2021, Number 3
<< Back Next >>
Enfermería Universitaria 2021; 18 (3)
Machismo relationship with type 2 diabetes mellitus acceptance among adult men
Mendoza-Catalán G, Figueroa-Perea JG, Gallegos-Cabriales EC, Salazar-González BC, Onofre-Rodríguez DJ, Juárez-Medina LL
Language: Spanish
References: 33
Page: 285-295
PDF size: 217.39 Kb.
ABSTRACT
Introduction: Accepting a diagnosis of type 2 diabetes mellitus contributes to the adherence
to the treatment and control of the illness; however, it has been reported that men tend
to have a lower acceptance of this diagnosis. Among Mexican men, in particular, this low
acceptance could be related to their machismo.
Objective: To identify the relationship of machismo with the acceptance of a type 2 diabetes
mellitus diagnosis.
Methodology: This is a transversal and correlational study. The population of interest were
Mexican men diagnosed with type 2 diabetes mellitus between 20 and 59 years registered
in centers of primary attention in the city of Monterrey, Mexico. The sample was constituted
of 121 participants chosen by convenience. The instruments used were the Conformity to
Masculine Norms Inventory and the Acceptance Scale for DM2. The statistical analysis and
the multiple linear regression model were carried out using SPSS v25.
Results: Findings suggest that men who show machismo, who have long labor shifts, and
who consume large quantities of cigarettes tend not to accept a diagnosis of type 2 diabetes
mellitus. Regarding the subdimensions of the machismo construct, homophobia was the
best predictor of accepting or not a diagnosis of type 2 diabetes mellitus.
Conclusions: Healthcare professionals should develop programs aimed at improving the
acceptance attitude of a type 2 diabetes mellitus diagnosis among men, including those
with machismo, in order to better manage self-care, glucose control, and also prevent
complications.
REFERENCES
Zimmet PZ, Magliano DJ, Herman WH, Shaw JE. Diabetes: A 21st century challenge. Lancet DiabetesEndocrinol. 2014; 2(1): 56-64. https://doi.org/10.1016/S2213-8587(13)70112-8
World Health Organization. Global report on diabetes. Geneva: WHO; 2016.
International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: IDF; 2019.https://bit.ly/33gNkj0
González-Villalpando C, Dávila-Cervantes CA, Zamora-Macorra M, Trejo-Valdivia B, González-Villalpando ME. Incidence of type 2 diabetes in Mexico. Results of The Mexico City DiabetesStudy after 18 years of follow-up. Salud Publica Mex. 2014; 56(1):11-7.https://doi.org/10.21149/spm.v56i1.7318
Basto-Abreu AC, López-Olmedo N, Rojas-Martínez R, Aguilar-Salinas CA, De la Cruz-Góngora VV,Rivera-Dommarco J, et al. Prevalence of diabetes and glycemic control in Mexico: National resultsfrom 2018 and 2020. Salud Publica Mex. 2021; 63(6): 725-33. https://doi.org/10.21149/12842
Hawkins J, Watkins DC, Kieffer E, Spencer M, Espitia N, Anderson M. Psychosocial factors thatinfluence health care use and self-management for African American and Latino men with type2 diabetes: An exploratory study. J Mens Stud. 2015; 23(2): 161-76.https://doi.org/10.1177/1060826515582495
Mathew R, Gucciardi E, De Melo M, Barata P. Self-management experiences among men andwomen with type 2 diabetes mellitus: A qualitative analysis. BMC Fam Pract. 2012; 13(122): 1-12.https://doi.org/10.1186/1471-2296-13-122
Rossaneis MA, Fernandez-Lourenço Haddad MC, Aidar-de Freitas Mathias T, Silva-Marcon S. Diferenciasentre mujeres y hombres diabéticos en el autocuidado de los pies y estilo de vida. Rev.Latino-Am. Enfermagem. 2016; 24: 1-8. https://doi.org/10.1590/1518-8345.1203.2761
Boon-How C, Ai-Theng C, Ahmad Z, Ismail M. Men suffer more complications from diabetes thanwomen despite similar glycaemic control and a better cardiovascular risk profile: The ADCMstudy 2008. J Mens Health. 2012; 9(3): 190-7. https://doi.org/10.1016/j.jomh.2012.02.004
Mendoza-Catalán G, Gallegos-Cabriales EC, Figueroa-Perea JG. Autopsia verbal en hombres adultoscon diabetes tipo 2: estudio cualitativo. Rev Cuid. 2017; 8(3): 1786-98.http://dx.doi.org/10.15649/cuidarte.v8i3.420
Kübler-Ross E. On death and dying. Nueva York: Routledge; 1973.
