International Journal of Celiac Disease
ISSN (Print): 2334-3427 ISSN (Online): 2334-3486 Website: https://www.sciepub.com/journal/ijcd Editor-in-chief: Samasca Gabriel
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International Journal of Celiac Disease. 2017, 5(3), 115-124
DOI: 10.12691/ijcd-5-3-4
Open AccessArticle

Living with Celiac Disease: Norms of Femininity and the Complications of Everyday Life

Ethel Kautto1, , Cecilia Olsson2, Anneli Ivarsson3, Phil Lyon2, Agneta Hörnell2 and Lena Alex4

1Department of Food and Nutrition and Umeå Center for Gender Studies, Umeå University, Sweden

2Department of Food and Nutrition, Umeå University, Sweden

3Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Sweden

4Department of Nursing, Umeå University, Sweden

Pub. Date: August 08, 2017

Cite this paper:
Ethel Kautto, Cecilia Olsson, Anneli Ivarsson, Phil Lyon, Agneta Hörnell and Lena Alex. Living with Celiac Disease: Norms of Femininity and the Complications of Everyday Life. International Journal of Celiac Disease. 2017; 5(3):115-124. doi: 10.12691/ijcd-5-3-4

Abstract

Women with celiac disease are often described as being exposed to negative emotions and experiences related to the treatment of celiac disease, the gluten-free diet. To explore the daily consequences of diagnosis and their daily experiences of living with celiac disease, interviews were conducted with seven Swedish young women who had been diagnosed with celiac disease by screening in early adolescence. The semi-structured interview transcripts were content analysed using a gender perspective. The analysis showed that these young women`s daily experiences were coloured by the conjunction of their dietary treatment, their social relationships, and social norms. This means that recurrent food situations often clash with the normative constructions of femininity and social norms of eating with an adverse effect on dietary compliance.

Keywords:
adherence/compliance gluten-free diet gender young adults

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References:

[1]  Green, P. and Cellier, C., “Celiac disease,” The New England Journal of Medicine, 357(17), 1731-43, 2007.
 
[2]  Wingren, C., Agardh, D. and Merlo, J., “Sex differences in coeliac disease risk: a Swedish sibling design study,” Digestive and Liver Disease, 44(11), 909-13, 2012.
 
[3]  See, J. and Murray, J., “Gluten-free diet: the medical and nutrition management of celiac disease,” Nutrition in Clinical Practice, 21(1), 1-15, 2006.
 
[4]  Leffler, D., Edwards-George, J., Dennis, M., Schuppan, D., Cook, F., Franko, D., Blom-Hoffman, J. and Kelly, C., “Factors that influence adherence to a gluten-free diet in adults with celiac disease,” Digestive Diseases and Sciences, 53(6), 1573-81, 2008.
 
[5]  Olsson, C., Lyon, P., Hornell, A., Ivarsson, A., and Mattsson Sydner, Y., “Food that makes you different: the stigma experienced by adolescents with celiac disease,” Qualitative Health Research, 19(7), 976-84, 2009.
 
[6]  Zarkadas, M., Dubois, S., MacIsaac, K., Cantin, I., Rashid, M., Roberts, K., LaVieille, S., Godefrot, S., and Pulido, O., “Living with coeliac disease and a gluten-free diet: a Canadian perspective,” Journal of Human Nutrition and Dietetics, 26(1), 10-23, 2013.
 
[7]  Roos, S., Wilhelmsson, S. and Hallert, C., “Swedish women with coeliac disease in remission use more health care services than other women: a controlled study,” Scandinavian Journal of Gastroenterology, 46(1), 13-9, 2011.
 
[8]  Roos, S., Hellstrom, I., Hallert, C. and Wilhelmsson, S., “Everyday life for women with celiac disease,” Gastroenterology Nursing, 36(4), 266-73, 2013.
 
[9]  Hallert, C. and Lohiniemi, S.,“Quality of life of celiac patients living on a gluten-free diet,” Nutrition, 15(10), 795-7, 1999.
 
[10]  Sverker, A., Ostlund, G., Hallert, C. and Hensing, G., “I lose all these hours...: exploring gender and consequences of dilemmas experienced in everyday life with coeliac disease,” Scandinavian Journal of Caring Sciences, 23(2), 342-52, 2009.
 
[11]  Connell, R., Gender and power, Stanford University Press, Stanford CA. 1987.
 
[12]  West, C. and Zimmerman, D., “Doing gender,” Gender and Society, 1, 121-51, 1987.
 
[13]  Connell, R., “Gender, health and theory: conceptualizing the issue, in local and world perspective,” Social Science and Medicine, 74(11), 1675-83, 2012.
 
[14]  Connell, R. and Messerschmidt, J., “Hegemonic masculinity: rethinking the concept.” Gender and Society, 19(6), 829-59, 2005.
 
[15]  Lupton, D., Food, the body and the self, Sage, London, 1996.
 
[16]  Roth, D., Herman, C., Polivy, J. and Pliner, P., “Self-presentational conflict in social eating situations: a normative perspective,” Appetite, 36(2), 165-71, 2001.
 
[17]  Stead, M., McDermott, L., Mackintosh, A. and Adamson, A., “Why healthy eating is bad for young people's health: identity, belonging and food,” Social Science and Medicine, 72(7),1131-9, 2011.
 
