caa a22 4500 606222251 CHVBK 20210128101132.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00038-014-0572-8 doi (NATIONALLICENCE)springer-10.1007/s00038-014-0572-8 Living with diabetes and hypertension in Tunisia: popular perspectives on biomedical treatment [Elektronische Daten] [Faten Tlili, Francine Tinsa, Afef Skhiri, Shahaduz Zaman, Peter Phillimore, Habiba Ben Romdhane] Objectives: The growing prevalence of non-communicable diseases across the Middle East and North Africa poses major challenges for underfunded health services. This article presents data on the perspectives of ordinary Tunisians who are coping with two of these diseases—diabetes and hypertension—and who are obtaining treatment through Tunisian public health clinics. Little has been written to date on patient experiences of biomedical treatment in Maghreb countries. Methods: Based on qualitative methods and semi-structured interviews with 24 patients attending two clinics, one urban and one rural. Results: We examine popular aetiological beliefs, ideas about biomedical treatment and its implications, and comparative views on the benefits and drawbacks of treatment in both public and private clinics. Conclusions: We highlight two main themes. One was nostalgia for a recent past when ‘pure' and ‘natural' food, ‘proper' meals and less stressful lives meant less chronic illness, with demanding and costly treatment. The other concerned communication in the clinic, and the recurrent dismay patients felt at what they saw as the cursory attention and guidance they received from clinic staff in public facilities. Swiss School of Public Health, 2014 Tunisia nationallicence Diabetes nationallicence Hypertension nationallicence Qualitative research nationallicence Patient perspectives nationallicence Tlili Faten CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut Tinsa Francine Department of Sociology, Université de Sfax, Sfax, Tunisia aut Skhiri Afef CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut Zaman Shahaduz Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut Phillimore Peter Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut Ben Romdhane Habiba CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut International Journal of Public Health Springer Basel 60(2015-01-01), 31-37 1661-8556 60<31 2015 60 38 https://doi.org/10.1007/s00038-014-0572-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00038-014-0572-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tlili Faten CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut NATIONALLICENCE 700 1- Tinsa Francine Department of Sociology, Université de Sfax, Sfax, Tunisia aut NATIONALLICENCE 700 1- Skhiri Afef CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut NATIONALLICENCE 700 1- Zaman Shahaduz Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Phillimore Peter Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK aut NATIONALLICENCE 700 1- Ben Romdhane Habiba CVD Epidemiology and Prevention Research Laboratory (CAVEPLA), Faculté de Médecine de Tunis, Tunis, Tunisia aut NATIONALLICENCE 773 0- International Journal of Public Health Springer Basel 60(2015-01-01), 31-37 1661-8556 60<31 2015 60 38