Promotion
Healthy Diet - ethnology
Humans
Male
Middle Aged
Migrant
Qualitative Research
Socioeconomic Factors
South Asian
Type 2 diabetes
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Summary:South Asians are a growing migrant population, both globally and in Australia. This group are at higher risk for both cardiovascular disease and type 2 diabetes. The aim of this qualitative study was to compare dietary practices of South Asians, n = 41 (Indian, n = 25; Sri Lankan, n = 16) and Anglo-Australians, n = 16, with these conditions, using semi-structured in-depth interviews. Findings suggest that both groups had a high level of awareness of dietary practices necessary for optimum disease management, both prior to and post diagnosis. Bi-directional effects of migration were noted in the dietary practices of both groups suggesting hybrid diets are evident in Australia. A key barrier to implementing dietary changes highlighted by both groups of participants was a lack of specific, timely and detailed dietary advice from clinicians. Both groups expressed that advice should be repeated and reinforced throughout the course of their disease. In addition, South Asian participants wanted more culturally relevant advice. Clinicians providing dietary advice need to recognise that preferences for staple food items are resistant to change and may affect adherence. Acculturation was evident in the dietary practices of the South Asian participants. Nevertheless, many maintained traditional food practices which were tied to their cultural identity. It is recommended that clinicians consider these factors when offering advice.
ISSN:0195-6663
1095-8304
DOI:10.1016/j.appet.2017.10.007