The influence of religion and socio-economic status on coping with chronic diseases among older adults in Nigeria

ABSTRACT Although still regarded as a demographically young country, the increased life-expectancy in Nigeria has corresponded with increased rates of chronic diseases among older people. There is limited information about the strategies adopted by older people in dealing with chronic diseases. This study explored how religion and social support help older people cope with their chronic disease conditions, while accounting for the prevailing socio-cultural and economic circumstances in Nigeria. This qualitative study was conducted in two state-owned medical institutions, in a city in the North-Central part of Nigeria. In-depth interviews were conducted among 19 purposively selected chronically ill persons aged between 50 years and over, during clinic days, after receiving treatment from the medical doctors. Recurring themes include: ‘God as Bestower and Reliever,’ Disease as Frustration and Disruption,’ ‘Financial Strain and Drain,’ and ‘Times are Hard.’ The study revealed that religion is central to peoples’ understanding and acceptance of their chronic disease conditions as well as adherence to prescriptions. It also explored the dual burden of coping with chronic conditions as well as being financially responsible for themselves and their families. The study also highlighted the centrality of religion in understanding chronic conditions as well as adherence to physicians’ orders/prescriptions.