Pensacola (Escambia County) Miami (Miami- Dade County)
Theme 1: Importance of Obesity and Type 2 DM by location
“It's also dangerous because obesity doesn't allow your heart to function properly, and your blood doesn't flow properly through your arteries. It gets complicated, right, and it can even cause your blood pressure to rise.” “Obesity causes pain in your knees, back, legs, and affects your cholesterol.” “Obesity is not healthy at all and, like she said, it affects your heart. It does affect your respiratory system.” “Diabetes is very, very serious but there is no solution.” “Obesity affects you in many ways. It makes you tired. Obesity can you make more prone to diabetes.”
“Many obese people have diabetes. I think there are few thin people who have diabetes too.” “I know many Latin people who have diabetes, but most don't. But it's a bad illness that it limits you. Latin people love sweet food sweet desserts. Sweets and greasy food.” “Because of the type of food they eat. I don't want to discriminate, but they say that black people have a higher probability of developing diabetes than Hispanics or white people.”
“Because obesity cause health disorders like palpitations, diabetes, and other health issues, such as tiredness. Obesity brings forth a whole bunch of illnesses.” “Yes, there is problem with obesity because the lack of exercise, exactly. Everything here is drive, drive, drive.” “It's because of lack of exercise, yes, and what we eat, the larger portions restaurants serve.” “There's a whole bunch of things that obesity causes. I think it's extremely bad – it can give you cholesterol, high blood pressure, etc.” “Super important. Diabetes affects your kidneys. “People eat what they like most. Yep. What we like most, and that's what hurts more.” “Look a young friend of mine has diabetes. She didn't take care of herself and they had to cut off some toes from one of her feet.”
Theme 2: Knowledge and awareness about Type 2 DM
“Nevertheless, people who have it or who know that they have it don't take their health into consideration. They think it's something, let's say, like a cold because of the symptoms and they don't take additional precautions. That's the important part of diabetes that, well, you have to really consider taking care of yourself.” “Well, the first is -- well, Type 1 DM is when you have it at a very young age -- as children and adolescents. Type 2 DM is when you're an adult, which is more serious.”
“I know there' are two. Type 2 is the worst kind. I know that one is of minimal concern and the other one has higher risks.” “Type 2 is stronger or they're the same. I don't know. I think it's stronger. Type 2 is stronger
“Diabetes is an illness in which you have to take medication, but it would no cure it. You have to keep a lifetime treatment.” “Insulin helps the body work and prevents diabetes. It lowers sugar.”
“They also say it depends on your class. If you're of middle-class or high-class, you're supposedly more likely to use insulin than someone of low income.” “Type 2 is when the body doesn't absorb the insulin.”
Theme 3: Knowledge of prevention campaigns in the community
“There is nothing. There is nothing. Everything is about cancer and asking for money for everything.” “There are some. What happens is that we live in such a large city that it's not easy for people to go. For example, you have a YMCA where kids can exercise, and they can be active.”
“No. No. Not here.” “Well, I'm sure there are. The problem is we need to look for it. We don't really check to see if there are any or not, because we get home from work, have dinner, and go to bed.”
“Nothing, nothing” “Yes. I have classes with a nutritionist and sometimes they'll take us to the grocery store to learn how to read the products and learn about the carbs and sodium -- all those things that products have. So, in that sense, yes, they do.” “Well, I don't know about that, but I live close to the hospital. They haven't really advertised it on the street.”
Theme 4. Recommendations to improve diabetes/ obesity prevention.
“Help them to be preventative and getting annual check-ups I think all this is a matter of education. Education. I'm not taking about bad manners or anything like that, but rather, educate them so that they know that it's an illness that anyone can get but that anyone can get treatment to cure it.” “It's also the lifestyle we have here in the U.S because in my country we walk everywhere, walk, walk, walk. , Here, everything is easy. Drive-thru -- you go through drive-thru – everything: change these lifestyles!”
“Educating yourself.” “Form a group to give a class.”
“Getting on a diet, but that's expensive.” It'd be a good idea, for example, for a hospital or even our doctors to have a dedicated office or a special area designated for you to practice what the doctor tells you to do because sometimes the doctor will tell you do this, but we don't know find a place to do it. Then we forget what they said -- some stuff.” “Cubans, for example, we're used to eating rice, bread, cookies, black beans, pork. So sometimes it – and also the way on how we prepare our food can also affect us, right? So, what can you do to make your culture's food a bit healthier to prevent diabetes? Cook with olive oil”
“Like other illnesses have where they get together, and they do something similar to what we're doing. Or for example people who have diabetes can get together and say, well, look, this week I was good, just like Just like Alcoholic Anonymous” “Good nutrition, and being calm, and get medical check-ups, right?”
“But it'd be nice to have a campaign to show publications on TV or -- so that parents can -- just the same as they play on the computer with the Gameboy and -- Video games. “There should be more education for the people who live in this community.”
Theme 5. Recommendations to health care providers to improve access to medical care.
“The cost. And some don't have legal residency. It shouldn't matter if you have your papers, where you're from or how you are or if you work or not. The U.S. should cover those fees. They should help people in need.” “More education.”
“Language is also very important because many times we don't understand what's happening. Why? Because we don't know English and there aren't any translators where we go. You want to educate yourself. You want to do things, but you can't. You have that language barrier.” “Hispanic doctors who speak our language. I think it would help us to get healthier, go to the doctor more often.” “Yes. Doctor involved in patient's life because each patient is different.”
“You enter and it's a person who you don't think will understand you and it's a cold, distant person and you close yourself off. If you get a guy like those who aren't very friendly, you'll shut yourself off, but if you get a person who is kind, caring, and can speak to you in Spanish, it is different.” “Be more humane, yes, yes, or more professional too. If that's your profession, well, I mean.” “Explain more things to them”
The doctors here don't explain anything. What do they ever explain to patients? Nothing.” “Talk to them more in a way that they'll understand.”
“I think doctors owe their patients—whether they think so or not -- but at least demonstrate a bit of interest rather than you being there only to sign their paycheck. And the majority -- I won't say that all doctors are the same because that's not true, but I know that everything here is about money and it's much more important to them to follow the money than saying, well, this person” “More communication with patients A doctor who inform me better. My doctor has never given me information on diabetes or other diseases.”
“It's good and important that there are Spanish-speaking doctors because there are a lot of people who don't speak English. The doctors will go on and on and on, but we don't understand anything. I mean, I say yes, yes. We say yes, yes, yes, but we don't really understand what the doctor said.” “Better communication and especially on how to eat healthy and exercise.”
“You need someone (Dr) to converse with, someone to guide you, someone to tell you that you need to do it, right, motivate you, get them excited.” “Provide more education about diet”