A cultural lens to understanding daily experiences with type 2 diabetes self-management among clinic patients in m'bour, senegal

Rhonda Belue, Mor Diaw, Fatou Ndao, Titilayo Okoror, Arnold Degboe, Beatrice Abiero

Research output: Contribution to journalArticle

15 Scopus citations


Diabetes is a steadily increasing threat in Sub-Saharan Africa (SSA). Factors such as urbanization, obesity, physical inactivity, and inadequate access to healthcare are believed to contribute to the increasing burden of diabetes. Interventions that optimize diabetes self-management are critically important since obtaining diabetes medications is challenging due to cost constraints and availability. Culture is a significant factor in shaping health behaviors such as diabetes self-management, where individual health behaviors operate in confluence with family, community, and social structures. This study examined experiences with diabetes self-management among clinic patients residing in M'bour, Senegal, using the PEN3 model as a cultural framework. Results indicate that financial challenges related to accessing medical care and adhering to the prescribed diabetic diet were the main barriers to diabetes management. Family dynamics serve as both supportive and inhibiting forces that influence the aforementioned barriers.

Original languageEnglish (US)
Pages (from-to)329-347
Number of pages19
JournalInternational Quarterly of Community Health Education
Issue number4
StatePublished - Jan 1 2012


All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Education
  • Public Health, Environmental and Occupational Health

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