This essay will proceed by examining a health-related article published by the Mail
Online, this is a website of a UK based newspaper The Daily Mail (Pickles K
2016).

It will critically examine its purpose and how the article I
have chosen how it is framed in the media with a clear focus on diabetes.

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 I will discuss a
detailed look at the article and how the issue has been portrayed in the media–
appraising the original research

Also, I will debate
how the social determinants and inequalities are key factors to understanding
the issue which is highlighted by the article. The discussion will secondly
brief the condition of diabetes what it is and to regard the self-management aspects of it, and how a
nagging wife can be can be good for your health, Lastly, I will conclude by explaning of how a nagging wife can be
good for your health and the social determinants surrounding it.

 

Connection into media
confining which mass correspondence hypothesis (Davie G, 2017) focuses at
outlines which takes thought that attempts to sort out or shapes a message
meaning, the general utilization of casings is surrounding in the media grounds
or in the news it is the manner by which the gathering of people sees it by the
way which data the media points of interest it’s data crosswise over and could
be utilized to impact individuals, as announced by (Wilbur et al, 2017).
Familiar wellbeing data in vast scale media will undoubtedly bring issues to
light of conditions, diseases and wellbeing hazard factors, for example, obesity
and poverty, prevailing press could likewise give an inspire to impact
wellbeing strategy courses of action by dealing with the area, sums and the
subject theme scope certain issues got.

  The key argument right here is you find that as an instance type 2
Diabetes (Gollust, Lantz 2009) diabetes can be shaped as an infection with associated threat concerns and constellation of cardiovascular
complexities, besides that the public should
contemplate on diabetes to be medicalized and consequently authorized as
an illness which medical profession has control organising it’s long history of medical screening and remedy. Surrounding that, you get physical connections linked with weight
problems and the socioeconomic downside which
equips with poor background ethical and indicates the probably blended public perceptions.

 

 

 A framing approach is
used to critique the perspective of the author that has been presented in the
tabloid newspaper article.

To get an understanding of the term framing with diabetes
self-management, it is the key factor to consider how diabetes itself is
framed. Highlighting important information about diabetes from a public
viewpoint of the causes and results to difficult problems, such as diabetes has
major consequences for the way the public rules interventions are seen in the
public eye, therefore to gain an understanding of it we need to know how
diabetes is framed in the media is an
vital first step in shifting public opinion about different strategies to fight
the disease (Stefanik ,Kelsey 2012).
The Daily Mail Online article suggests this article has been framed to make
diabetes associated with unfortunate lifestyle choices and psychological
effects such as anxiety and stress, Therefore supporting one’s public health
access, which is accumulated around personal risk. It classifies diabetes and
it does conceive a view about who is affected with diabetes.

 This protection leads
naturally to defensive strategies focussing on behaviour change, education and
dieting control to protect people who have been diagnosed with the condition. How
the article in the Daily Mail Online by (K,  Pickle,)
is framed that is the headline itself states that the importance of issues
which is diabetes and how it can be controlled from a cultural, and gender
point of view. Framing combats public health which shows the pressure in our
society between individual freedom and a mutual responsibility, which (Beauchamp 1976) expresses in detail of
social justice. (Dorfman, et al. The
Daily Mail can be recognized by choosing a story which is accessible for them,
they have an attachment for health-related
subjects which they focus on the bio-medical
health or the biomedicine. This concentrates on the causes of ill health and
disease related to the physical body and the emotional wellbeing.

 

 Diabetes is a severe life-long health
condition that concurs when the measurement of sugar (glucose) in the blood
when it rises too high because the body
can’t use it appropriately if it
is left untreated, ultimately high blood glucose levels can cause you serious
health complications and death, unfortunately.

