Opposing Discourses Surrounding Type 2 Diabetes in Eastern Appalachian Kentucky
Lindsay J Della1, Mary Z Ashlock, Kimberly R Hartson
1Department of Communication, University of Louisville, Louisville, Kentucky (Drs Della and Ashlock); School of Nursing, University of Louisville, Louisville, Kentucky (Dr Hartson); Department of Health and Sport Sciences and School of Medicine, Division of Pediatric Endocrinology, Wendy Novak Diabetes Center, University of Louisville, Louisville, Kentucky (Dr King); and College of Health and Human Services, Western Kentucky University, Bowling Green, Kentucky (Dr Basta).
Family & Community Health
|May 20, 2020
Summary
Type 2 diabetes management in Appalachia is complex, requiring social support and open communication. Family and friends play a crucial role in navigating health challenges and fostering connectedness.
Area of Science:
- Public Health
- Sociology
- Health Communication
Background:
- Type 2 diabetes disproportionately impacts Appalachian populations.
- Understanding social dynamics in diabetes management is crucial for this demographic.
Purpose of the Study:
- Investigate discourse surrounding diabetes risk and management among friends and family in Central Appalachia.
- Explore the influence of social relationships on health perceptions and behaviors.
Main Methods:
- Conducted 18 semistructured, in-depth interviews with residents of Central Appalachia.
- Employed thematic analysis to identify key patterns in participant discourse.
Main Results:
- Identified two central dialectical tensions: disease management (personal vs. social support) and disclosure (openness vs. closedness).
- Highlighted the significant role of interpersonal communication and social networks in diabetes self-management.
Conclusions:
- Health professionals must acknowledge the impact of family and social dynamics on diabetes care.
- Effective communication strategies should emphasize connection, clarity, and early, frequent engagement with patients and their support systems.
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