title: Too little, too late: Socioeconomic disparities in the experience of living with diabetes.
abstract: The purpose of this article is to examine whether or not subjective social status (SSS) contributes to diabetes diagnosis and disease discovery experiences. Eighteen diabetic women participated in semi-structured interviews. Interview transcripts were reviewed and coded using interpretative phenomenological analysis. Several general themes emerged from the data analysis: SSS shaped different experiences through (a) situations of diabetes discovery (including the circumstances and stage of diabetes at the time of diagnosis), (b) the degree to which participants considered diabetes to be manageable, (c) the extent of diabetes-related knowledge and experience before diagnosis, and (d) opportunities to gain knowledge shortly thereafter. Due to these constraints, lower SSS individuals had particularly adverse disease discovery experiences. The findings are consistent with the theory of constrained choices. Implications for practitioners and for future research are discussed.
authors.affiliation: University of Michigan, School of Social Work, 1080 S. University Avenue, Ann Arbor, MI 48109, .
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Nicklett
authors.affiliation: University of Southern California Social Work and Gerontology.
authors.forename: Sara Kuzminski
authors.initials: SK
authors.lastname: Damiano
keywords: Diabetes Experiences; Health; Interpretative phenomenological analysis (IPA); Medicine; Older adults; Subjective Social Status; Women