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

Power, T; Kelly, R; Usher, K; East, L; Travaglia, J; Robertson, H; Balintongog, A; Jackson, D

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

Power, T

Kelly, R Usher, K East, L

Travaglia, J

Robertson, H Balintongog, A Jackson, D

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Publication Type:: Journal Article
Citation:: J Clin Nurs, 2020
Issue Date:: 2020-04-16

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Field	Value	Language
dc.contributor.author	Power, T https://orcid.org/0000-0002-3334-0322	en_US
dc.contributor.author	Kelly, R	en_US
dc.contributor.author	Usher, K	en_US
dc.contributor.author	East, L https://orcid.org/0000-0002-4757-2706	en_US
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466	en_US
dc.contributor.author	Robertson, H	en_US
dc.contributor.author	Balintongog, A	en_US
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.date.accessioned	2020-04-20T23:43:21Z
dc.date.available	2021-04-21T19:01:05Z
dc.date.issued	2020-04-16	en_US
dc.identifier.citation	J Clin Nurs, 2020	en_US
dc.identifier.uri	http://hdl.handle.net/10453/140124
dc.description.abstract	AIMS AND OBJECTIVES: The aim of the study was 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 contributes 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-socioeconomic 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.	en_US
dc.language	eng	en_US
dc.relation.ispartof	J Clin Nurs	en_US
dc.relation.isbasedon	10.1111/jocn.15295	en_US
dc.subject.classification	Nursing	en_US
dc.title	Living with diabetes and disadvantage: A qualitative, geographical case study.	en_US
dc.type	Journal Article
utslib.location.activity	England	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.publication-status	Published online	en_US

Abstract:

AIMS AND OBJECTIVES: The aim of the study was 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 contributes 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-socioeconomic 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.

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http://hdl.handle.net/10453/140124