Social barriers to Type 2 diabetes self-management: the role of capital.

Abstract:

:Approaches to self-management traditionally focus upon individual capacity to make behavioural change. In this paper, we use Bourdieu's concepts of habitus and capital to demonstrate the impact of structural inequalities upon chronic illness self-management through exploring findings from 28 semi-structured interviews conducted with people from a lower socioeconomic region of Adelaide, South Australia who have type 2 diabetes. The data suggests that access to capital is a significant barrier to type 2 diabetes self-management. While many participants described having sufficient cultural capital to access and assess health information, they often lacked economic capital and social capital in the form of support networks who promote health. Participants were often involved in social networks in which activities which are contrary to self-management have symbolic value. As a consequence, they entered relationships with health professionals at a disadvantage. We conclude that structural barriers to self-management arising from habitus resulting in the performance of health behaviours rooted in cultural and class background and limited access to capital in the form of economic resources, social networks, health knowledge and prestige may have a negative impact on capacity for type 2 diabetes self-management.

journal_name

Nurs Inq

journal_title

Nursing inquiry

authors

Henderson J,Wilson C,Roberts L,Munt R,Crotty M

doi

10.1111/nin.12073

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

336-45

issue

4

eissn

1320-7881

issn

1440-1800

journal_volume

21

pub_type

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