[18]  Taylor, E., Dickson-Swift, V. and Anderson, K., “Coeliac disease: the path to diagnosis and the reality of living with the disease,” Journal of Human Nutrition and Dietetics, 26(4), 340-48, 2012.
 
[19]  Sverker, A., Hensing, G. and Hallert, C., “Controlled by food: lived experiences of coeliac disease,” Journal of Human Nutrition and Dietetics, 18(3), 171-80, 2005.
 
[20]  Connors, M., Bisogni, C., Sobal, J. and Devine, C., “Managing values in personal food systems,” Appetite, 36(3), 189-200, 2001.
 
[21]  Robinson, E., Tobias, T., Shaw, L., Freeman, E. and Higgs, S., “Social matching of food intake and the need for social acceptance,” Appetite, 56(3), 747-52, 2011.
 
[22]  de Rosa, A., Troncone, A., Vacca, M. and Ciacci C., “Characteristics and quality of illness behavior in celiac disease,” Psychosomatics, 45(4), 336-42, 2004.
 
[23]  Jacobsson, L., Hallert, C., Milberg, A. and Friedrichsen, M., “Coeliac disease: women's experiences in everyday life,” Journal of Clinical Nursing, 21(23-24), 3442-50. 2012.
 
[24]  Satherley, R., Howard, R. and Higgs, S. “The prevalence and predictors of disordered eating in women with coeliac disease,” Appetite, 107, 260-7, 2016.
 
[25]  Passananti, V., Santonicola, A., Bucci, C., Andreozzi, P., Ranaudo, A., Di Giacomo, D. and Ciacci C., “Bone mass in women with celiac disease: role of exercise and gluten-free diet,” Digestive and Liver Disease, 44(5), 379-83, 2012.
 
[26]  Holmes, D. and Gastaldo, D., “Nursing as means of governmentality,” Journal of Advanced Nursing, 38(6), 557-65, 2002.
 
[27]  Myleus, A., Ivarsson, A., Webb, C., Danielsson, L., Hernell, O., Hogberg, L., Karlsson, E., Lagerqvist, C., Norström, F., Rosén, A., Sandström, O., Stenhammar, L., Stenlund, H., Wall, S. and Carlsson, A., “Celiac disease revealed in 3% of Swedish 12-year-olds born during an epidemic,” Journal of Pediatric Gastroenterology and Nutrition, 49(2), 170-6, 2009.
 
[28]  Graneheim, U. and Lundman, B., “Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness,” Nurse Education Today, 24(2), 105-12, 2004.
 
[29]  Ambjörnsson, F., I en klass för sig. Genus, klass och sexualitet bland gymnasietjejer, Ordfront förlag, Stockholm, 2003.
 
[30]  Kautto, E., Olsson, C., Ivarsson, A., Lyon, P., Hörnell, A. and Alex, L., “Seeking a new normality: masculinity, interaction and a gluten free diet,” International Journal of Celiac Disease, 4(4), 138-45, 2016.
 
[31]  Bartky, S., Femininity and domination: studies in the phenomenology of oppression, Routledge, New York NY, 1990.
 
[32]  Telford, K., Kralik, D. and Koch, T., “Acceptance and denial, implications for people adapting to chronic illness: literature review,” Journal of Advanced Nursing, 55(4), 457-64, 2006.
 
[33]  Skeggs, B., Formations of class and gender: becoming respectable, Sage, London, 1997.
 
[34]  Tangney, J. and Dearing, R., Shame and guilt, Guilford Press, New York NY, 2002.
 
[35]  Else-Quest, N., Higgins, A., Allison, C. and Morton L., “Gender differences in self-conscious emotional experience: a meta-analysis,” Psychological Bulletin, 138(5), 947-81, 2012.
 
[36]  Burnier, D., Dubois, L. and Girard, M., “Arguments at mealtime and child energy intake,” Journal of Nutrition Education and Behavior, 43(6), 473-81, 2011.
 
[37]  Fulkerson, J., Neumark-Sztainer, D., Hannan, P. and Story, M., “Family meal frequency and weight status among adolescents: cross-sectional and 5-year longitudinal associations,” Obesity, 16(11), 2529-34, 2008.
 
[38]  Skarderud, F., “Shame and pride in anorexia nervosa: a qualitative descriptive study,” European Eating Disorders Review, 15(2), 81-97, 2007.
 
[39]  Nachman, F., del Campo, M., Gonzalez, A., Corzo, L., Vazquez, H., Sfoggia, C., Smecuol, E., Sánchez, MI, Niveloni, S., Sugai, E., Mauriño, E. and Bai, J., “Long-term deterioration of quality of life in adult patients with celiac disease is associated with treatment noncompliance,” Digestive and Liver Disease, 42(10), 685-91, 2010.
 
[40]  van Hees, N., van der Does, W. and Giltay, E., “Coeliac disease, diet adherence and depressive symptoms,” Journal of Psychosomatic Research, 74(2), 155-60, 2013.
 
[41]  Haas, S., Schaefer, D. and Kornienko, O., “Health and the structure of adolescent social networks,” Journal of Health and Social Behavior, 51(4), 424-39, 2010.
 
[42]  Bacigalupe, G., and Plocha, A., “Celiac is a social disease: family challenges and strategies,” Families, Systems and Health, 33(1), 46-54, 2015.
 
[43]  Gregory, S., “Living with chronic illness in the family setting,” Sociology of Health and Illness, 27(3), 372-92, 2005.