‘It still leaves me sixty dollars out of pocket’: experiences of diabetes medical care among low-income earners in Perth
MetadataShow full item record
Diabetes prevalence is increasing in Australia, and there are stark inequities in prevalence and clinical outcomes experienced by Indigenous people and low socioeconomic groups compared with non-Indigenous and socioeconomically advantaged groups. This paper explores the impact of Indigenous status and socioeconomic disadvantage on the experience of diabetes care in the primary health setting. Data were collected through focus groups and interviews. The sample, comprising 38 participants (Indigenous and non-Indigenous), was recruited from disadvantaged areas in Perth, Australia. Data analysis was mainly deductive and based on a conceptual framework for the relationship between socioeconomic position and diabetes health outcomes. Most participants reported accessing general practitioners regularly; however, evidence of access to dietitians and podiatrists was very limited. Perceived need, cost, lack of information on available services and previous negative experiences influenced health care-seeking behaviour. Complexity and lack of coordination characterised the model of care reported by most participants. In contrast, Indigenous participants accessing an Aboriginal community-controlled health organisation reported a more accessible and coordinated experience of care. Our analysis suggests that Indigenous and socioeconomically disadvantaged people tailor their health care-seeking behaviour to the limitations imposed by their income and disadvantaged circumstances. To reduce inequities in care experiences, diabetes services in primary care need to be accessible and responsive to the needs of such groups in the community.
Showing items related by title, author, creator and subject.
Disadvantage and disease: experience of type 2 diabetes among low income earners in Perth, Western AustraliaCuesta Briand, Maria Beatriz (2011)Diabetes prevalence is increasing in Australia and worldwide. An estimated four per cent of the Australian population in 2007–08 had been diagnosed with diabetes, and figures show stark inequities in prevalence and clinical ...
'You get the quickest and the cheapest stuff you can': Food security issues among low-income earners living with diabetesCuesta-Briand, Briand; Saggers, Sherry; McManus, Alexandra (2011)Background: Diabetes prevalence is increasing in Australia and worldwide. More than 800,000 Australians live with diabetes, and there are stark inequities in prevalence and clinical outcomes among Indigenous people and ...
Andrews, Sonia (2012)The health disadvantage of Indigenous people in Australia has been recognised for a long time. The reasons for this poor health status are considered to be complex and multi-faceted. Socioeconomic status, socio-cultural ...