Gender differences and barriers women face in relation to accessing type 2 diabetes care: A systematic review

Suresh, Neethu; Thankappan, Kavumpurathu Raman

doi:10.4103/ijph.ijph_26_18

Cited by 16 publications

(5 citation statements)

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“…The found gender differences are consistent with research showing lower functional health among older women than men in India 30 . In addition, it may be possible that women experience greater barriers to access health care services than men in India 31 . In addition, younger age and being married was associated with SA in this study, which concurs with previous findings 8 , 11 , 12 .…”

Section: Discussionmentioning

confidence: 99%

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Pengpid

Peltzer

2021

Sci Rep

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This study aimed to determine the prevalence and correlates of successful ageing in older community-dwelling adults in India. The cross-sectional sample included 21,343 individuals (≥ 65 years) from the Longitudinal Ageing Study in India (LASI) Wave 1 in 2017–2018. Successful ageing was assessed utilizing a multidimensional concept, including five components: (1) absence of major illness, (2) free of disability, (3) no major depressive disorder, (4) social engagement and (5) life satisfaction. Overall, 27.2% had successful ageing, including 83.3% had no major diseases, 51.0% free from disability, 91.8% had no major depressive disorder, 73.6% were socially engaged and 74.6% had high life satisfaction. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR 1.40, 95% Confidence Interval-CI 1.21–1.26), married (AOR 1.48, 95% CI 1.22–1.79), having formal education (AOR 1.47, 95% CI 1.23–1.74), high subjective socioeconomic status (AOR 1.61, 95% CI 1.29–2.01), urban residence (AOR 1.42, 95% CI 1.19–1.70), Sikhs (AOR 1.76, 95% CI 1.38–2.24), high physical activity (AOR 1.65, 95% CI 1.38–1.97), and daily Yoga practice (AOR 1.34, 95% CI 1.11–1.61) increased the odds of successful ageing, while increasing age (AOR 0.96, 95% CI 0.94–0.79), poor childhood health (AOR: 0.47, 95% CI 0.29–0.75), and underweight (AOR 0.70, 95% CI 0.61–0.81) decreased the odds of successful ageing. Almost one in three older adults in India were successfully ageing. Factors associated with successful ageing included, male sex, married, having formal education, high subjective socioeconomic status, urban residence, Sikhs, physical activity, Yoga practice, younger age, good childhood health, and not having underweight.

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Section: Discussionmentioning

confidence: 99%

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Pengpid

Peltzer

2021

Sci Rep

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“…Supporting this finding, a study by Tavero et al (2018) highlighted that the caregiving role bestowed on women significantly impacts their health. A recent systematic review by Suresh and Thankappan (2019) found that women faced personal, sociocultural, and psychological barriers to getting diabetes care.…”

Section: Discussionmentioning

confidence: 99%

Illness Perception, Coping, and Self-Care Adherence Among Adults With Type 2 Diabetes

Veena Chindankutty,

Devineni

2024

JPSS

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Understanding the key factors in managing type 2 diabetes over the long term has become necessary. This study aims to explore the association between illness perception, coping, and self-care adherence among adults with type 2 diabetes and find the influence of illness perception and coping on self-care adherence. A cross-sectional survey design was used to collect data from 123 adults with type 2 diabetes aged between 30 and 55 years. The questionnaires included the Brief Illness Perception Questionnaire (BIPQ), Brief COPE, Self-Care Inventory-Revised (SCI-R), and a personal information sheet. A significant correlation was found between illness perception, maladaptive and adaptive coping strategies, and self-care adherence. Adaptive coping, illness perception, and maladaptive coping strategies together explained a 59.9% variance in self-care adherence (F(3, 119) = 59.29, p < .001). The study highlights the importance of developing a less threatening perception of the illness and enhancing the practice of adaptive coping strategies for achieving better self-care adherence among people with type 2 diabetes. This study signifies the need for a collaborative approach by healthcare professionals, mental health providers, and policymakers to provide accurate diabetes self-management knowledge and develop interventions tailored to individuals’ needs.

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“…35 The financial, social, and cultural barriers in access to care have also been documented in women with different chronic conditions, including diabetes, rheumatological diseases, or infectious diseases. [36][37][38] Our study has emphasized the extension of the caregiving role among women to supporting their spouse in self-management for CKD and to donating a kidney to their spouse. The findings also highlight the profound social inequities, particularly in lowresource settings and in people exposed to stronger patriarchal society that compounded the barriers and inequities of access to kidney transplantation among women.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Nephrologists on Gender Disparities in Access to Kidney Transplantation

Natale

Hecking

Kurnikowski

et al. 2023

CJASN

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Background: Gender disparities in access to kidney transplantation are apparent with women being up to 20% less likely to receive kidney transplant compared to men across different settings and socioeconomic backgrounds. We aimed to describe nephrologists’ perspectives on gender disparities in access to kidney transplantation. Methods: Fifty-one nephrologists (55% women) from 22 countries participated in semi-structured interviews from October 2019 to April 2020. We analyzed the transcripts thematically. Results: We identified three themes: caregiving as a core role (coordinators of care for partners; fulfilling family duties over own health; maternal protectiveness; and inherent willingness and generosity), stereotyping and stigma (authority held by men in decision-making; protecting the breadwinner; preserving body image and appearance; and safeguard fertility), social disadvantage and vulnerability (limited information and awareness; coping alone and lack of support; disempowered by language barriers; lack of financial resources; and without access to transport). Conclusions: Gender disparities in access to kidney transplantation are perceived by nephrologists to be exacerbated by gender norms and values, stigma and prejudice, and educational and financial disadvantage that are largely encountered by women compared with men across different socioeconomic settings.

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Gender differences and barriers women face in relation to accessing type 2 diabetes care: A systematic review

Cited by 16 publications

References 0 publications

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Successful ageing among a national community-dwelling sample of older adults in India in 2017–2018

Illness Perception, Coping, and Self-Care Adherence Among Adults With Type 2 Diabetes

Perspectives of Nephrologists on Gender Disparities in Access to Kidney Transplantation

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