In this article, we explore how older British Pakistani people experience multimorbidity (defined as the coexistence of two or more medical conditions) and engage with self-management within the context of their life histories and relationships. We conducted biographical narrative interviews in Urdu and/or English with 15 first-generation Pakistani migrants living with multimorbidity, at their homes in East London. Our analysis showed that the triadic construct of family, faith, and health was central to how participants made sense of their lives, constituting notions of “managing” in the context of multimorbidity. For Pakistani patients, the lived experience of health was inseparable from a situated context of family and faith. Our findings have implications for existing public health strategies of self-management, underpinned by neoliberal discourses that focus on individual responsibility and agency. Health care provision needs to better integrate the importance of relationships between family, faith, and health when developing services for these patients.

在本文中，我们探讨了年长的英国巴基斯坦人如何经历多重疾病（定义为两种或多种疾病并存）并在他们的生活史和人际关系背景下进行自我管理。我们用乌尔都语和/或英语对 15 名患有多种疾病的第一代巴基斯坦移民在他们位于东伦敦的家中进行了传记式访谈。我们的分析表明，家庭、信仰和健康的三元结构对于参与者如何理解他们的生活至关重要，构成了多重疾病背景下“管理”的概念。对于巴基斯坦患者来说，健康的生活体验与家庭和信仰的情境背景是分不开的。我们的发现对现有的自我管理公共卫生策略有影响，以关注个人责任和能动性的新自由主义话语为基础。在为这些患者提供服务时，医疗保健提供需要更好地整合家庭、信仰和健康之间关系的重要性。