Perceptions and experiences of nondiabetic Cameroonian immigrants in Minnesota on access to affordable, culturally adapted healthcare services

Abstract

Cameroonian immigrants, like many ethnic minority groups, face disproportionately high risks of type 2 diabetes due to barriers in accessing culturally responsive and affordable healthcare. This study explores their healthcare experiences, perceptions, and knowledge of diabetes prevention and self-management to identify gaps in healthcare delivery and opportunities for culturally adapted interventions. Using a phenomenological approach, 13 nondiabetic Cameroonian immigrants were purposively selected for in-depth interviews. Data were transcribed, manually coded, and analyzed using NVivo 14 software to identify recurring themes related to healthcare interactions and diabetes prevention efforts. Participants frequently reported leaving medical appointments without fully understanding their healthcare providers’ advice, leading to confusion and poor health outcomes. Many expressed frustration over the lack of integration between psychosocial and physical health needs in their care. Additionally, they emphasized the need for culturally tailored health education, particularly regarding portion control and the nutritional value of traditional foods, to support healthier dietary habits. This study underscores the urgent need for culturally sensitive healthcare approaches that address the holistic needs of immigrant communities. Strengthening provider-patient communication, fostering trust, and incorporating culturally relevant dietary guidance can enhance diabetes prevention and self-management efforts among Cameroonian immigrants. Healthcare systems should implement culturally tailored interventions to reduce health disparities and improve provider-patient interactions. Training healthcare providers to adopt a more holistic approach—integrating both psychosocial and physical health considerations—can lead to better health outcomes. Additionally, promoting culturally relevant education on diabetes prevention and management can empower immigrant populations to make informed health decisions and adopt sustainable self-care practices.