Online Program

Identifying barriers and enablers in the Dietary Management of Type 2 Diabetes in Clinic Patients in M'Bour, Senegal

Tuesday, November 3, 2015 : 2:30 p.m. - 2:43 p.m.

Evan Foley, BA, Medicine, Penn State, College of Medicine, Hershey, PA
Rhonda Belue, PhD, Health Policy and Administration, Penn State University, University Park, PA
Background: In Sub-Saharan Africa (SSA) there is an increasing burden of type 2 diabetes. The treatment of diabetes requires lifestyle modifications such as a therapeutic diet. However, such recommendations are not always in keeping with local culture. Currently, there is limited information about the effect of culture on therapeutic diet adherence in SSA. This study seeks to identify potential cultural enablers and barriers to dietary management of type 2 diabetes in M’bour, Senegal.

 Methods: This qualitative study used the PEN-3 cultural model to explore diabetes dietary management within a cultural framework. Content analysis was conducted to identify emergent themes based on the PEN-3 model.

Results:  41 individuals (23 female, 18 male) completed the interviews (mean age= 58 years).  78.1% (n=32) reported concerns about food security. Culture affected adherence to the diabetic diet in several ways: 1) Having a different diet or eating separately from the communal family plate creates feelings of social isolation; 2) Forgoing the diabetic diet so that family members, especially children have enough food; 3) Reduced servings of traditional foods feels like abandoning culture and/or ‘punishment’; 4) Women are responsible for preparing food, however, men typically manage money for purchasing food, yet do not provide input on what food purchased. As a result, diabetic diets are best managed in families where men and women are knowledgeable about the diet and participate in joint dietary decision-making.

Conclusions: Results suggest that educating family units on the dietary management of diabetes may be more effective than individual education.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Social and behavioral sciences

Learning Objectives:
Explain dietary challenges among diabetics in a low-income country setting Asses the role of culture in daily diet among diabetics in a low-income country

Keyword(s): Diabetes, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in collecting the data for the current abstract and was supervised by a professor with expertise in the area
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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