Illness perceptions in Turkish migrants with diabetes: a qualitative study

Chronic Illn. 2014 Jun;10(2):107-21. doi: 10.1177/1742395313501207. Epub 2013 Aug 28.

Abstract

Objectives: Illness perceptions are usually conceptualized using the self-regulatory model of illness. Although a few examinations of illness perceptions among Turkish language populations exist, the validity of the self-regulatory model of illness has never been confirmed for this population group. The aim of our study was to explore the validity of the self-regulatory model of illness in chronically ill Turkish migrants residing in Germany using diabetes mellitus type 2 as an example.

Methods: Qualitative semi-structured interviews were conducted with 24 Turkish migrants with self-reported diabetes who were recruited through key persons. The core aspects of the qualitative data were extracted through a hermeneutic approach. Subsequently, a system of categories and sub-categories was developed by means of content analysis.

Results: Seven distinct core dimensions of illness perceptions, each with a different number of sub-domains, could be identified in the sample. They comprised the perceived timeline of diabetes, its consequences, its causes, its controllability as well as the identity/coherence and the emotional response with respect to the condition.

Discussion: As regards the conceptualization of illness perceptions, the dimensions identified are in line with the self-regulatory model of illness. Addressing illness perceptions through tailored interventions may contribute to improving health care and health outcomes in Turkish migrants.

Keywords: Turkish migrants; diabetes mellitus type 2; illness perceptions; qualitative.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health / ethnology*
  • Diabetes Mellitus, Type 2 / ethnology*
  • Diabetes Mellitus, Type 2 / psychology*
  • Emigrants and Immigrants / psychology*
  • Female
  • Germany / epidemiology
  • Humans
  • Illness Behavior*
  • Male
  • Middle Aged
  • Qualitative Research
  • Self Concept*
  • Turkey / ethnology