 Diabetes, there
are two main types which are Type 1 and Type 2. They’re contrasting conditions,
caused by different things,
but they are both serious and need to be treated and handled, educated properly
to patients who are diagnosed (Diabetes,
UK 2017). (Asif, m 2014) documents
in the article that Type-1 diabetes will always entail diet, exercise and
insulin however Type-2 diabetes need
insulin or oral hypoglycemic agents which by using medication would help lower
the blood sugar. Gonder-Federik (2014) outlines
the lifestyle of Type-1 diabetes in the orders of lifestyle adjustment which
will carry on the regular on-going monitoring and the policy on food intake
that will have a notable negative effect on the quality of life.(Shah,Vella
2014) has a view on Type 2 diabetes which is
a common metabolic disease characterized by means of continual hyperglycemia. it is associated with reduced life expectancy attributable to a more risk of heart disorder,
stroke, renal disorder, blindness and
amputation. The quality known predictors of increased diabetes threat are elevated fasting
plasma glucose, abnormal glucose
tolerance test, weight problems and proof of impaired insulin action.

 

Diabetes
represents a chronic disease which requires a person with diabetes to plan of
daily self-management decisions and to perform complicated care activities,
with Diabetes self- management you have the education and support around you to
help you assist with the self-management. Diabetes self-management guides you
to support which is for maintaining and coping skills and behaviours needed to
self-manage on a continuing basis. Multiple members of the healthcare team such as Doctors, Nurses also
participate in this process. It is vital for health care providers and their
practice environment to have the supplies and a precise referral process to
ensure that patients with type 2 diabetes receive diabetes self-management
education and the support in a consistent manner. Power’s et, al (2017). An
alternative viewpoint might suggest that 
tests and treatment can be approved at care level providing symptoms and
blood results which involves kidney function tests, alongside tests of the
arteries in the limb and heart, infected foot ulcers these tests should be
managed by the hospital.

Being diagnosed with diabetes demands
regular monitoring that the wife could persecute the husband to get active,
boosting his chances of avoiding any serious disease to himself. There will
also be elements of developing marital effect over time.

The risk factors and health behaviours
are found to impact diabetes and obesity from childhood to adulthood, which
includes social conditions affect diabetes.
Late-onset diabetes is more prevalent in
lower social economic status groups and communities that do not have the
education about healthy food choices or see healthy options as more expensive Tiffany L, et, al. (2013)

Diabetes is
the 7th leading reason of death for
whites, fifth for blacks,
Asian/Pacific Islanders, and Hispanics, and fourth for American Indians. general, diabetes is the sixth leading reason of demise for men and the fifth leading cause for ladies (Hardy,Bell
2004). Hu, F.B (2011) found that Asian populations tend to increase diabetes at more youthful ages and lower BMI stages than whites. several elements
make contributions to expanded diabetes epidemic in Asians, consisting
of the “everyday-weight metabolically obese” phenotype; excessive occurrence of
heavy alcohol use and smoking high intake of subtle carbohydrates like white rice with decreased physical activity.
Alongside Westernized diet and way of life, genetic heritage may additionally boost
up the increase of diabetes in the context of rapid vitamins transition
To lessen the escalating diabetes epidemic, primary prevention through advertising of
a healthful weight loss
program and life-style ought to be
a international public coverage priority.

In regard to physical activity, physical activity it is very important for the management of type
2 diabetes as it may help the process with the onset
of diabetes.

As individuals
with diabetes, they face multiple challenges, both psychosocial and
biophysical, which may interfere with the following exercise recommendations.
In agreement to the Office of Vital and Health Statistics, only 21.9% of US
adults engaged in light to moderate Physical activities 5 days per week,
whereas the 39.7% do not take part in any leisure physical activity (Fatma. G Huffman and Joan A. Vaccaro,
December 9th,2012).

   (K Pickles 2016)
for the Daily Mail online heading was framed due to a logical reasoning. Key factor is, it is used a framing technique
considered by (Fairhurst and Sarr 1996), which is used by the metaphor’s
technique to frame the headline topic. Unhappy husbands are ‘less likely to
develop diabetes’. Why is it under a metaphor frame you might say? Because the
heading represents a striking humour in a memorable way. This article entails a
metaphor approach when encountering diabetes articles and headlines. The visionary
metaphor solution is that men in unhappy marriages are likely to treat it
better if they have the condition this is associated with psychological factors
such as stress and could affect dieting and attitudes, this article is being interpret as “sometimes nagging is
caring”, “Thought to be because they pester men into controlling their health
behaviours”. The effect of social control, In terms of consequences a couple’s
health behaviour and their psychological health, may work differently in the
setting of a chronic illness where social network members, especially spouses
who are involved in patient’s illness management (Ell, 1996; Franks
et al., 2006).. For instance the effects of social support network as Racheal N.Baek et al. (2014) states in the
article is to look at the effects of diabetes control on the distress and the
burden of it in a study which then critiques the on-going effect of anticipated
social support in the interaction of the chronic physical illness patients
alongside the anxiety and depression 
which is then associated with the low-income primary care patients

