Improving type 2 diabetes care and self-management at the individual level by incorporating social determinants of health

Frier, Amanda, Devine, Sue, Barnett, Fiona, McBain-Rigg, Kris, and Dunning, Trisha (2022) Improving type 2 diabetes care and self-management at the individual level by incorporating social determinants of health. Australian and New Zealand Journal of Public Health, 46 (6). pp. 865-871.

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Objective: Suboptimal social determinants of health impede type 2 diabetes self-management. They are usually considered at population and community levels, not individually. The study objective was to draw on perspectives of people who have type 2 diabetes to identify and explore the impact of social determinants on self-management and ways to incorporate them into individual care.

Methods: Purposively selected participants chose to partake in focus groups or interviews. Data were analysed and themes identified through deductive and inductive thematic analysis.

Results: Social issues hinder type 2 diabetes self-management. Additionally, an individual’s feelings and poor mental health, competing priorities and understanding about diabetes are important considerations. Support was provided via health professionals, community supports, financial support, personal support and informal self-management support.

Conclusions: Social determinants of health could be formally incorporated into individual care for people with type 2 diabetes if a socio-ecological view of health is taken as it considers the broader social and environmental circumstances in peoples lives.

Implications for public health: Care for people with type 2 diabetes could be transformed if social determinants of health are formally assessed and responded to at an individual level. A socio-ecological view of health in individual care and clinical settings would enable social determinants of health to be formally incorporated into type 2 diabetes care.

Item ID: 76269
Item Type: Article (Research - C1)
ISSN: 1753-6405
Keywords: social determinants of health, type 2 diabetes, self-management, person-centred care
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Copyright Information: © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution-nonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Date Deposited: 11 Oct 2022 04:26
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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