Neesha R Patel1, Anne Kennedy2, Christian Blickem1, Anne Rogers3, David Reeves1, Carolyn Chew-Graham4. 1. Centre for Primary Care, Institute of Population Health, University of Manchester, Manchester, UK. 2. Health Services Research, Faculty of Health Sciences, University of Southampton, Southampton, UK. 3. Health Systems Implementation, Health Services Research, Faculty of Health Sciences, University of Southampton, Southampton, UK. 4. General Practice Research, Primary Care Sciences, Research Institute: Primary Care and Health Sciences, Keele University, Keele, Staffordshire, UK.
Abstract
BACKGROUND: There are approximately 2.7 million Muslims in the UK, constituting 4.8% of the population. It is estimated that 325,000 UK Muslims have diabetes. Whilst dietary practices of Muslims with diabetes have been explored, little work has described the beliefs and decisions to fast during Ramadan, whereby Muslims with diabetes refrain from eating, drinking and taking medication between sunrise and sunset. OBJECTIVE: To explore beliefs and experiences of fasting during Ramadan of Muslim respondents with diabetes and their perceptions of the role played by their general practitioner (GP) and/or practice nurse (PN) in supporting them. DESIGN: Qualitative study. SETTING: General practices and community groups located in Greater Manchester. PARTICIPANTS: 23 South Asian Muslims. METHODS: Semi-structured interviews were conducted as part of the Collaboration of Applied Health Research and Care (CLAHRC) programme, Greater Manchester. Respondents were recruited using random and purposive sampling techniques. Interviews were analysed thematically using a constant comparison approach. RESULTS: Thirteen respondents reported they fasted and altered diabetes medication and diet during Ramadan. The decision to fast was influenced by pressures from the family and the collective social aspect of fasting, and respondents made limited contact with primary care during fasting. CONCLUSION: Tensions exist between the respondent's personal desire to fast or not fast and their family's opinion on the matter, with a strong reluctance to disclose fasting to GP and/or PN. Future research needs to explore whether GPs or PNs feel competent enough to support patients who wish to fast.
BACKGROUND: There are approximately 2.7 million Muslims in the UK, constituting 4.8% of the population. It is estimated that 325,000 UK Muslims have diabetes. Whilst dietary practices of Muslims with diabetes have been explored, little work has described the beliefs and decisions to fast during Ramadan, whereby Muslims with diabetes refrain from eating, drinking and taking medication between sunrise and sunset. OBJECTIVE: To explore beliefs and experiences of fasting during Ramadan of Muslim respondents with diabetes and their perceptions of the role played by their general practitioner (GP) and/or practice nurse (PN) in supporting them. DESIGN: Qualitative study. SETTING: General practices and community groups located in Greater Manchester. PARTICIPANTS: 23 South Asian Muslims. METHODS: Semi-structured interviews were conducted as part of the Collaboration of Applied Health Research and Care (CLAHRC) programme, Greater Manchester. Respondents were recruited using random and purposive sampling techniques. Interviews were analysed thematically using a constant comparison approach. RESULTS: Thirteen respondents reported they fasted and altered diabetes medication and diet during Ramadan. The decision to fast was influenced by pressures from the family and the collective social aspect of fasting, and respondents made limited contact with primary care during fasting. CONCLUSION: Tensions exist between the respondent's personal desire to fast or not fast and their family's opinion on the matter, with a strong reluctance to disclose fasting to GP and/or PN. Future research needs to explore whether GPs or PNs feel competent enough to support patients who wish to fast.
Authors: Ibrahim Salti; Eric Bénard; Bruno Detournay; Monique Bianchi-Biscay; Corinne Le Brigand; Céline Voinet; Abdul Jabbar Journal: Diabetes Care Date: 2004-10 Impact factor: 19.112
Authors: O Aydin; G E Celik; Z P Onen; I Yilmaz; S K Ozdemir; O Yildiz; D Mungan; Y S Demirel Journal: Allergol Immunopathol (Madr) Date: 2012-12-21 Impact factor: 1.667
Authors: Marcia Vervloet; Liset van Dijk; Jacqueline Santen-Reestman; Bas van Vlijmen; Marcel L Bouvy; Dinny H de Bakker Journal: BMC Health Serv Res Date: 2011-01-10 Impact factor: 2.655
Authors: Anne Kennedy; Peter Bower; David Reeves; Tom Blakeman; Robert Bowen; Carolyn Chew-Graham; Martin Eden; Catherine Fullwood; Hannah Gaffney; Caroline Gardner; Victoria Lee; Rebecca Morris; Joanne Protheroe; Gerry Richardson; Caroline Sanders; Angela Swallow; David Thompson; Anne Rogers Journal: BMJ Date: 2013-05-13
Authors: Neesha R Patel; Anne Kennedy; Christian Blickem; David Reeves; Carolyn Chew-Graham Journal: J Diabetes Res Date: 2015-11-30 Impact factor: 4.011
Authors: Waleed Saleh Alluqmani; Mohammed Misri Alotaibi; Waleed Jamal Almalki; Abdulrahman Althaqafi; Hamed Abdullah Alawi; Fahad Althobiani; Amjad Abdullah Albishi; Amjad Ahmad Madkhali; Layal Yahia Baunes; Razan Ibrahim Alhazmi; Elaf Mohammed Doman; Anwar Hussain Alhazmi; Majid Ali; Ejaz Cheema Journal: Int J Environ Res Public Health Date: 2019-02-11 Impact factor: 3.390
Authors: Sueziani B Zainudin; Khalishah Nadhirah B Abu Bakar; Salmiah B Abdullah; Aslena B Hussain Journal: Ther Adv Endocrinol Metab Date: 2018-06-12 Impact factor: 3.565
Authors: Jun Yang Lee; Chee Piau Wong; Christina San San Tan; Nazrila Hairizan Nasir; Shaun Wen Huey Lee Journal: BMJ Open Diabetes Res Care Date: 2017-05-08