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‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines

Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year‐long fieldwork in the Philippines that involved semi‐structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through t...

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Autores principales: Lasco, Gideon, Renedo, Alicia, Mendoza, Jhaki, Seguin, Maureen L., Palafox, Benjamin, Palileo‐Villanueva, Lia M., Balabanova, Dina, McKee, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9540552/
https://www.ncbi.nlm.nih.gov/pubmed/35929521
http://dx.doi.org/10.1111/1467-9566.13503
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author Lasco, Gideon
Renedo, Alicia
Mendoza, Jhaki
Seguin, Maureen L.
Palafox, Benjamin
Palileo‐Villanueva, Lia M.
Balabanova, Dina
McKee, Martin
author_facet Lasco, Gideon
Renedo, Alicia
Mendoza, Jhaki
Seguin, Maureen L.
Palafox, Benjamin
Palileo‐Villanueva, Lia M.
Balabanova, Dina
McKee, Martin
author_sort Lasco, Gideon
collection PubMed
description Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year‐long fieldwork in the Philippines that involved semi‐structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through their embodied experiences and the knowledge and practice that emerge from them. Drawing inspiration from Annemarie Mol’s work on the notion of ‘multiplicity’ of disease, our analysis was informed by a commitment to privileging patients’ embodied experiences and the multiple ontologies of hypertension. We find that for patients diagnosed with hypertension in the Philippines, symptoms enact illness; patients rely on their own embodied knowledge to define their illness’ nature (e.g., diagnosis), experience (e.g., frequency of symptoms and non‐chronicity) and praxis (e.g., self‐care practices). We show how this knowledge gained from having embodied experiences of living with the disease interacts in various ways with biomedical knowledge, other diagnostic labels and clinical practices, to shape how hypertension manifests and is managed by patients. Beyond interrogating the relationship between what counts as a ‘disease’ and what is considered a ‘symptom’, our findings underscore the need to pay attention instead to the mutually co‐constitutive processes of embodied experiences and disease categories in co‐producing patient knowledge.
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spelling pubmed-95405522022-10-14 ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines Lasco, Gideon Renedo, Alicia Mendoza, Jhaki Seguin, Maureen L. Palafox, Benjamin Palileo‐Villanueva, Lia M. Balabanova, Dina McKee, Martin Sociol Health Illn Original Articles Patients’ embodied experiences do not always correspond to the biomedical concepts of particular diseases. Drawing from year‐long fieldwork in the Philippines that involved semi‐structured interviews, focus group discussions and digital diaries, we examine how individuals ‘do’ hypertension through their embodied experiences and the knowledge and practice that emerge from them. Drawing inspiration from Annemarie Mol’s work on the notion of ‘multiplicity’ of disease, our analysis was informed by a commitment to privileging patients’ embodied experiences and the multiple ontologies of hypertension. We find that for patients diagnosed with hypertension in the Philippines, symptoms enact illness; patients rely on their own embodied knowledge to define their illness’ nature (e.g., diagnosis), experience (e.g., frequency of symptoms and non‐chronicity) and praxis (e.g., self‐care practices). We show how this knowledge gained from having embodied experiences of living with the disease interacts in various ways with biomedical knowledge, other diagnostic labels and clinical practices, to shape how hypertension manifests and is managed by patients. Beyond interrogating the relationship between what counts as a ‘disease’ and what is considered a ‘symptom’, our findings underscore the need to pay attention instead to the mutually co‐constitutive processes of embodied experiences and disease categories in co‐producing patient knowledge. John Wiley and Sons Inc. 2022-08-05 2022-07 /pmc/articles/PMC9540552/ /pubmed/35929521 http://dx.doi.org/10.1111/1467-9566.13503 Text en © 2022 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Lasco, Gideon
Renedo, Alicia
Mendoza, Jhaki
Seguin, Maureen L.
Palafox, Benjamin
Palileo‐Villanueva, Lia M.
Balabanova, Dina
McKee, Martin
‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title_full ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title_fullStr ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title_full_unstemmed ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title_short ‘Doing’ hypertension: Experiential knowledge and practice in the self‐management of ‘high blood’ in the Philippines
title_sort ‘doing’ hypertension: experiential knowledge and practice in the self‐management of ‘high blood’ in the philippines
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9540552/
https://www.ncbi.nlm.nih.gov/pubmed/35929521
http://dx.doi.org/10.1111/1467-9566.13503
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