Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity
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Author/Creator
Author/Creator ORCID
Date
2021-08-18
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Citation of Original Publication
Roth, Erin G.; Chard, Sarah; Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity; The Gerontologist, 18 August, 2021; https://doi.org/10.1093/geront/gnab124
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This is a pre-copyedited, author-produced version of an article accepted for publication in The Gerontologist following peer review. The version of record Roth, Erin G.; Chard, Sarah; Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity; The Gerontologist, 18 August, 2021; https://doi.org/10.1093/geront/gnab124 is available online at: https://academic.oup.com/gerontologist/advance-articleabstract/doi/10.1093/geront/gnab124/6354076?.
Access to this item will begin on 2022-08-18
This is a pre-copyedited, author-produced version of an article accepted for publication in The Gerontologist following peer review. The version of record Roth, Erin G.; Chard, Sarah; Affective Practices of Diabetes Self-Management Among Older Adults: Cumulative Effects of Childhood Adversity; The Gerontologist, 18 August, 2021; https://doi.org/10.1093/geront/gnab124 is available online at: https://academic.oup.com/gerontologist/advance-articleabstract/doi/10.1093/geront/gnab124/6354076?.
Access to this item will begin on 2022-08-18
Subjects
Abstract
Background and Objectives
A strong correlation exists between Type 2 diabetes mellitus and adverse childhood experiences. How adverse childhood experiences inform later life diabetes management is less understood. This article examines diabetes management from the perspective of affective practice to explore the lingering impact of trauma biographies in diabetes management.
Research Design and Methods
This secondary narrative analysis of 15 in-depth interviews with community-dwelling older adults with diabetes (subsample of The Subjective Experiences of Diabetes Study), focuses on the ways their reported childhood adversity impacts perceptions of and responses to diabetes self-management.
Results
The experiences of adversity in childhood accumulate, throughout the life course, in the affective practices informing diabetes self-management, from blood glucose testing, to food consumption, to the emotions invested in body size. We identify three thematic areas that emerged across participants: 1) Undermining self-worth; 2) (Over)eating and food as comfort; and 3) Weight and body size.
Discussion and Implications
Our findings highlight affective practices as a mechanism through which adverse events accumulate and shape well-being over the life course. This analysis also suggests the potential for (de)accumulation of affective practices to improve diabetes management. The findings support recent calls for trauma-informed clinical care.