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"It is not easy living with this illness": A syndemic approach to medication adherence and lifestyle change among low-income diabetes patients in Lima, Peru

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dc.contributor.author Pesantes, M.A.
dc.contributor.author Tetens, A.
dc.contributor.author Del Valle, A.
dc.contributor.author Miranda, J.J.
dc.date.accessioned 2019-07-04T16:59:16Z
dc.date.available 2019-07-04T16:59:16Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/6708
dc.description.abstract This study analyzes the experiences of low-income people living with type 2 diabetes in Lima, Peru. We use a syndemic approach to describe and discuss their challenges in following physicians’ recommendations around medication adherence and dietary changes. We use the concept of “burden of treatment” to analyze patients’ stories and to understand the complexity of medication adherence and dietary changes in a middle-income country where the health system is still unprepared to provide chronic care. Analysis demonstrates that emotional, socioeconomic, and structural components play a role in patients’ capabilities for following the prescribed recommendations. We show that patient’s illness experiences are intimately linked to the capacity of the local health system to attend to their needs but are not always acknowledged when promoting self-management behaviors. Our study shows the relevance of a syndemics approach for understanding the interaction between individual and structural factors to make suggestions for improving the management of diabetes and the overall experience of chronicity. Copyright en_US
dc.language.iso eng
dc.publisher Society for Applied Anthropology
dc.relation.ispartof urn:issn:1938-3525
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject diabetes en_US
dc.subject Chronic disease en_US
dc.subject Diabetes en_US
dc.subject diet en_US
dc.subject lifestyle en_US
dc.subject Lima [Peru] en_US
dc.subject Adherence en_US
dc.subject low income population en_US
dc.subject conceptual framework en_US
dc.subject Lima [Lima (DPR)] en_US
dc.subject Syndemics en_US
dc.title "It is not easy living with this illness": A syndemic approach to medication adherence and lifestyle change among low-income diabetes patients in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.17730/0018-7259.78.1.85
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.04.03


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