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“I Had to Rediscover Our Healthy Food”: An Indigenous Perspective on Coping with Type 2 Diabetes Mellitus

Author

Listed:
  • Maya Maor

    (Department of Sociology and Anthropology, Ariel University, Ariel 4070000, Israel)

  • Moflah Ataika

    (Clalit Health Services, Siaal Research Center for Family and Primary Care, Division of Community Health, Ben Gurion University of the Negev, Beer-Sheva 8410501, Israel)

  • Pesach Shvartzman

    (Pain and Palliative Care Unit, Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Ben Gurion University of the Negev, Beer-Sheva 8410501, Israel)

  • Maya Lavie Ajayi

    (Gender Studies, Ben Gurion University of the Negev, Beer-Sheva 8410501, Israel)

Abstract

Type 2 Diabetes Mellitus (T2DM) is disproportionally prevalent among the Bedouin minority in Israel, with especially poor treatment outcomes compared to other indigenous groups. This study uses the perspective of the Bedouins themselves to explore the distinct challenges they face, as well as their coping strategies. The study is based on an interpretive interactionist analysis of 49 semi-structured interviews with Bedouin men and women. The findings of the analysis include three themes. First, physical inequality: the Bedouin community’s way of coping is mediated by the transition to a semi-urban lifestyle under stressful conditions that include the experience of land dispossession and the rupture of caring relationships. Second, social inequality: they experience an inaccessibility to healthcare due to economic problems and a lack of suitable informational resources. Third, unique resources for coping with T2DM: interviewees use elements of local culture, such as religious practices or small enclaves of traditional lifestyles, to actively cope with T2DM. This study suggests that there is a need to expand the concept of active coping to include indigenous culture-based ways of coping (successfully) with chronic illness.

Suggested Citation

  • Maya Maor & Moflah Ataika & Pesach Shvartzman & Maya Lavie Ajayi, 2021. "“I Had to Rediscover Our Healthy Food”: An Indigenous Perspective on Coping with Type 2 Diabetes Mellitus," IJERPH, MDPI, vol. 19(1), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:159-:d:710153
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    References listed on IDEAS

    as
    1. Ram D. Joshi & Chandra K. Dhakal, 2021. "Predicting Type 2 Diabetes Using Logistic Regression and Machine Learning Approaches," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    2. Campbell, Rona & Pound, Pandora & Pope, Catherine & Britten, Nicky & Pill, Roisin & Morgan, Myfanwy & Donovan, Jenny, 2003. "Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care," Social Science & Medicine, Elsevier, vol. 56(4), pages 671-684, February.
    3. Maclean, Heather M., 1991. "Patterns of diet related self-care in diabetes," Social Science & Medicine, Elsevier, vol. 32(6), pages 689-696, January.
    4. Chino, M. & DeBruyn, L., 2006. "Building true capacity: Indigenous models for indigenous communities," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 596-599.
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    1. Pedro Henrique Ribeiro Santiago & Gustavo Hermes Soares & Lisa Gaye Smithers & Rachel Roberts & Lisa Jamieson, 2022. "Psychological Network of Stress, Coping and Social Support in an Aboriginal Population," IJERPH, MDPI, vol. 19(22), pages 1-22, November.
    2. Kathleen Abu-Saad & Nihaya Daoud & Giora Kaplan & Arnona Ziv & Arnon D. Cohen & Liraz Olmer & Daphna Pollack & Ofra Kalter-Leibovici, 2022. "Comparing Patient Perspectives on Diabetes Management to the Deficit-Based Literature in an Ethnic Minority Population: A Mixed-Methods Study," IJERPH, MDPI, vol. 19(22), pages 1-17, November.

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