Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/4496
DC FieldValueLanguage
dc.contributor.authorGumede, Dumileen_US
dc.contributor.authorMeyer-Weitz, Annaen_US
dc.contributor.authorEdwards, Anitaen_US
dc.contributor.authorSeeley, Janeten_US
dc.date.accessioned2022-11-07T07:33:18Z-
dc.date.available2022-11-07T07:33:18Z-
dc.date.issued2022-
dc.identifier.citationGumede, D. et al. 2022. Understanding older peoples’ chronic disease self-management practices and challenges in the context of grandchildren caregiving: a qualitative study in rural KwaZulu-Natal, South Africa. PLOS Global Public Health. 2(9): e0000895-e0000895. doi:10.1371/journal.pgph.0000895en_US
dc.identifier.issn2767-3375 (Online)-
dc.identifier.urihttps://hdl.handle.net/10321/4496-
dc.description.abstractWhile chronic diseases are amongst the major health burdens of older South Africans, the responsibilities of caring for grandchildren, by mostly grandmothers, may further affect older people’s health and well-being. There is a paucity of information about chronic disease self-management for older people in the context of grandchildren caregiving in sub-Saharan Africa. Guided by the Self-Management Framework, the purpose of this qualitative methods study was to explore the chronic disease self-management practices and challenges of grandparent caregivers in rural KwaZulu-Natal, South Africa. Eighteen repeat in-depth interviews were carried out with six grandparent caregivers aged 56 to 80 years over 12 months. Thematic analysis was conducted based on the Self-Management Framework. Pathways into self-management of chronic illnesses were identified: living with a chronic illness, focusing on illness needs, and activating resources. Self-perceptions of caregiving dictated that grandmothers, as women, have the responsibility of caring for grandchildren when they themselves needed care, lived in poverty, and with chronic illnesses that require self-management. However, despite the hardship, the gendered role of caring for grandchildren brought meaning to the grandmothers’ lives and supported self-management due to the reciprocal relationship with grandchildren, although chronic illness self-management was complicated where relationships between grandmothers and grandchildren were estranged. The study findings demonstrate that grandchildren caregiving and self-management of chronic conditions are inextricably linked. Optimal self-management of chronic diseases must be seen within a larger context that simultaneously addresses chronic diseases, while paying attention to the intersection of socio-cultural factors with self-management.</jats:p>en_US
dc.format.extent19 pen_US
dc.language.isoenen_US
dc.publisherPublic Library of Science (PLoS)en_US
dc.relation.ispartofPLOS Global Public Health; Vol. 2, Issue 9en_US
dc.subjectChronic diseasesen_US
dc.subjectOlder peopleen_US
dc.subjectSelf-management practicesen_US
dc.subjectGrandchildrenen_US
dc.subjectCare-givingen_US
dc.titleUnderstanding older peoples’ chronic disease self-management practices and challenges in the context of grandchildren caregiving : a qualitative study in rural KwaZulu-Natal, South Africaen_US
dc.typeArticleen_US
dc.date.updated2022-10-26T13:40:43Z-
dc.identifier.doi10.1371/journal.pgph.0000895-
local.sdgSDG05-
item.grantfulltextopen-
item.cerifentitytypePublications-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeArticle-
item.languageiso639-1en-
Appears in Collections:Research Publications (Health Sciences)
Files in This Item:
File Description SizeFormat
Gumede et al_2022.pdfArticle440.95 kBAdobe PDFView/Open
PLOS Copyright clearance.docxCopyright clearance209.58 kBMicrosoft Word XMLView/Open
Show simple item record

Page view(s)

232
checked on Dec 22, 2024

Download(s)

56
checked on Dec 22, 2024

Google ScholarTM

Check

Altmetric

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.