TY - JOUR
T1 - The “Ups and Downs” of Living With Type 2 Diabetes Among Working Adults in the Rural South
AU - Glenn, Lynn E.
AU - Thurlow, Christine B.
AU - Enriquez, Maithe
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: We received funding from Grant UH1HP29966, Academic Units for Primary Care Training and Enhancement (AU-PCTE), 2016-2022, from Health Resources and Services Administration (HRSA) of U.S. Department of Health and Human Services.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - The purpose of this qualitative study was to gain a better understanding of the spheres of influence on engagement in recommended diabetes preventive health services among rural, working adults. Additionally, this study sought to understand the unique factors that influence diabetes self-management among rural, working adult populations. The sample included mostly African-American, low-income females with self-reported diabetes, who scored low on the Patient Activation Measure (PAM-10). Semi-structured interviews (N = 20) revealed that most participants struggled with the “ups and downs” of living with diabetes. Four major themes emerged from the data: “the struggle,” “doing things together,” “diabetes is not the priority,” and “we’re lucky to have what we have.” Most participants were developing individual responsibility and motivation for a healthy future, but were overwhelmed by inconsistency in self-management, diabetes distress, lack of effective coping strategies, and lack of social and economic capital. The findings of this study indicate the need to further address psychological well-being among rural, working adults, yet rural populations often lack sufficient access to mental health care and formalized psychological support. Psychological support and resources are essential to facilitate engagement in diabetes self-management and preventive health services for rural, working adults.
AB - The purpose of this qualitative study was to gain a better understanding of the spheres of influence on engagement in recommended diabetes preventive health services among rural, working adults. Additionally, this study sought to understand the unique factors that influence diabetes self-management among rural, working adult populations. The sample included mostly African-American, low-income females with self-reported diabetes, who scored low on the Patient Activation Measure (PAM-10). Semi-structured interviews (N = 20) revealed that most participants struggled with the “ups and downs” of living with diabetes. Four major themes emerged from the data: “the struggle,” “doing things together,” “diabetes is not the priority,” and “we’re lucky to have what we have.” Most participants were developing individual responsibility and motivation for a healthy future, but were overwhelmed by inconsistency in self-management, diabetes distress, lack of effective coping strategies, and lack of social and economic capital. The findings of this study indicate the need to further address psychological well-being among rural, working adults, yet rural populations often lack sufficient access to mental health care and formalized psychological support. Psychological support and resources are essential to facilitate engagement in diabetes self-management and preventive health services for rural, working adults.
KW - coping
KW - diabetes
KW - patient activation
KW - preventive health services
KW - rural
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U2 - 10.1177/21501319221143715
DO - 10.1177/21501319221143715
M3 - Article
C2 - 36564892
AN - SCOPUS:85144637920
SN - 2150-1319
VL - 13
JO - Journal of Primary Care and Community Health
JF - Journal of Primary Care and Community Health
ER -