The Sugar Disease Narrative: Local Explanations of Diabetes Aetiology and Their Influence on Diet Compliance in Bayelsa State

Major Iteimowei

doi:10.56201/jhsp.vol.12.no7.2026.pg103.115

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The Sugar Disease Narrative: Local Explanations of Diabetes Aetiology and Their Influence on Diet Compliance in Bayelsa State

Major Iteimowei

Abstract

Diabetes mellitus, sometimes called “sugar disease”, has grown into a major public health problem in Nigeria, especially in places where people’s cultural ideas about illness shape how they think about disease and what they do for treatment. This study basically described how diabetes is explained and how these explanations relate to diet compliance among residents of Bayelsa State, Nigeria. In particular, the study focused on local understandings of the aetiology and nature of diabetes, and explored the ways in which local understandings of diabetes impact upon the perception of medical advice and diet adherence, as well as the difficulties encountered by diabetes patients as they juggle local dietary practices and medical advice. The Health Belief Model was used as the guiding theoretical framework. In terms of design, the study used a descriptive survey approach. The study population involved diabetes patients, diabetes care takers, healthcare workers, nutritionists, traditional healers, and community elders in the area. A total sample size of 400 respondents was arrived at using Taro Yamane’s formula. A multi-stage sampling process that basically used random, cluster, systematic and purposive sampling was also taken to select Oporoma, Peremabiri, Aleibiri, Eniwari, Kaiama and Okoloba communities. Structured questionnaires were employed to collect primary data, while descriptive statistics such as frequencies, percentages, mean scores, as well as tables and charts were used to analysed the data. The findings suggested that diabetes is strongly influenced by cultural beliefs. This is because many respondents linked diabetes to too much sugar intake, spiritual attacks, and hereditary causes. The study further showed that the traditional explanation of diabetes has a meaningful effect on how patients view medical guidance and whether they stick with dietetic practices. In fact, some patients chose herbal, spiritual remedies over hospital-based care. The study highlighted the need for increased public health education, culturally appropriate health interventions, and cost-effective dietary support programs to help patients manage their diabetes and adhere to dietary guidelines.

References

Abubakari, A. R., Cousins, R., Thomas, C., Sharma, D., & Naderali, E. K. (2016). Sociocultural determinants of diabetes self-management in Ghanaian adults with type 2 diabetes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 10(3), 159–163. https://doi.org/10.1016/j.dsx.2015.10.016 Aikins, A. D.-G. (2005). Healer shopping in Africa: New evidence from a rural-urban qualitative study of Ghanaian diabetes experiences. BMJ, 331(7519), 737. https://doi.org/10.1136/bmj.331.7519.737 Champion, V. L., & Skinner, C. S. (2008). The Health Belief Model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behaviour and health education: Theory, research, and practice (4th ed., pp. 45–65). Jossey-Bass. de-Graft Aikins, A. (2004). Living with diabetes in rural and urban Ghana: A critical social psychological examination of illness action and scope for intervention. Journal of Health Psychology, 9(4), 557–572. https://doi.org/10.1177/1359105304044035 Ebegbe, R. K., & Binebai, B. N. (2018). Cultural beliefs and health-seeking behaviour among diabetic patients in Bayelsa State, Nigeria. Niger Delta Journal of Sociology and Anthropology, 6(2), 45–58. Ezenwaka, C. E., Nwosu, O., & Kuku, S. F. (2020). Economic burden and challenges of diabetes management in Nigeria. African Journal of Endocrinology and Metabolism, 19(2), 88–96. Hochbaum, G. M. (1958). Public participation in medical screening programs: A socio- psychological study. U.S. Department of Health, Education, and Welfare. International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). International Diabetes Federation. https://diabetesatlas.org/ Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1–47. https://doi.org/10.1177/109019818401100101 Kavishe, B., Biraro, S., Baisley, K., Vanobberghen, F., Kapiga, S., Munderi, P., Peck, R., Mghamba, J., Mutungi, G., Ikoona, E., Levin, J., & Grosskurth, H. (2017). High prevalence of hypertension and of risk factors for non-communicable diseases : A population-based cross-sectional survey of NCDS and HIV infection in Northwestern Tanzania and Southern Uganda. BMC Medicine, 13(1), 126. https://doi.org/10.1186/s12916-015-0357-9 Kegels, S. S. (1981). Why people seek dental care: A test of a conceptual formulation. Journal of Health and Social Behaviour, 4(4), 166–173. https://doi.org/10.2307/2948598 Kleinman, A. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. University of California Press. Mendenhall, E., & Norris, S. A. (2015). Diabetes care among urban women in Soweto, South Africa: A qualitative study. BMC Public Health, 15, 1300. https://doi.org/10.1186/s12889-015-2610-3 National Centre for Disease Control. (2022). Non-communicable diseases prevention and control report in Nigeria. Nigeria Centre for Disease Control. Ogbera, A. O., & Ekpebegh, C. (2014). Diabetes mellitus in Nigeria: The past, present and future. World Journal of Diabetes, 5(6), 905–911. https://doi.org/10.4239/wjd.v5.i6.905 Ogunsemi, O. O., Alebiosu, O. C., & Shorunmu, O. T. (2013). Beliefs about causation and treatment of diabetes among Nigerian patients. African Journal of Diabetes Medicine, 21(1), 14–17. Pastakia, S. D., Pekny, C. R., Manyara, S. M., & Fischer, L. (2017). Diabetes in sub-Saharan Africa – from policy to practice to progress: Targeting the existing gaps for future care JHSP P-ISSN 2695 2416 for diabetes. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 10, 247–263. https://doi.org/10.2147/DMSO.S126314 Pindar, S. K., & Iwilade, G. E. (2019). Food culture and chronic disease management in the Niger Delta region of Nigeria. African Journal of Food, Agriculture, Nutrition and Development, 19(4), 14987–15002. https://doi.org/10.18697/ajfand.86.18120 Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403 Uloko, A. E., Musa, B. M., Ramalan, M. A., Gezawa, I. D., Puepet, F. H., Uloko, A.T., Borodo, M. M., & Sada, K. B. (2018). Prevalence and risk factors for diabetes mellitus in Nigeria: A systematic review and meta-analysis. Diabetes Therapy, 9(3), 1307–1316. https://doi.org/10.1007/s13300-018-0441-1 World Health Organization. (2022). Diabetes fact sheet. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/diabetes

The Sugar Disease Narrative: Local Explanations of Diabetes Aetiology and Their Influence on Diet Compliance in Bayelsa State

Abstract

References

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