Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Counting, Coping, and Navigating the Flux

A Focused Ethnographic Study of HIV and Diabetes Self-Management

Bibliographic Data

ID18993255
AuthorsChelsi W Ohueri (0000-0002-5192-2596, The University of Texas at Austin, corresponding author), Alexandra A García (0000-0003-1834-6598, The University of Texas at Austin), Julie A Zuñiga (0000-0003-3778-8148, The University of Texas at Austin)
Year2022
Volume32
Issue3
Pages399-412
Publication date2022-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10497323211064231
PMID34928736
OpenAlexW4200373359
LanguageEN
Citations received1
References cited48

Approximately 10–15% of people living with HIV are also diagnosed with diabetes. To manage their two chronic conditions, people must undertake certain activities and adopt behaviors. Due to overlapping symptoms, complex medication regimens, and heavy patient workloads, implementing these self-management practices can be difficult. In this focused ethnography, data were collected from semi-structured interviews and limited participant-observation with a selected subset of participants to gain insight into self-management challenges and facilitators. We conducted interviews and multiple observations with 22 participants with HIV+T2DM over the period of 9 months. Participants experienced numerous barriers to self-management in the areas of diet, medication adherence, and mental health. Social and familial support, as well as consistent access to care, were facilitators for optimal self-management. At the same time participants’ lives were in a unique flux shaped by the dual diagnoses, and therefore, required constant mental and physical adjustments, thus illustrating challenges of managing chronicity

Chronic disease · Diabetes management · Diabetes mellitus · Ethnography · Family medicine · Grounded theory · Mental health · Multiple Chronic Conditions · Participant observation · Psychiatry · Qualitative research · Self-management · Social support · Sociology · Type 2 diabetes · Clinical Psychology · Diabetes Management and Education · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Social Psychology

  • “The Global Sense of Disaster was Synchronized With my Own Disaster”

    Open Access•Keren Gueta, Carmit Klar-Chalamish et al.•Qualitative Health Research•2022

  • An Examination of the Social Networks and Social Isolation in Older and Younger Adults Living with HIV/Aids

    Charles A Emlet•Health & Social Work•2006

  • Food Insecurity and Glycemic Control Among Low-Income Patients With Type 2 Diabetes

    Open Access•Hilary K Seligman, Elizabeth A Jacobs et al.•Diabetes Care•2012

  • HIV and Depression – a systematic review of interventions

    Lorraine Sherr, Claudine Clucas et al.•Psychology, Health & Medicine•2011

  • Aids and Accusation

    Paul Farmer•AIDS and Accusation•2006

  • Controlled, Constrained, or Flexible? How Self-Management Goals Are Shaped By Patient–Provider Interactions

    Open Access•M Franklin, Sophie Lewis et al.•Qualitative Health Research•2019

  • Social and structural determinants of HIV treatment and care among black women living with HIV infection

    Angelica Geter, Madeline Y Sutton et al.•AIDS Care•2018

  • Predictors of dual control of HIV and diabetes

    Julie A Zuñiga, Julie Zuniga et al.•AIDS Care•2016

  • Economic impact of comorbid diabetes and associated racial disparities in managing Medicare beneficiaries with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/Aids)

    Eric E Chinaeke, Eric Chinaeke et al.•AIDS Care•2023

  • Chronicity, crisis, and the ‘end of Aids’

    Open Access•T Sangaramoorthy•Global Public Health•2018

  • Self-Management Model fails to Predict Quality of Life for People Living with Dual Diagnosis of HIV and Diabetes

    Open Access•Julie A Zuñiga, Adam Sales et al.•AIDS and Behavior•2021

  • The Relationship Between Social Roles and Self-Management Behavior in Women Living with HIV/Aids

    Open Access•Allison R Webel, Patricia A Higgins•Women s Health Issues•2011

  • Food insecurity and diabetes self-management among food pantry clients

    Open Access•Matthew M Ippolito, Courtney R Lyles et al.•Public Health Nutrition•2017

  • Mapping the availability and accessibility of healthy food in rural and urban New Zealand – Te Wai o Rona

    Open Access•Jing Wang, Margaret Williams et al.•Public Health Nutrition•2010

  • Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health

    Open Access•Kartika Palar, Tessa M Nápoles et al.•Journal of Urban Health•2017

  • Barriers to Buying Healthy Foods for People With Diabetes

    Carol R Horowitz, Kathryn A Colson et al.•American Journal of Public Health•2004

  • Stress, diabetes, and infection

    Open Access•E Mendenhall, Gregory Barnabas Omondi et al.•Social Science & Medicine•2015

  • Patients' Experiences of Comorbid HIV/Aids and Diabetes Care and Management in Soweto, South Africa

    Open Access•E N Bosire•Qualitative Health Research•2021

  • Learning to do Better

    Open Access•Heather A Fritz, Heather Fritz•Qualitative Health Research•2015

  • Living Well With a Long-Term Condition

    Open Access•Nicola Stenberg, Penny J Furne et al.•Qualitative Health Research•2017

  • Contextualising women's mental distress and coping strategies in the time of Aids

    Open Access•Rochelle Ann Burge, Rochelle Burge et al.•Transcultural Psychiatry•2014

Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae