Department of Sociology and Anthropology, Ariel University, Ariel 4070000, Israel.
Clalit Health Services, Siaal Research Center for Family and Primary Care, Division of Community Health, Ben Gurion University of the Negev, Beer-Sheva 8410501, Israel.
Int J Environ Res Public Health. 2021 Dec 24;19(1):159. doi: 10.3390/ijerph19010159.
Type 2 Diabetes Mellitus (T2DM) is disproportionally prevalent among the Bedouin minority in Israel, with especially poor treatment outcomes compared to other indigenous groups. This study uses the perspective of the Bedouins themselves to explore the distinct challenges they face, as well as their coping strategies. The study is based on an interpretive interactionist analysis of 49 semi-structured interviews with Bedouin men and women. The findings of the analysis include three themes. First, physical inequality: the Bedouin community's way of coping is mediated by the transition to a semi-urban lifestyle under stressful conditions that include the experience of land dispossession and the rupture of caring relationships. Second, social inequality: they experience an inaccessibility to healthcare due to economic problems and a lack of suitable informational resources. Third, unique resources for coping with T2DM: interviewees use elements of local culture, such as religious practices or small enclaves of traditional lifestyles, to actively cope with T2DM. This study suggests that there is a need to expand the concept of active coping to include indigenous culture-based ways of coping (successfully) with chronic illness.
2 型糖尿病（T2DM）在以色列的贝都因少数群体中尤为普遍，与其他土著群体相比，他们的治疗效果尤其不佳。本研究从贝都因人自身的角度出发，探讨了他们所面临的独特挑战以及应对策略。该研究基于对 49 名贝都因男女进行的半结构化访谈的解释性互动主义分析。分析结果包括三个主题。首先，身体不平等：贝都因社区的应对方式受到在压力条件下向半城市生活方式过渡的影响，这些条件包括土地被剥夺和照顾关系破裂的经历。其次，社会不平等：他们由于经济问题和缺乏合适的信息资源而无法获得医疗保健。第三，应对 T2DM 的独特资源：受访者利用当地文化的元素，如宗教实践或传统生活方式的小聚居地，积极应对 T2DM。本研究表明，有必要扩展积极应对的概念，将基于土著文化的应对慢性疾病的方式（成功地）纳入其中。
