Please use this identifier to cite or link to this item:
https://hdl.handle.net/10321/4496
DC Field | Value | Language |
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dc.contributor.author | Gumede, Dumile | en_US |
dc.contributor.author | Meyer-Weitz, Anna | en_US |
dc.contributor.author | Edwards, Anita | en_US |
dc.contributor.author | Seeley, Janet | en_US |
dc.date.accessioned | 2022-11-07T07:33:18Z | - |
dc.date.available | 2022-11-07T07:33:18Z | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | Gumede, 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.0000895 | en_US |
dc.identifier.issn | 2767-3375 (Online) | - |
dc.identifier.uri | https://hdl.handle.net/10321/4496 | - |
dc.description.abstract | While 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.extent | 19 p | en_US |
dc.language.iso | en | en_US |
dc.publisher | Public Library of Science (PLoS) | en_US |
dc.relation.ispartof | PLOS Global Public Health; Vol. 2, Issue 9 | en_US |
dc.subject | Chronic diseases | en_US |
dc.subject | Older people | en_US |
dc.subject | Self-management practices | en_US |
dc.subject | Grandchildren | en_US |
dc.subject | Care-giving | en_US |
dc.title | 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 | en_US |
dc.type | Article | en_US |
dc.date.updated | 2022-10-26T13:40:43Z | - |
dc.identifier.doi | 10.1371/journal.pgph.0000895 | - |
local.sdg | SDG05 | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | With Fulltext | - |
item.grantfulltext | open | - |
item.openairetype | Article | - |
Appears in Collections: | Research Publications (Health Sciences) |
Files in This Item:
File | Description | Size | Format | |
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Gumede et al_2022.pdf | Article | 440.95 kB | Adobe PDF | View/Open |
PLOS Copyright clearance.docx | Copyright clearance | 209.58 kB | Microsoft Word XML | View/Open |
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