Colonial Mentality and Diabetes Self-Management in Filipino Americans.

Only 37 of 322 people who accessed the survey completed it, an 11.5% response rate, so the findings may reflect a small, motivated group. The sample was recruited through convenience methods, including social media and organisations, and may not represent all Filipino Americans with type 2 diabetes. The design was cross-sectional and self-reported, so it cannot show that colonial mentality causes poorer diabetes self-management. The paper says more reporting on control variables and covariates is needed to address confounders such as education and acculturation. Missing data for the main variables ranged from 0% to 2.9%, and listwise deletion was used. One non-binary participant was omitted from the gender analysis, limiting gender findings. HbA1c was not significantly correlated with colonial mentality measures, so the associations were with self-reported behaviours rather than a blood glucose marker.

Do not read these associations as proof that colonial mentality causes poorer diabetes self-management. The study measured both at one time in 37 self-selected Filipino American adults, so it cannot show cause or effect.