Exploring illness perception regarding causes of diabetes and factors determining preferred health seeking practices: Results from an urban slum study.
Introduction: Diabetes is a non communicable disease which is now a major concern in urban slum population also. People only have access to some knowledge when they are diagnosed with diabetes or somebody else in family is suffering from diabetes, which shows there is need to spread awareness for diabetes. This qualitative study aim to reveal the illness perception of causes of diabetes and factors affecting the health seeking practices of urban slum dwellers in Dhaka, Bangladesh.
Methods: Both IDIs (In Depth Interview) and FGD (Focus Group Discussion) were conducted. In total 12 IDIs and 1 FGD was organized. Data was collected both from the diabetic anon diabetic group of population. After transcription, coding and analysis of data, they were categorized and patterns that emerged were compiled to derive reportable findings. Validity were checked through minimizing sampling bias, methodological triangulation and measuring inter coder reliability.
Results: The perceived cause of diabetes among slum dwellers are sedentary lifestyle specially sitting for long, eating too much rice or sweetmeat, old age, obesity and mental tension. Preferred treatment options are private hospital (BIRDEM), public hospital, local pharmacies, spiritual healer and herbal method. The determining factors behind health seeking practices includes affordability, accessibility, acceptability, availability, social influence, belief, previous experience, need, fear of insulin injection and apathy.
Conclusions: This study aims to find illness perception focusing on causes of diabetes and existing factors determining the health seeking practices of urban slum dwellers. This finding will hopefully help in future to design a pragmatic intervention for slum dwellers.
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