Living with diabetes and disadvantage: A qualitative, geographical case study.
aboriginal
diabetes
fatalism
health literacy
low socioeconomic
multicultural issues
qualitative study
type 2 diabetes
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
18
07
2019
revised:
22
02
2020
accepted:
07
04
2020
pubmed:
17
4
2020
medline:
25
8
2020
entrez:
17
4
2020
Statut:
ppublish
Résumé
To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. Community-level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio-economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. Qualitative, geographical case study approach. A convenience sample of 17 people living with diabetes in a diabetogenic, low-socio-economic urban area participated in face-to-face, semi-structured interviews. Interviews were audio-recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. Findings from this study have highlighted a need to re-examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area.
BACKGROUND
BACKGROUND
Community-level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio-economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes.
DESIGN
METHODS
Qualitative, geographical case study approach.
METHODS
METHODS
A convenience sample of 17 people living with diabetes in a diabetogenic, low-socio-economic urban area participated in face-to-face, semi-structured interviews. Interviews were audio-recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines.
FINDINGS
RESULTS
Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes.
CONCLUSIONS
CONCLUSIONS
This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Findings from this study have highlighted a need to re-examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.
Types de publication
Journal Article
Langues
eng
Pagination
2710-2722Subventions
Organisme : Internal Faculty of Health, Research Seed Grant
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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