Leiton-Espinoza ZE, Cienfuegos-Pastor MR, Deza-Espino MC, Fajardo-Ramos E, Villanueva-Benites ME, López-González A. Impacto emocional en el camino de aprender a vivir con “la diabetes”.Salud Uninorte. 2018; 34(3): 696-704. https://doi.org/10.14482/sun.34.3.616.467
Schmitt A, Reimer A, Kulzer B, Haak T, Gahr A, Hermanns N. Assessment of diabetes acceptancecan help identify patients with ineffective diabetes self-care and poor diabetes control. DiabetMed. 2014; 31(11): 1446-51. https://doi.org/10.1111/dme.12553
Schmitt A, Reimer A, Ehrmann D, Kulzer B, Haak T, Hermanns N. Abstracts of 51st EASD AnnualMeeting. Development and evaluation of a psychometric instrument to assess problems relatedto illness acceptance in diabetes: The Denial versus Integration of Diabetes Scale (DIDS). Diabetologia.2015; 58(Suppl 1): 1-607. https://doi.org/10.1007/s00125-015-3687-4
Rodríguez-Moctezuma JR, López-Delgado ME, Ortiz-Aguirre AR, Jiménez-Luna J, López-Ocaña LR,Chacón-Sánchez J. Etapas del duelo en diabetes y control metabólico. Rev Med Inst Mex SeguroSoc. 2015; 53(5): 546-51. https://bit.ly/3BpMZXP
Fuller N. Repensando el machismo latinoamericano. 2012; 1(2): 114-33. https://bit.ly/3K1Mas6
Courtenay WH. Constructions of masculinity and their influence on men’s well-being: A theoryof gender and health. Soc Sci Med. 2000; 50(10): 1385-401.https://doi.org/10.1016/S0277-9536(99)00390-1
Figueroa-Perea JG. El ser hombre desde el cuidado de sí: algunas reflexiones. Rev.latiniam.estud.fam. 2015; 7: 121-38. https://bit.ly/3KfFTsQ
Rodríguez-del Pino JA. El hombre unidimensional fragmentado. Barataria. 2013; (16): 97-106.http://dx.doi.org/10.20932/barataria.v0i16.74
McCloskey J, Flenniken D. Overcoming cultural barriers to diabetes control: A qualitative study ofsouthwestern New Mexico Hispanics. J Cult Divers. 2010; 17(3): 110-5. https://bit.ly/33lPgqi
Daniel-Ulloa J, Sun C, Rhodes SD. The intersection between masculinity and health among ruralimmigrant Latino men. Int J Mens Health. 2017; 16(1): 84-95. https://bit.ly/34DTPN0
Teo CH, Ng CJ, Booth A, White A. Barriers and facilitators to health screening in men: A systematicreview. Soc Sci Med. 2016; 165: 168-76. https://doi.org/10.1016/j.socscimed.2016.07.023
Bernales M, Figueroa JG. Vulnerabilidades sociales y consecuencias en salud en hombres chilenos:la fragilidad de los “invulnerables”. En: Cabieses B, Bernales M, Obach A, Pedrero V. Vulnerabilidadsocial y su efecto en salud en Chile. Desde la comprensión del fenómeno hacia la implementaciónde soluciones. Chile: Universidad del Desarrollo; 2016.
Mahalik JR, Locke BD, Ludlow LH, Diemer MA, Scott RPJ, Gottfried M, et al. Development of theconformity to masculine norms inventory. Psychol Men Masc. 2003; 4(1): 3-25.https://doi.org/10.1037/1524-9220.4.1.3
Mendoza-Catalán GS. Factores socioculturales asociados al riesgo cardiovascular en hombrescon diabetes mellitus tipo 2. [Tesis Doctoral]. Monterrey: Universidad Autónoma de Nuevo León;2017.
Kalra S, Jena BN, Yeravdekar R. Emotional and psychological needs of people with diabetes. IndianJ Endocrinol Metab. 2018; 22(5): 696-704. https://doi.org/10.4103%2Fijem.IJEM_579_17
Da Silva JA, Fagundes-de Souza EC, Echazú-Böschemeier AG, Da Costa CCM, Souza-Bezerra H,Lopes-Cavalcante Feitosa EE. Diagnosis of diabetes mellitus and living with a chronic condition:Participatory study. BMC Public Health. 2018; 18(1): 1-8.https://doi.org/10.1186/s12889-018-5637-9
Ferrara L, Singleton J, Yang K, Frederickson K, Rivera E. Grieving the loss of self: Challenges in type2 diabetes mellitus self-management. J Dr Nurs Pract. 2018; 11(1): 25-34.https://doi.org/10.1891/2380-9418.11.1.25
Gois CJ, Ferro AC, Santos AL, Sousa FP, Quakinin SR, do Carmo I, et al. Psychological adjustmentto diabetes mellitus: Highlighting self-integration and self-regulation. Acta Diabetol. 2010; 49(Suppl 1): 1-8. https://doi.org/10.1007/s00592-010-0191-7
Schmitt A, Reimer A, Kulzer B, Icks A, Paust R, Roelver KM, et al. Measurement of psychologicaladjustment to diabetes with the diabetes acceptance scale. J Diabetes Complications. 2018; 32(4):384-92. https://doi.org/10.1016/j.jdiacomp.2018.01.005
Evans J, Frank B, Oliffe JL, Gregory D. Health, illness, men and masculinities (HIMM): A theoreticalframework for understanding men and their health. J Mens Health. 2011; 8(1): 7-15.https://doi.org/10.1016/j.jomh.2010.09.227
Quaglia V. Men, masculinities and diabetes: ‘doing gender’ in Italian men’s narratives of chronicillness. Sociol Health Illn. 2020; 42(8): 1902-17. https://doi.org/10.1111/1467-9566.13176
Tannenbaum C, Frank B. Masculinity and health in late life men. Am J Men’s Health. 2011; 5(3):243-54. https://doi.org/10.1177/1557988310384609