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An ethnographic study of diabetes health beliefs and practices in S ri L ankan adults
Author(s) -
Amarasekara A.A.T.D.,
Fongkaew W.,
Turale S.,
Wimalasekara S.W.,
Chanprasit C.
Publication year - 2014
Publication title -
international nursing review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.84
H-Index - 51
eISSN - 1466-7657
pISSN - 0020-8132
DOI - 10.1111/inr.12136
Subject(s) - sociocultural evolution , thematic analysis , ethnic group , context (archaeology) , participant observation , qualitative research , ethnography , health care , qualitative property , nursing , medicine , psychology , gerontology , sociology , political science , paleontology , biology , social science , machine learning , anthropology , computer science , law
Background Globally, type 2 diabetes is increasingly prevalent; however, unique cultural contexts in each country might affect these diabetes control behaviours. Diabetes is a serious health issue in S ri L anka and little is known about the impact of sociocultural context on diabetes health behaviours. Aim This first‐time qualitative S ri L ankan study explored the health beliefs and practices of adults with diabetes to enhance current nursing care and medical treatment. Methods An ethnographic approach was used to collect data through participant observations, in‐depth interviews with 14 key informants in their homes and field notes. Data were analysed by thematic analysis. Results Findings revealed unique, informative insights into sociocultural worlds of the participants from three S inhalese, T amils and M oor ethnic groups. Findings are described under five themes: gaining religious support, changing food habits is a struggle, exercising is challenging, W estern medicine causes long‐term consequences and A yurveda/traditional treatments can cure. Conclusion In S ri L ankans, the impact of sociocultural context on glycaemic control behaviours is significant and should be taken in consideration when health professionals provide care, treatment and health education. Limitations Study informants were selected from three ethnic groups and just two communities. Further in‐depth research is required using both qualitative and quantitative approaches in individual groups. Implications for Nursing and Health Policy Culturally relevant policies and protocols for community care and treatment of people with diabetes are urgently required in S ri L anka to enhance cultural treatment and care and reduce the epidemic of diabetes. These policies need to take into account traditional beliefs and practices of various ethnic groups.