 

According to
the associate Professor of Sociology Dr Hui Liu states in the article she
goes on to say the study takes on the long-established theory that opposing
marital quality is always detrimental to health. Marriage can have a
detrimental shock on the well-being of
couples if they are unhappy Vicky Lehmann
et al (2015). In relation to relatioships

Umeed, M (2013)
argues that domestic abuse is not different to
heterosexual relationships. Homo sexual and
bisexual men and women are
statistically more likely to be afflicted by accomplice abuse
with 6.2% of men and 12.4% of women’s
compared to heterosexual guys (3.3%) and ladies (4.3%). moreover, guys who are
suffering long time illness or disability are more likely to be victims, alongside that stress, can cause blood glucose
levels/pressure to change and an increased suspecptibility to illness. The
Daily Mail isn’t reporting this research accurately, as modern day
relationships show that contemporary ‘nagging’ involves manipulation, which is
adverse to health.

   If men adapt themselves early with the health
diagnosis, the behaviour and psychological factors triggered, given the right
education and counselling services would be a great early indication of how to
control it and self-manage the illness. In ordinary terms, society has depended
on the health sector to comprise with its worries about health and disease
(CSDH,2008). Health promotion programs and procedure, alike to these that pursue or manage the illness
diabetes, have turned to maintain promoting individual behaviour change with restricted
attention given to expressing the environmental, economic and the political
factors that promote to and influence health inequities. Without the correct
health resources, social environment,education, nagging alone is ineffective at
improving a man’s management of diabetes.

As the article
proposed, it has detailed the social inequalities regarding the health
promotion messages like the application of public policies and schedules
outlines to promote marital quality should also lessen the risk of diabetes and
to promote the health and durability. The headline (K Pickles 2016) “why a
nagging wife can be GOOD for your health” expectations about the role of a
partner should show his/her spouse health may change by gender (Berg &
Upchurch, 2007). As stated in the article “sometimes nagging is caring” As a
social expectation, with support I have referenced women have a general role
about them which is of caring and a nurturing nature may be more of a
persistent involvement in other’s health behaviours (Darbes, Johnston-Brooks,
2004, Lewis Butterfield, Umberson, 1992). The gender difference may echo not
only women’s anticipation for providing care
but also men’s expectations for acquiring care also. Constant with these gender
roles women may foresee their husband to be less
involved
in their illness management and that men may assume their wives to be more
involved in their illness. Men and women may differ not only in
their expectations for spousal involvement but also in their responses to
social control attempts by their spouses. In a separate study Wang et al. (2013) there was a
difference in men and women
consulting in healthcare practice on average, men consulted less than women
between the ages of 16 and 60 years old, although not at the older younger
ages. However when prescribed medication for anxiety, depression and cardiovascular disease, the gender differences
of primary healthcare services lessens greatly and are modest. Female
consulting has led to a theory that women are more willing to utilise the
health services in all circumstances and at all ages. Results suggest some of
overtop in female consulting could reflect higher levels of ‘need’ in relation
to depression in women. Men regularly
express a reluctance to consult, with strong evidence, on average during their
working year’s men have lesser contacts
with their general practitioners (GPs) than women do. The gender difference in
consulting also differed by deprivation status, which reflects on a socioeconomic gradient in consulting rates among
women but not men. In the year of 2010, there were 1868 149 men and 1916 898
women registered with 446 accesible
practices in the UK. The consultation rate was 32% less in men than in women,
men did consult around 3152 times, however
women consulted up to 4607 times.

