ArticleHealth expectations : an international journal of public participation in health care and health policy2020
Falling into a deep dark hole: Tongan people's perceptions of being at risk of developing type 2 diabetes.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perception of inherited risk in type 2 diabetes: a systematic review.Frontiers in public health · 2023Pooled it
- A feasibility study investigating the risk of prediabetes among children in New Zealand.Scientific reports · 2025Article
- Barriers and facilitators of self-care in adults with pre-diabetes: a directed qualitative content analysis.BMC health services research · 2025Article
- 'It's so heavy on my mind': The lived experience of diabetes in pregnancy and postpartum mother and infant lifestyle.BMC pregnancy and childbirth · 2024Article
- Adults' perceived health promotion needs in the prediabetes stage: a meta-synthesis study.Journal of preventive medicine and hygiene · 2023Article
- Falling into a deep dark hole: Tongan people's perceptions of being at risk of developing type 2 diabetes.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- 23.4 Briefing.Health expectations : an international journal of public participation in health care and health policy · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrediabetes is a precursor for type 2 diabetes. Compared to the New Zealand/European and other population groups (24.6%), the prevalence of prediabetes is higher within Pacific groups (29.8%). The diagnosis of prediabetes presents a potential opportunity to intervene to prevent progression to type 2 diabetes.
objectiveTo develop an understanding of how being 'at risk' of developing type 2 diabetes is perceived by Tongan people with prediabetes living in Auckland, New Zealand.
methodsThe Kakala and Talanga Tongan methodologies underpinned this study. Twelve one-on-one, semi-structured interviews with Tongan patients who had prediabetes from a primary health-care clinic in Auckland, New Zealand, were conducted. Thematic analysis was used to identify recurrent themes from the data.
resultsParticipants were not aware of their prediabetes diagnosis, emotions associated with the diagnosis reflected fear and disbelief and a perception of imminent danger. Family history informed perceptions of the risk of developing type 2 diabetes. Participants could not differentiate prediabetes from type 2 diabetes, and recollections of being 'back in the Islands' of Tonga were consistent with healthy lifestyles.
conclusionsPrediabetes appeared to be poorly understood and was believed to be irreversible, which could discourage behaviour change, social and physical improvements in health. Appropriate culturally tailored messages to accompany a prediabetes diagnosis, including cause and management, would be beneficial for Pacific peoples.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.