IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i13-14p2710-2722.html
   My bibliography  Save this article

Living with diabetes and disadvantage: A qualitative, geographical case study

Author

Listed:
  • Tamara Power
  • Ray Kelly
  • Kim Usher
  • Leah East
  • Jo Travaglia
  • Hamish Robertson
  • Ann Wong
  • Debra Jackson

Abstract

Aims and objectives To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. 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 Qualitative, geographical case study approach. 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 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 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 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.

Suggested Citation

  • Tamara Power & Ray Kelly & Kim Usher & Leah East & Jo Travaglia & Hamish Robertson & Ann Wong & Debra Jackson, 2020. "Living with diabetes and disadvantage: A qualitative, geographical case study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2710-2722, July.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2710-2722
    DOI: 10.1111/jocn.15295
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15295
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15295?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Liu, S.Y. & Walter, S. & Marden, J. & Rehkopf, D.H. & Kubzansky, L.D. & Nguyen, T. & Glymour, M.M., 2015. "Genetic vulnerability to diabetes and obesity: Does education offset the risk?," Social Science & Medicine, Elsevier, vol. 127(C), pages 150-158.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Amin, Vikesh & Behrman, Jere R. & Fletcher, Jason M. & Flores, Carlos A. & Flores-Lagunes, Alfonso & Kohler, Hans-Peter, 2019. "Mental Health, Schooling Attainment and Polygenic Scores: Are There Significant Gene-Environment Associations?," GLO Discussion Paper Series 362, Global Labor Organization (GLO).
    2. Mirjam Frank & Nico Dragano & Marina Arendt & Andreas J Forstner & Markus M Nöthen & Susanne Moebus & Raimund Erbel & Karl-Heinz Jöckel & Börge Schmidt, 2019. "A genetic sum score of risk alleles associated with body mass index interacts with socioeconomic position in the Heinz Nixdorf Recall Study," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-14, August.
    3. Amin, Vikesh & Böckerman, Petri & Viinikainen, Jutta & Smart, Melissa C. & Bao, Yanchun & Kumari, Meena & Pitkänen, Niina & Lehtimäki, Terho & Raitakari, Olli & Pehkonen, Jaakko, 2017. "Gene-environment interactions between education and body mass: Evidence from the UK and Finland," Social Science & Medicine, Elsevier, vol. 195(C), pages 12-16.
    4. Yuwei Qi & Annemarie Koster & Martin van Boxtel & Sebastian Köhler & Miranda Schram & Nicolaas Schaper & Coen Stehouwer & Hans Bosma, 2019. "Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    5. Amin, Vikesh & Dunn, Paul & Spector, Tim, 2018. "Does education attenuate the genetic risk of obesity? Evidence from U.K. Twins," Economics & Human Biology, Elsevier, vol. 31(C), pages 200-208.
    6. Bierut, Laura & Biroli, Pietro & Galama, Titus J. & Thom, Kevin, 2023. "Challenges in studying the interplay of genes and environment. A study of childhood financial distress moderating genetic predisposition for peak smoking," Journal of Economic Psychology, Elsevier, vol. 98(C).
    7. Vikesh Amin & Jere R. Behrman & Jason M. Fletcher & Carlos A. Flores & Alfonso Flores-Lagunes & Hans-Peter Kohler, 2020. "Mental Health, Schooling Attainment and Polygenic Scores: Are There Significant Genetic-Environmental Associations?," PIER Working Paper Archive 20-007, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2710-2722. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.