medigraphic.com

2015, Number 3

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2015; 53 (3)

Cultural domain of the causes of diabetes in three generations of popular stratum in Guadalajara, Mexico

García de Alba-García JE, Salcedo-Rocha AL, Hayes BD, Milke NME

Language: Spanish
References: 30
Page: 308-315
PDF size: 73.43 Kb.


ABSTRACT

Background: The growing prevalence of diabetes must be confronted in several ways. Establishing the generational transmission of cultural knowledge offers some guidelines to prevent and control the disease. Once we identify and compare the semantic structures of shared knowledge we lay the foundations of a culturally comprehensive care. The objective was to characterize the main elements about cultural domain of the causes of diabetes in a population of grandparents, parents and children belonging to popular strata in Guadalajara, Jalisco, Mexico.
Methods: A cognitive anthropological study performed in 104 subjects selected randomly in Guadalajara. We applied the free listing technique in order to obtain the semantic model and the average of cultural knowledge on the causes of the disease through a consensus analysis.
Results: The studied groups were divided by generation: grandparents, parents and children. The data evidences intergenerational transmission, in form of a basic semantic structure, and a significant consensus around a single model.
Conclusions: The semantic structure on the causes of the diabetes includes: a) the emotions, as traditional dimension; b) certain behaviours related with the lifestyle, as everyday dimension; c) some biomedical concepts, like an emergent dimension.


REFERENCES

  1. Wild S, Roglic G, Green A, Scriee R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047-53.

  2. Aguilar-Salinas CA, Velázquez-Monroy O, Gómez-Pérez FJ, González-Chávez A, Lara-Esqueda A, Molina-Cuevas V, et al. Characteristics of patients with type 2 diabetes in Mexico: results from a large population-based nationwide. Diabetes Care. 2003;26(7):2021-6.

  3. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: SSA. INSP; 2012.

  4. Hernández Romieu AC, Elnecavé-Olaiz A, Huerta-Uribe N, Reynoso Noverón N. Análisis de una encuesta poblacional para determinar los factores asociados al control de la diabetes mellitus en México. Salud Pública Méx. 2011;53(1):34-9.

  5. Shah BR, Hux JE, Laupacis A, Zinman A, van Walraven C. Clinical inertia in response to inadequate glycemic control: do specialists differ from primary care physicians?. Diabetes Care. 2005;28(3):600-6.

  6. Koro CE, Bowlin SJ, Bourgeois N, Fedder DO. Glycemic control from 1988 to 2000 among US adults diagnosed with type 2 diabetes: a preliminary report. Diabetes Care. 2004;27(1):17-20.

  7. 7 García de Alba JE, Salcedo Rocha AL, López Coutiño B. Una aproximación al conocimiento cultural de la diabetes mellitus tipo 2 en el occidente de México. Desacatos. 2006 May-Ago;(21):97-108.

  8. García de Alba García J, Salcedo Rocha AL, López I, Baer RD, Dressler W, Weller SC. “Diabetes is my companion”: lifestyle and self-management among good and poor control Mexican diabetic patients. Soc Sci Med. 2007 Jun;64(11): 2223-35.

  9. Martorell R. Diabetes and Mexicans: why the two are linked. Prev Chronic Dis [Internet]. 2005;2(1):A04 [aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih. gov/pmc/articles/PMC1323307/pdf/PCD21A04.pdf

  10. Day T, Bonduriansky R. A unified approach to the evolutionary consequences of genetic and non genetic inheritance. Am Nat. 2011;178 (2):E18-36.

  11. Hosper K, Nicolau M, van Valkengoed I, Nierkens V, Stronks K. Social and cultural factors underlying generational differences in overweight: a cross-sectional study among ethnic minorities in the Netherlands. BMC Public Health [Internet]. 2011 ;11:105 [aprox. 10 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048530/pdf/1471-2458-11-105.pdf

  12. Cardol M, Groenewegen PP, Spreeuwemberg P, Van Dijk L, Van Den Bosch WJ, De Baker DH. Why does it run in families? Explaining family similarity in help-seeking behaviour by shared circumstances, socialisation and selection. Soc Sci Med. 2006;63(4):920-32.

  13. Dressler WW, Dos Santos JE. Social and cultural dimensions of hypertension in Brazil: a review. Cad Saúde Pública. 2000 Apr-Jun;16(2):303-15.

  14. Díaz-Nieto L, Galán-Cuevas S, Fernández-Pardo G. Grupo de autocuidado de diabetes mellitus tipo II. Salud Pública Méx. 1993;35(2):169-76.

  15. Beléndez-Vázquez M, Méndez FX. Procedimientos conductuales para el control de la diabetes. En: Simón MA, coord. Manual de Psicología de la Salud: fundamentos, metodología y aplicaciones. España: Biblioteca Nueva; 1999. p. 487.

  16. Rommey AK, Weller SC, Batchelder WH. Culture as consensus: A theory of culture and informant accuracy. Am Anthropologist. 1986;88(2):313-38.

  17. D’Andrade RG. Cultural meanings systems in culture theory: essays on mind, self and emotion. Eds.: Richard A Shweda, Robert A Levine. Cambridge: Cambridge University Press; 1984. pp. 87-119 .

  18. Weller SC, Rommey AK. Systematic data collection. Beverly Hills, CA: Sage; 1988. (Qualitative Research Methods; v. 10).

  19. Ruiz A, Gomez C y Londoño D. Investigación clínica: epidemiología clínica aplicada. Bogotá: Centro Editorial Javeriano; 2001.

  20. Borgatti S. Anthropac Software 3.02. Columbia: Analytic Technologies; 1990.

  21. Weller SC. Shared knowledge, intracultural variation and knowledge aggregation. Am J Behav Sci. 1987;31(2):178-93.

  22. Weller SC, Baer RD, Patcher LM, Trotter RT, Glazer M, García de Alba García JE, et al. Latino beliefs about diabetes. Diabetes Care. 1999;22(5):722-8.

  23. Rubel AJ. The epidemiology of a folk illness. Susto in Hispanic America. Ethnology. 1964;3(3):268-83.

  24. Mendenhall E, Seligman RA, Fernández A, Jacobs EA. Speaking through diabetes: rethinking the significance of lay discourses on diabetes. Med Anthropol Quartely. 2010;24(2):220-39.

  25. Segall A, Goldstein J. Exploring the correlates of self-provided health care behavior. Soc Sci Med. 1989;29(2):153-61.

  26. Tillotson LM, Smith AS. Locus of control, social support and adherence to the diabetes regimen. Diabetes Educ. 1996;22(2)133-9.

  27. Liefbroer AC, Elzinga CH. Intergenerational transmission of behavioral patterns: similarity of parents´ and children’s family life trajectories. Forthcoming 2006.

  28. Charmaz K. Experiencing chronic disease. In. Albrecht GL, Fitzpatrick R, Scrimshaw SC. The handbook of social studies in health & medicine. London: Sage; 2003. p. 277-92.

  29. Haro-Encinas JA. Cuidados profanos: una dimensión ambigua en la atención de la salud. En: Perdiguero E, Comelles JM, editores. Medicina y Cultura. Estudios entre la antropología y la medicina. Barcelona: Bellatera Editorial; 2000. p. 101-61.

  30. Salcedo-Rocha AL, García de Alba-García JE, Sevilla E. Dominio cultural del autocuidado en diabéticos tipo 2 con y sin control glucémico en México. Rev Saúde Púb. 2008;42(2):256-64.




2020     |     www.medigraphic.com