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Title
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‘What kind of life is this?’ Diabetes related notions of wellbeing among adults in eastern Uganda and implications for mitigating future chronic disease risk
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Author
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Abstract
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| Background:Effective prevention and care for type 2 diabetes requires that people link healthy behaviours tochronic disease-related wellbeing. This study explored how people perceive current and future wellbeing, so as toinform lifestyle education.Methods:Eight focus group discussions and 12 in-depth interviews were conducted in Iganga and Mayugedistricts in rural Eastern Uganda among people aged 35–60 years in three risk categories (1) People with diabetes,(2) people at higher risk of diabetes (with hypertension or overweight) and (3) community members withoutdiabetes.Results:People define wellbeing in three notions: 1) Physical health, 2) Socio-economic status and 3) Aspirationalfulfilment. Most people hold the narrower view of wellbeing that focuses on absence of pain. Most overweightparticipants did not feel their condition as affecting their wellbeing. However, for several people with hypertension,the pains they describe indicate probable serious heart disease. Some people with diabetes expressed deep worryand loss of hope, saying that‘thoughts are more bothersome than the illness’. Wellbeing among people withdiabetes was described in two perspectives: Those who view diabetes as a‘static’condition think that they cannotattain wellbeing while those who view it as a‘dynamic’condition think that with consistent treatment and healthylifestyles, they can be well. While many participants perceive future wellbeing as important, people withoutdiabetes are less concerned about it than those with diabetes. Inadequate knowledge about diabetes, drug stock-outs in health facilities, unaffordable healthier food, and contradictory information were cited as barriers to futurewellbeing in people with diabetes.Conclusions:To make type 2 diabetes prevention relevant to healthy people, health education messages shouldlink current lifestyles to future wellbeing. Diabetes patients need counselling support, akin to that in HIV care, toaddress deep worry and loss of hope. |
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Language
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English
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Source (journal)
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BMC public health. - London
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Publication
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London
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2018
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ISSN
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1471-2458
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DOI
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10.1186/S12889-018-6249-0
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Volume/pages
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18
(2018)
, p. 1-13
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Article Reference
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1409
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ISI
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000454409500005
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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