Ruchira Tabassum Naved, Aloka Talukder, K M Thouhidur Rahman, Sohel Choudhury, Rajiv Chowdhury, John Danesh, Emanuele Di Angelantonio, Md Khalequzzaman, Md Alfazal Khan, Simon Griffin, Nick Mascie-Taylor
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引用次数: 0
Abstract
Background: More than 80 million South Asians are living with type 2 diabetes (T2D). Despite increasing recognition that gender contributes to the prevention, treatment and outcomes of diseases, studies on gender and diabetes are scarce globally and particularly in impoverished and typically patriarchal settings, where gender hierarchies might be more pronounced. We explored how differences in gender roles, gendered access to, and control over resources, and social norms contribute to gender differences in treatment and management of T2D in an urban slum of Bangladesh.
Methods: Data were collected between January and April, 2021 from Bauniabadh slum in Dhaka city, Bangladesh using 8 Key Informant Interviews (KII) and 60 In-Depth Interviews (IDI), with equal numbers of women and men aged 35 years or more, and a confirmed diagnosis of T2D at least two years prior to the current study. Within and across gender analyses were performed. We used positive and negative deviance approaches to understand the factors underlying variation in treatment and management of T2D.
Results: Individual, household and structural factors posed gendered challenges to management of T2D. Compared to men, women were more prone to financial and time constraints originating from rigid gender roles and discriminatory entitlements in the household and society. Women employed more coping strategies than men to deal with financial constraints when seeking medical treatment. Strong household financial status, relevant connections and support from the family underlied high-performance by men in the management of T2D. Household financial status was a necessary, but not sufficient condition for high-performance among women. In addition, women's economic empowerment, agency, voice and power appear to be key for optimising T2D management.
Conclusions: The findings highlight the importance of tailored programmes and policies for T2D to reduce gender inequities T2D management.
期刊介绍：
International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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