title: Experience of dietary advice among Pakistani-born persons with type 2 diabetes in Oslo.
abstract: Experience and implementation of dietary advice are influenced by various factors including ethnic, cultural and religious background. The aim is to explore how ethnic minority persons with diabetes experience dietary advice given by Norwegian health-workers, which strategies they have in response to the advice and how they explain their actions. In-depth interviews were performed with 15 Pakistani-born persons with type 2 diabetes living in Oslo. The analyses are based on the principles of Giorgi's interpretation of phenomenology. The participants expressed great concern to follow the advice. However, narratives about constraints were numerous. These concerned different life-situational factors, but more importantly they were related to communication problems arising from discontinuities between universalising medical knowledge and lay knowledge, as well as between different types of culturally defined lay knowledge. As a consequence, advice was generally experienced as inadequately based on the participant's food-cultural background, leaving the person with diabetes to do the translation between different levels of knowledge. In general health-workers would benefit from expanding their knowledge of the many positive aspects of their patients' cultural background, and apply their knowledge thereafter, whether it concerns (food)-culture or the impact of religion in everyday life.
authors.affiliation: Department of Nutrition, Institute for Basic Medical Sciences, University of Oslo, 0316 Oslo, Norway. r.a.fagerli@medisin.uio.no
authors.forename: Rønnaug Aa
authors.initials: RA
authors.lastname: Fagerli
authors.forename: Marianne E
authors.initials: ME
authors.lastname: Lien
authors.forename: Margareta
authors.initials: M
authors.lastname: Wandel
mesh_terms: D000328:Adult; D000368:Aged; D003431:Cross-Cultural Comparison; D003469:Culture; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy* / Q000208:ethnology*; D003927:Diet, Diabetic / Q000523:psychology*; D005006:Ethnicity; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D009664:Norway / Q000453:epidemiology; D010154:Pakistan / Q000208:ethnology; D010817:Physician-Patient Relations; D011369:Professional-Patient Relations