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Vol. 17 No. 2 (2013): African Sociological Review

6 - The management of diabetes among the rural poor in South Africa

https://doi.org/10.57054/asr.v17i2.3786
Olajide Oloyede
Research in Anthropology and Sociology of Health (RASH) Department of Anthropology and Sociology, University of the Western Cape, Cape Town, South Africa
https://orcid.org/0000-0003-0504-8575

Corresponding Author(s) : Olajide Oloyede

jide.oloyede@gmail.com

African Sociological Review, Vol. 17 No. 2 (2013): African Sociological Review

Abstract

The objective of this study was to examine the management of diabetes mellitus Type 2 among the rural poor in South Africa. The focus group method was used. Data was elicited from 20 group sessions over a 20-week period on health beliefs and attitudes and rural-dwelling diabetes sufferers’ strategies for managing the condition. The study shows poor knowledge of diabetes and poor self-management as delineated in the medical literature. The focus of the rural dwellers’ self-management of diabetes was hypoglycaemic control through regular consumption of very-high-calorie food, the type of which have been found to lead to a diet that has very high carbohydrate, high in saturated fatty acids, excess salt and unrefined sugar. The rationale for this is the misconception that hypoglycaemia is a product of low food intake, which would seem to suggest their perception of illness and health belief than the understanding of chronic illness. It was concluded that the government and health care professionals have to do more to develop interventions to facilitate good self-management of diabetes among the rural people. Such interventions should address the sufferers’ knowledge of diabetes.

Keywords

Care interventions Chronic Illness Diabetes Focus Groups Health Belief Health Monitoring Health Policy Rural Health South Africa
Olajide Oloyede. (2015). 6 - The management of diabetes among the rural poor in South Africa. African Sociological Review, 17(2), 81–99. https://doi.org/10.57054/asr.v17i2.3786
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References
  1. American Diabetes Association. The pharmacological treatment of hyperglycaemia in NIDDM. Diabetes Care. 18:1510-1518
  2. Barburr, R. and Kitzinger J. (eds.) (1998) Developing Focus groups research. London: Sage Bruce, David, G., Davis, Wendy, A., Cull, Caroline, A. and Davis, Timothy, M. E. (2003) Diabetes Education and Knowledge in patients with type 2 diabetes from the community The Freemantle Diabetes Study. Journal of Diabetes and its Complications. 17:82-89
  3. Bruckert, E., Simonetta, C., and Giral, P. (1999) Compliance with Florastatin treatment characterization of the noncompliant population with a population of 3854 patients with hyperlipidemi: CREOLE study team. Journal of Clinical Epidemiology. 52:589-594
  4. Carver, Charles, S., Scheier, Michael. F. and Weintraub, Jagdish, Kumani (1986) Assessing Coping Strategies: A Theoretically Based Approach. Journal of Personality and Social Disorder. Vol. 56, 2:267-283
  5. Charmarz, K. (1990) Discovering chronic illness: Using grounded theory. Social Science and Medicine. 30:1161-1172
  6. Fife, B. L. (1995) The measurement of meaning in illness. Social Science and Medicine.40 (8): 1021-1028
  7. Folkman, S. and Lazarus, R.S. (1980) An analysis of coping in a middle-aged community sample. Journal of Health and Social Behaviour. 2:219-239
  8. Folkman, S., Lazarus, R.S., Dunkel-Schetter, C., DeLongis, A. and Gruen, R.J. (1986) Dynamics of stressful encounter: Cognitive appraisal, coping and encounter extremes. Journal of Personality and Social Psychology. 50:992-1003
  9. Gonen, B., Rubeistein, A.H., Rochman, H., Tanegam, S. P. and Hirwitz, D. L (1977) Haemoglobin A1: An indicator of the metabolic control of diabetes patients. Lancet 2:737- 736
  10. Harris, M. A., Wysocki, T., Sadler, M., Wilkinson, K., Harvey, L. M., Bruckloh, L. M., Marras, N. and White, N. H. (2000) Validation of a structured interview for the assessment of diabetes self-management. Diabetes Care. 23:1301-1304
  11. Hirschowitz, R. (2000) Measuring Poverty. Pretoria: Statistics South Africa
  12. Hoppe, M., Nell, E. A., Wilsdon, A., Gilman, M. R. and Morrison, D. M. (1994) Children’s Knowledge and beliefs about AIDS: Qualitative Data from focus group interviews. Health Education Quarterly. 21:117-126
  13. Kaplan. R. M., Sallis, J. F. and Patterson, T. L. (1993) Health and Human Behaviour.New York: McGraw Hill
  14. Kitzinger, J. (1995) Introducing Focus Groups. British Medical Journal 12(3): 319-335;
  15. Krueger, R. A. (1994) Focus groups: A practical guide for applied research (2nd.Edn.), Newbury Park; CA: Sage
  16. Lazarus, R. S. and Folkman, S (1984) Stress appraisal and coping. New York: Springer Mason, J. (1987) Qualitative Researching. London: Sage
  17. Morgan, D. R. (1996) Focus groups. Annual Review of Sociology. 22:129-152 Morgan, D. L. and Krueger, R. A. (1993) When to use focus groups and why, pp.3-19: In: Successful focus groups: Advancing the state of the art Morgan, D. L. (ed.) London: Sage
  18. Norris, S. L., Engelgao, M. M., Narayan, K. M. (2001) Effectiveness of self- management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 24:561-587
  19. Oloyede, O. (2004) A survey of diabetes mellitus in selected health centres in the Eastern Cape. Unpublished Report. Alice: University of Fort Hare.
  20. Radley, A (1999) Social Realms and the qualities of illness experience, pp.16-30: In: Qualitative health psychology: Theories and Methods. M. Murray and K. Chamberlain (Eds.). London: Sage
  21. Rand,C.S (1993) Measuring adherence with therapy for chronic diseases: Implications for the treatment of heterozygous familial hypercholesterolemia. American Journal of Cardiology. 72:68D-74D
  22. Scheier, M.F., Weintraub, J. K and Carver, C. S. (1986) Coping with stress: Divergent strategies of optimists and pessimists. Journal of Personality and Social Psychology. 51:1257- 1264
  23. Schrott, H. G., Bittner, V., Vittinghloff, E., Herrington, D. M. and Hulley, S, (1997) Adherence to National Cholestorol Education Programme treatment goals in postmenopausal women with heart disease. Journal of the American Medical Association. 277:1281-1286
  24. Snehalatha, C., Ramachandran, A., Satyavani, K. and Vijay, V (2000) Limitations of glucosylated haemoglobin as an indicator of glucose intolerance. Diabetes Research and Clinical Practice. 47:129-133.
  25. Stewart, D. W. and Shamdasani, P. N (1990) Focus groups: Theory and Practice.London: Sage
  26. Toobert, D. J., Hampson, S. E. and Glasgow, R. E. (2000) The summary of diabetes self-care activities and a revised scale. Diabetes Care. 23:943-950
  27. United Kingdom Prospective Diabetes Study (UKPDS) Group. (1998) Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34).
  28. Lancet. 352:854- 865 (Erratum (1998), pp. 1557: In: Lancet 352).
  29. Ware, N. C and Kleinman, A (1992) Culture and Somatic experience: The social course of illness in neurasthenia and chronic fatigue syndrome. Psychosomatic Medicine 54:546-560
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