Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/4496
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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.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.openairetypeArticle-
item.grantfulltextopen-
item.cerifentitytypePublications-
Appears in Collections:Research Publications (Health Sciences)
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