RNSurveyJournal of transcultural nursing : official journal of the Transcultural Nursing Society2026

Filial Piety and Tiwala: Diabetes Knowledge and Family Support Among Chinese and Filipino Americans.

Therese Doan, Sumiyo Brennan, Hillary Nicole Peregrina and 3 others

PMID 40842324

WHAT IT FOUND

Filipino parents had 2.05 points higher diabetes knowledge than Chinese parents, but the practical gap was small.

Adult children's knowledge differed little, and family support related to knowledge differently by ethnicity.

Key findings

01Filipino parents' diabetes knowledge scores averaged 2.05 points higher than Chinese parents, a significant but small practical difference.

02Chinese adult children scored 0.53 points higher than Filipino adult children, but this difference was not statistically significant.

03Ethnicity changed the link between adult children's diabetes knowledge and family support: Filipino adult children showed a positive link, while Chinese adult children showed an inverse link.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

This is a survey of existing families, so it cannot show that one factor caused another. Subgroup analyses were based on 50 participants per group, which limits how far the findings should be generalised. About 20% of participants declined to report income, and insurance status was not collected, so socioeconomic access factors were incomplete. The study reports survey scores for knowledge and support, not measured diabetes outcomes.

Declared interests

The authors declared no potential conflicts of interest.

The easy way to misread this

Do not conclude that Filipino parents have better diabetes care or that Chinese families lack support. The knowledge gap was small, adult children's scores did not differ significantly, and high Chinese family support did not mean higher knowledge.

Read it on PubMed →