Barriers to non-insulin dependent diabetes mellitus (NIDDM) self-care practices among older women

Nancy E. Schoenberg, Suzanne C. Drungle

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


Objectives: Noninsulin dependent diabetes mellitus (NIDDM) constitutes a significant threat to the health and well-being of older women. Appropriate self-care, the cornerstone of glycemic control, is reported to be modest. We aimed to investigate barriers to recommended self-care for NIDDM. Methods: A total of 51 African American and White women age 65 and older, completed the Diabetes Self-Care Barriers Assessment Scale for Older Adults, ethnomedical protocol, and other instruments during in-depth interviews. Results: African American women were more likely than their White counterparts to indicate financial, pain, and visual barriers to self-care. Both African American and White women expressed a reluctance to check blood sugar and to exercise; however, most indicated that they regularly followed medication recommendations and visited their physician. Discussion: This study extends our knowledge of the existence of self-care barriers by providing a qualitative, in-depth perspective detailing how these barriers often prevent optimal self-care behaviors and, conceivably, successful glycemic control.

Original languageEnglish
Pages (from-to)443-466
Number of pages24
JournalJournal of Aging and Health
Issue number4
StatePublished - 2001

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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