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Culture and therapy: complementary strategies for the treatment of type-2 diabetes in an urban setting in Kerala, India

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  • Chacko, Elizabeth

Abstract

There is an epidemic rise in diabetes in the developing world, with ensuing concern about the management and control of the disease. This study investigates the use of complementary therapies to manage Type 2 diabetes in an urban population in Kerala, a state in Southern India. Using ethnographic methods, it shows that the subjects' experiences of the disease and their health management decisions are closely linked to their cultural background and the environmental resources of the region. Participants in the study relied on biomedicine for treating diabetes, but frequently used Ayurvedic medicine and folk herbal remedies as supplements. They named 24 local plants and plant products that were employed to lower blood glucose levels. Knowledge of tried and tested local or regional remedies and their incorporation into individual and community health care practices are evidence of medical knowledge as cultural capital. Greater attention needs to be paid to the broader systems of the environment and culture and their interconnections to understand the use of complementary therapies by persons with chronic illnesses such as diabetes.

Suggested Citation

  • Chacko, Elizabeth, 2003. "Culture and therapy: complementary strategies for the treatment of type-2 diabetes in an urban setting in Kerala, India," Social Science & Medicine, Elsevier, vol. 56(5), pages 1087-1098, March.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:5:p:1087-1098
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    1. repec:arp:sjbsum:2021:p:126-132 is not listed on IDEAS
    2. Shim, Jae-Mahn & Kim, Jibum, 2020. "Contextualizing geneticization and medical pluralism: How variable institutionalization of traditional, complementary, and alternative medicine (TCAM) conditions effects of genetic beliefs on utilizat," Social Science & Medicine, Elsevier, vol. 267(C).
    3. Amy Massey & Ray Kirk, 2015. "Bridging Indigenous and Western Sciences," SAGE Open, , vol. 5(3), pages 21582440155, July.
    4. Letha M. Joseph & Diane Berry & Ann Jessup, 2015. "Management of Type 2 Diabetes in Asian Indians," Clinical Nursing Research, , vol. 24(2), pages 188-210, April.
    5. Wang, Lu & Rosenberg, Mark & Lo, Lucia, 2008. "Ethnicity and utilization of family physicians: A case study of Mainland Chinese immigrants in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 67(9), pages 1410-1422, November.

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