Impact of Gender on Patient Experiences of Self-Management in Type 2 Diabetes : A Qualitative Study
Ramírez-Morros, Anna (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Berenguera, Anna (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Millaruelo, Laura (red GDPS Foundation)
Buil-Cosiales, Pilar (Instituto de Salud Carlos III)
Gomez Garcia, Carmen (Servicio Andaluz de Salud)
Cos, Xavier (Institut Català de la Salut)
Ávila Lachica, Luis (Servicio Andaluz de Salud)
Artola, Sara (Centro de Salud José Marvá, Madrid)
Millaruelo, Jose Manuel (Centro de Salud Torrero La Paz)
Mauricio, Didac (Institut de Recerca Sant Pau)
Franch-Nadal, Josep (Institut de Recerca Sant Pau)

Data:	2024
Resum:	Purpose: This study aims to identify gender disparities in knowledge, attitudes and behaviors related to self-management and control of Type 2 diabetes Mellitus (T2DM) among primary care patients. The research was conducted across multiple Spanish cities. Patients and Methods: The study involved 8 Primary Care Centres located in four distinct regions of Spain: East (Barcelona), Centre (Madrid), North (Pamplona and Zumaia) and South (Vélez-Málaga and Málaga). A total of 111 individuals diagnosed with T2DM, comprising 52 women and 59 men, participated in 12 group discussions at these primary healthcare centers from February to June 2015. Participation was voluntary, and all participants provided informed consent by signing the consent form. A qualitative hermeneutic phenomenological study with a maximum variation sample was done. Participant profiles were defined based on gender, age, place of residence, type of treatment, years living with T2DM and the presence or absence of a cardiovascular event. Thematic analysis was used to analyze the data. Results: Participants were aware that diabetes is a chronic condition, with varied levels of concern regarding the diagnosis. Participants' locus of control influenced their perception of the disease's cause, with women attributing it to stress and emotional situations, while men linked it to risky behaviors. Self-management strategies were shaped by beliefs about diabetes, with both genders facing challenges in implementing recommended practices. Gender differences were also evident in caregiving roles, with men receiving more family support for diet adherence, while women prioritized family needs over their self-care. Participants expressed satisfaction with professional-patient interactions but highlighted the need for more accessible information and specialist care, suggesting support groups for women and clear health guidelines for men. Conclusion: Gender differences significantly influence how patients perceive and manage type 2 diabetes, with women experiencing greater concern and care burden compared to men. Effective diabetes management requires tailored support that addresses these gender-specific challenges. Enhancing healthcare services with clear guidelines and support groups can improve self-management outcomes in both men and women.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Gender ; Type 2 diabetes mellitus ; Self-care ; Personal experience
Publicat a:	Patient preference and adherence, Vol. 18 (September 2024) , p. 1885-1896, ISSN 1177-889X

DOI: 10.2147/PPA.S466931
PMID: 39290823

12 p, 474.3 KB

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