The Influence of the Social Determinants of Health on Diabetes Self-Management in Rural Appalachia

2.50
Hdl Handle:
http://hdl.handle.net/10755/335031
Category:
Full-text
Type:
Presentation
Title:
The Influence of the Social Determinants of Health on Diabetes Self-Management in Rural Appalachia
Other Titles:
Diabetic Management and Health Promotion
Author(s):
Clark, Myra Leslie
Lead Author STTI Affiliation:
Beta Kappa
Author Details:
Myra Leslie Clark, PhD, RN, NP-C, mlc4bf@virginia.edu
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Diabetes, a worldwide public health concern, has been linked with lower socioeconomic status, obesity, poor nutrition, membership in certain racial and/or ethnic groups, and family history of diabetes - factors often present in both urban and rural regions. Researchers are finding that greater knowledge of the relationship between social determinants of health and diabetes may provide insight into individuals' health outcomes related to diabetes. The purpose of this descriptive phenomenological study was to explore the social determinants of health as they relate to diabetes self-management in a rural United States population. Methods: This qualitative analysis is part of a study to gain insight into the individual's perspective on living with diabetes given the social determinants of her/his situation. Recruitment of 10 adults was accomplished through key community contacts, local physicians, and posted flyers. Participants were both male (n=6) and female (n=4), on average 46.5 years of age, and had been diagnosed with diabetes for about 11 months (range 2-18 months). For purposes of this study, qualitative data were collected from digitally-recorded sessions and then analyzed using constant comparison and procedures to avoid bias. Identified themes were extracted to provide insight into individuals' perspectives of living with diabetes. Results: Data analysis revealed three major themes related to the influence of the social determinants of health on the individual's perspective on living with diabetes: (1) importance of work; 2) importance of social connectivity/support; and (3) importance of family and sense of place in self-definition. Conclusion: Diabetes is a nationwide public health concern in the United States; however, individuals in rural communities often face unique barriers or challenges. Results of this qualitative study offer healthcare providers helpful insight about facilitators and barriers to living with diabetes among a sample of rural residents from Southern Appalachia, United States. Findings illustrate the influence of external or upstream social determinants on the individual's health. Further research to determine the influence of social determinants on diabetes self-management will help to improve individuals' health outcomes.
Keywords:
Diabetes mellitus; Social determinants; Health disparities
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14I04
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Influence of the Social Determinants of Health on Diabetes Self-Management in Rural Appalachiaen
dc.title.alternativeDiabetic Management and Health Promotionen
dc.contributor.authorClark, Myra Leslieen
dc.contributor.departmentBeta Kappaen
dc.author.detailsMyra Leslie Clark, PhD, RN, NP-C, mlc4bf@virginia.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335031-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Diabetes, a worldwide public health concern, has been linked with lower socioeconomic status, obesity, poor nutrition, membership in certain racial and/or ethnic groups, and family history of diabetes - factors often present in both urban and rural regions. Researchers are finding that greater knowledge of the relationship between social determinants of health and diabetes may provide insight into individuals' health outcomes related to diabetes. The purpose of this descriptive phenomenological study was to explore the social determinants of health as they relate to diabetes self-management in a rural United States population. Methods: This qualitative analysis is part of a study to gain insight into the individual's perspective on living with diabetes given the social determinants of her/his situation. Recruitment of 10 adults was accomplished through key community contacts, local physicians, and posted flyers. Participants were both male (n=6) and female (n=4), on average 46.5 years of age, and had been diagnosed with diabetes for about 11 months (range 2-18 months). For purposes of this study, qualitative data were collected from digitally-recorded sessions and then analyzed using constant comparison and procedures to avoid bias. Identified themes were extracted to provide insight into individuals' perspectives of living with diabetes. Results: Data analysis revealed three major themes related to the influence of the social determinants of health on the individual's perspective on living with diabetes: (1) importance of work; 2) importance of social connectivity/support; and (3) importance of family and sense of place in self-definition. Conclusion: Diabetes is a nationwide public health concern in the United States; however, individuals in rural communities often face unique barriers or challenges. Results of this qualitative study offer healthcare providers helpful insight about facilitators and barriers to living with diabetes among a sample of rural residents from Southern Appalachia, United States. Findings illustrate the influence of external or upstream social determinants on the individual's health. Further research to determine the influence of social determinants on diabetes self-management will help to improve individuals' health outcomes.en
dc.subjectDiabetes mellitusen
dc.subjectSocial determinantsen
dc.subjectHealth disparitiesen
dc.date.available2014-11-17T13:42:25Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:42:25Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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