Social barriers to Type 2 diabetes self-management: the role of capital

Julie Henderson, Christine Wilson, Louise Roberts, Rebecca Munt, Mikaila Crotty

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)

    Abstract

    Approaches to self-management traditionally focus upon individual capacity to make behavioural change. In this paper, we use Bourdieu's concepts of habitus and capital to demonstrate the impact of structural inequalities upon chronic illness self-management through exploring findings from 28 semi-structured interviews conducted with people from a lower socioeconomic region of Adelaide, South Australia who have type 2 diabetes. The data suggests that access to capital is a significant barrier to type 2 diabetes self-management. While many participants described having sufficient cultural capital to access and assess health information, they often lacked economic capital and social capital in the form of support networks who promote health. Participants were often involved in social networks in which activities which are contrary to self-management have symbolic value. As a consequence, they entered relationships with health professionals at a disadvantage. We conclude that structural barriers to self-management arising from habitus resulting in the performance of health behaviours rooted in cultural and class background and limited access to capital in the form of economic resources, social networks, health knowledge and prestige may have a negative impact on capacity for type 2 diabetes self-management.

    Original languageEnglish
    Pages (from-to)336-345
    Number of pages10
    JournalNursing Inquiry
    Volume21
    Issue number4
    DOIs
    Publication statusPublished - Dec 2014

    Keywords

    • Bourdieu
    • Capital
    • Chronic condition
    • Self-management
    • Type 2 diabetes

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