Understanding older peoples’ chronic disease self-management practices and challenges in the context of grandchildren caregiving
A qualitative study in rural KwaZulu-Natal, South Africa
Bibliographic Data
| ID | 19593056 |
|---|---|
| Authors | Dumile Gumede (0000-0001-8739-6033, Durban University of Technology, corresponding author), Anna Meyer-Weitz (0000-0002-1874-0803, University of KwaZulu-Natal), Anita Edwards (0000-0002-5493-1260, Africa Health Research Institute), Janet Seeley (0000-0002-0583-5272, London School of Hygiene & Tropical Medicine) |
| Editors | Roopa Shivashankar (0000-0002-4361-9423) |
| Year | 2022 |
| Volume | 2 |
| Issue | 9 |
| Pages | e0000895 |
| Publication date | 2022-09-30 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0000895 |
| PMID | 36962615 |
| OpenAlex | W4298132326 |
| Language | EN |
| Citations received | 4 |
| References cited | 51 |
While chronic diseases are amongst the major health burdens of older South Africans, the responsibilities of caring for grandchildren, by mostly grandmothers, may further affect older people’s health and well-being. There is a paucity of information about chronic disease self-management for older people in the context of grandchildren caregiving in sub-Saharan Africa. Guided by the Self-Management Framework, the purpose of this qualitative methods study was to explore the chronic disease self-management practices and challenges of grandparent caregivers in rural KwaZulu-Natal, South Africa. Eighteen repeat in-depth interviews were carried out with six grandparent caregivers aged 56 to 80 years over 12 months. Thematic analysis was conducted based on the Self-Management Framework. Pathways into self-management of chronic illnesses were identified: living with a chronic illness, focusing on illness needs, and activating resources. Self-perceptions of caregiving dictated that grandmothers, as women, have the responsibility of caring for grandchildren when they themselves needed care, lived in poverty, and with chronic illnesses that require self-management. However, despite the hardship, the gendered role of caring for grandchildren brought meaning to the grandmothers’ lives and supported self-management due to the reciprocal relationship with grandchildren, although chronic illness self-management was complicated where relationships between grandmothers and grandchildren were estranged. The study findings demonstrate that grandchildren caregiving and self-management of chronic conditions are inextricably linked. Optimal self-management of chronic diseases must be seen within a larger context that simultaneously addresses chronic diseases, while paying attention to the intersection of socio-cultural factors with self-management
Chronic condition · Chronic disease · Developmental psychology · Disease · Family medicine · Geography · Grandparent · Poverty · Qualitative research · Self-management · Sociology · Thematic analysis · Chronic Disease Management Strategies · Family Support in Illness · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Gerontology
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| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |