Qualitative study of psychosocial factors impacting on Aboriginal women’s management of chronic disease

Anne‐Marie Eades · Maree Lisa Hackett · H. Liu · Alex D. H. Brown · Juli Coffin · Alan Cass

13 citations0/0 files storedInternational Journal for Equity in Health

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Indigenous Health, Education, and Rights Nursing care and research Gender, Health, and Social Inequality

Abstract

BACKGROUND: Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained their own health. METHODS: The aim of this manuscript is to explore the psychosocial factors associated with the management of health and chronic disease in Aboriginal women. An interpretive phenomenological approach was used for the analysis of 72 in-depth semi-structured interviews. These interviews were conducted in four community controlled Aboriginal health services, in urban, rural and remote settings, across two states and a territory in Australia. RESULTS: Women living with chronic disease experience multiple challenges while caring for family, such as intergenerational trauma, mental health issues relating to addiction, domestic and family violence and incarceration. When these women become ill, they also have to take care of themselves. These women provided informal and unfunded care in response to a range of complex family and community problems. This continuous caring for family affected the women's ability to maintain their health and manage their own chronic conditions. CONCLUSION: The caring roles and responsibilities Aboriginal women have in their community impact on their health. Aboriginal women provide much needed refuge and support to family and the wider community. Underfunded and over-burdened formal support services are not meeting the needs of many Aboriginal women. Improved culturally secure resources and social services are required within communities to support Aboriginal women to successfully manage their own health.

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References

2007Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups 2008Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology 2012Reducing the health disparities of Indigenous Australians: time to change focus 2011Closing the gap: Prime Minister's report 2011 2016Facilitating engagement through strong relationships between primary healthcare and Aboriginal and Torres Strait Islander peoples 2014Child Protection and Vulnerable Families: Trends and Issues in the Australian Context 2014Close the gap: progress and priorities report 2014 2017Towards the development of a wellbeing model for Aboriginal and Torres Strait Islander peoples living with chronic disease

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