British-Pakistani women’s perspectives of diabetes self-management:The role of identity

Majeed-Ariss, Rabiya, Jackson, Cath, Knapp, Peter and Cheater, Francine (2015) British-Pakistani women’s perspectives of diabetes self-management:The role of identity. Journal of Clinical Nursing, 24 (17-18). 2571–2580. ISSN 0962-1067

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Abstract

Aims and objectives. To explore the effects of type 2 diabetes on British-Pakistani women’s identity and its relationship with self-management. Background. Type 2 diabetes is more prevalent and has worse outcomes among some ethnic minority groups. This may be due to poorer self-management and an inadequate match of health services to patient needs. The influence that type 2 diabetes has on British-Pakistani women’s identity and subsequent self-management has received limited attention. Design. An explorative qualitative study. Methods. Face-to-face semi-structured English and Urdu language interviews were conducted with a purposively selected heterogeneous sample of 15 British-Pakistani women with type 2 diabetes. Transcripts were analysed thematically. Results. Four themes emerged: Perceived change in self emphasised how British-Pakistani women underwent a conscious adaptation of identity following diagnosis; Familiarity with ill health reflected women’s adjustment to their changed identity over time; Diagnosis improves social support enabled women to accept changes within themselves and Supporting family is a barrier to self-management demonstrated how family roles were an aspect of women’s identities that was resilient to change. The over-arching theme Role re-alignment enables successful self-management encapsulated how self-management was a continuous process where achievements needed to be sustained. Inter-generational differences were also noted: first generation women talked about challenges associated with ageing and co-morbidities; second generation women talked about familial and work roles competing with self-management. Conclusions. The complex nature of British-Pakistani women’s self-identification requires consideration when planning and delivering healthcare. Relevance to clinical practice. Culturally competent practice should recognise how generational status influences self-identity and diabetes self-management in ethnically diverse women. Health professionals should remain mindful of effective self-management occurring alongside, and being influenced by, other aspects of life.

Item Type: Article
Uncontrolled Keywords: ethnic minority,selfmanagement,pakistani,race,immigrant,identity,ethnicity,type 2 diabetes,women
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: Pure Connector
Date Deposited: 24 Jul 2015 23:06
Last Modified: 22 Jul 2020 00:19
URI: https://ueaeprints.uea.ac.uk/id/eprint/53818
DOI: 10.1111/jocn.12865

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