Gaytán-Hernández AI, García de Alba-García JE

Language: Spanish
References: 20
Page: 113-120
PDF size: 370.88 Kb.

ABSTRACT

Introduction: Medical anthropology considers the sociocultural aspects of illnesses, from the biomedical definition of the experience of the one who suffers the illness. This is what makes the difference between a disease and an illness, in other words, an explanatory model of illness.
Objectives: To show the cultural consensus elaborated and shared by a group of diabetics through personal experience, of the causes, symptoms, treatment and complications of type 2 diabetes mellitus; to highlight the importance this has in the daily medical practice, and to understand the meaning of type 2 diabetes from the patient’s perspective.
Material and methods: 88 patients were studied in an interactive process, with an interview outline that was applied in an open form at the waiting rooms for outpatients at two family medicine units of the Mexican Institute of Social Security (IMSS) in Guadalajara, Jalisco.
Results: The way in which patients construct a definition and an explanation of their illness is a syncretism of lived experiences done in a procedural manner. In this reconciliation, patients with diabetes integrate biomedical elements, alternative medicines, deities and even sorcery.
Conclusions: These previously mentioned factors should be considered when in contact with the patient if one thinks that the influence of a doctor or institutional health care provider has the objective of achieving a greater effectiveness in the long-term handling of these patients.

REFERENCES

1. Velázquez MO, Rosas PM, Lara EA, Pastelín HG, Castillo C, Attie F, Tapia CR. Prevalence and interrelations of non communicable chronic diseases and cardiovascular risk factors in Mexico. Arch Cardiol Mex 2003;1:62-77.

2. Eisenberg L. Disease and illness: distinctions between professional and popular ideas of sickness. Cult Med Phsichiatry 1977;1:9-23.

3. 3. Good MJ. The meaning of symptoms: A cultural hermeneutic model for clinical practice. En: Eisenberg L , Kleinman A, compilators. The relevance of social science for medicine. Dodrecht, Holanda: Reidel; 1981.

4. 4. Helman C. Culture, health and illness. London, England: Wright; 1990.

5. 5. Bakhtin M. The dialogic imagination. Austin, Texas: University of Texas Press; 1981

6. 6. Kleinman A. Toward a comparative study of medical system. Sci Med Man 1973;1:55-65.

7. 7. Kleinman A. Medicine’s symbolic reality: On the central problem in the philosophy of medicine. Inquiry 1973;16:206-213.

8. 8. Kleinman A. Cognitive structures of traditional medical systems. Ethnomedicine 1974;3:27-49.

9. 9. Kleinman A, Leon E, Good B. Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Ann Intern Med 1978;88:251-258.

10. Kleinman A. Patients of healers in the context of culture. Berkeley, USA: University of California; 1980.

11. Kleinman A. The illness narratives: Suffering, healing, and the human condition. New York, USA: Basic Books; 1988.

12. Good B. Medicine, rationality and experience. An anthropological perspective. Cambridge, USA: Cambridge University Press; 1994.

13. Feinsten AR. Clinical biostatistics. St. Louis, USA: The CV Mosby Company; 1977. p. 320-324.

14. Borgatti S. Anthropac 4.0. Natick, USA: Analytic Technologies; 1996.

15. Hunt LM, Valenzuela-Pugh J. ¿Por qué me tocó a mí? Mexican American diabetes patients’ casual stories and their relationship to treatment behaviors. Soc Sci Med 1998;46:959-969

16. Brown S, Upchurch S, García A. Symptom-related, self-care of Mexican American with type 2 diabetes: preliminary findings of the starr county diabetes education study. The Diabetes Educator 1998;1: 331-339.

17. Weller S, Baer R, Patcher L, Trotter R, García de Alba J, Klein R, Glazer M. Latino belief about diabetes. Diabetes Care 1999;5:122-128.

18. Alcozer F. Secondary analysis of perceptions and meanings of type 2. Diabetes among Mexican Ame-rican women”. The Diabetes Educator 2000;5:785-793.

19. Whittaker A, Broom D. Controlling diabetes, con-trolling diabetics: moral language in the management of diabetes type 2. Soc Sci Med 2004;58:2371-2382.

20. Viniegra VL. La crítica, aptitud olvidada por la educación. México: IMSS; 2000.