 

 

How
environmental health play it’s part in ensuring an individual male have full control
on his health when faced with a (K Pickles 2016) “nagging wife”, When the male
gender is faced with a pestering wife,
support from the local community are there to make a difference in lowering the
amount of developing diabetes and bettering the control of current disease.
They must ensure that they offer the right information and support throughout
the community where it is exposed to everyone and it is for that reason
delivered in a scheme that is granted. In any respect of cultural beliefs and socioeconomic
status, the (K Pickles 2016) “nagging wife” would enforce the husband to take on
more responsibility and making sure he is to get involved in the environmental
sector which can be a great opportunity for the male because there is social
access to participate in local activist
groups such as walking, cycling interests, volunteering, have all been shown to
work in developing the health and well-being
of people from all ages with long duration, Aspects of social framework taking into
account the mental health and the physical alongside social and economic issues
can be achieved. (S, McNally 2017). On the other hand, physical neighborhood
and social are inter-related, for instance,
neighborhood underdevelopment has been linked to multiple features of the de-constructed
environment, including major distance to exercise facilities and parks, fewer
walkable areas to walk to also a poor admittance to public transportation
alongside having higher crime rates which every one of those have been linked
with reduced levels of physical activity. (M,
Shah et al, 2013) diabetes rates improving as a result of people
participating in the community, the community health workers involvements have
been found to be a key focus for working towards a diabetes outcome, regarding
the low-income and ethnic minority populations.

African-American and Latino patients who are diagnosed
with Type-2 Diabetes they have been evaluated with full involvement for the
community outcome. Lasting 6 months, 164 participants were mixed up to a
suspended control or to the Community Health Workers intervention, the CHWs
provided powerful theory based self-management, also a boost on healthy life
style training, a key part included is the one-on-one behavioural goal setting.
The end result included self-management knowledge, physical activity, dietary
involvement and the Hemoglobin A1c developed from a 8.6% to a 7.8% difference
to no change in the suspended group. In another study from (Hawkins J,2013)
includes a number of 180 African-American and Latino adult residing by Detroit
and Michigan who were from low-income communities who were chosen from 2
healthcare systems, The information included more or less from the above,
regarding post intervention follow up stage individuals on average had improved
their understanding of the exercise,blood control alongside important
beneficial eating changes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 Deprived areas relating to the geographical areas Public Health England (2017) states that
for example Rutland in 2015 in the East Midlands has a deprivation score of
9.6% with it’s best and worst at 42.0% and worst at 5.7% respectively. Violent
crime in 2015 is down by 6.7 decreasing getting worse, living in a high crime area is more stressful which contributes to
poorer health and increased risks associated with diabetes.

Individividuals who live next to, environmental advantages, along
with good quality green spaces,

enjoy higher air, much less noise and get entry to natural areas (Marmot Review, 2017) reasons why Rutland
deprivation is low because of a substandard public transport infrastrucuture,
the nearest full accident and emergency facilities hospital is 23 miles away so
it proves a difficulty for access to services Barbara Coulson (2016). Looking
into detail of participation in health iniativies the East of England lowest
participation area is in Thurrock with a percentage of 52.8% of physically
active adults. historical method in 2015 while in Bedfordshire the percentage
accounts to 59.8% percent which is high due to the fact of local strategies
such as Reactive8, County sports partnerships which includes a range of sports
such as Tennis, Squash,  for adults who
would like to try something new or who would like to get into the sport again
also with more healthy eating programmes such as weight watchers, slimmers
world classes which will bring the local community round. The population 16+ in
Luton when it comes to Sports membership period of 2015/2016 year is a huge low
of 18.2%, comparing Hertfordshire with 26.1% a key difference because of the
local Authorities in Hertfordshire have a structured framework plan called
‘Everybody Active’, ‘Creating a sporting habit for life’ which entails the
format of the development of this Hertfordshire Physical Acitivty and Sport
Framework. To develop health and fitness have identified boosting participation
in physical activity and sport in their community strategies. Workplace health and well-being interventions increase participation
in fitness-related activites, improving workforce well-being and morale. Majority
of those programmes encourage behaviour trade, implementing programmes to encourage
healthy eating, physical exercising, smoking cessation and stress management Public
Health (2014).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nagging wives, of a particular background and generation,
could be helpful at improving men’s management of their diabetes, but the
social dynamics of relationships have altered over time, and the impact that
this actually has on improving the health of the entire male UK population is
very minor.

Therefore,
a problem with this nagging wife research is that it’s outdated and has limited
applicability in today’s society

 

 

 

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