Diabetes Beliefs, Culturally Influenced Self-Management Practices, and Interventions Among Vietnamese Adults: A Systematic Review

J Transcult Nurs. 2021 May;32(3):266-275. doi: 10.1177/1043659620988317. Epub 2021 Jan 20.

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) incidence is rising among Asian Americans, including Vietnamese, and is associated with increasing rates of urbanization, population aging, and overweight/obesity. We examined literature targeting diabetes self-management (DSM) beliefs, practices, and culturally informed interventions specific to Vietnamese adults.

Methods: Using PRISMA systematic review guidelines, we searched CINAHL, Ovid, and Medline databases for research articles published from 2001 to 2019 examining DSM beliefs, practices, and/or interventions among Vietnamese adults with T2DM and/or family members.

Results: Of the 971 articles identified, 12 articles representing 11 studies (N = 2,628) met inclusion criteria. Cultural knowledge and beliefs influence Vietnamese health practices and nutrition-based interventions that infuse traditional dietary norms are common. Two studies incorporated digital technology and community health workers in interventions.

Discussion: Appreciating unique health beliefs and practices of Vietnamese adults is critical to designing and testing culturally congruent interventions. Further research involving community-centered approaches to enhance DSM is warranted.

Keywords: Vietnam; diabetes; glycemic control.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Asian
  • Diabetes Mellitus, Type 2* / therapy
  • Health Behavior
  • Humans
  • Self-Management*