title: A cultural lens to understanding daily experiences with type 2 diabetes self-management among clinic patients in M'bour, Senegal.
abstract: Diabetes is a steadily increasing threat in Sub-Saharan Africa (SSA). Factors such as urbanization, obesity, physical inactivity, and inadequate access to healthcare are believed to contribute to the increasing burden of diabetes. Interventions that optimize diabetes self-management are critically important since obtaining diabetes medications is challenging due to cost constraints and availability. Culture is a significant factor in shaping health behaviors such as diabetes self-management, where individual health behaviors operate in confluence with family, community, and social structures. This study examined experiences with diabetes self-management among clinic patients residing in M'bour, Senegal, using the PEN3 model as a cultural framework. Results indicate that financial challenges related to accessing medical care and adhering to the prescribed diabetic diet were the main barriers to diabetes management. Family dynamics serve as both supportive and inhibiting forces that influence the aforementioned barriers.
authors.affiliation: Pennsylvania State University.
authors.forename: Rhonda
authors.initials: R
authors.lastname: BeLue
authors.forename: Mor
authors.initials: M
authors.lastname: Diaw
authors.forename: Fatou
authors.initials: F
authors.lastname: Ndao
authors.forename: Titilayo
authors.initials: T
authors.lastname: Okoror
authors.forename: Arnold
authors.initials: A
authors.lastname: Degboe
authors.forename: Beatrice
authors.initials: B
authors.lastname: Abiero
mesh_terms: D003469:Culture; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000628:therapy*; D004032:Diet / Q000208:ethnology; D005190:Family; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D008297:Male; D016488:Medicine, African Traditional / Q000706:statistics & numerical data; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology; D036301:Qualitative Research; D012648:Self Care / Q000379:methods*; D012675:Senegal; D012944:Social Support; D012959:Socioeconomic Factors