Cultural Values and Political Economic Contexts of Diabetes Among Low-Income Mexican Americans
Cultural Values and Political Economic Contexts of Diabetes Among Low-Income Mexican Americans
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DOI：
10.1177/1043659609334851
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发表时间：
2009-10-01
影响因子：
2.1
通讯作者：
Sanchez, Jessica
中科院分区：
文献类型：
--
作者：
Clark, Lauren;Vincent, Deborah;Sanchez, Jessica
目的：探讨墨西哥裔美国成年人糖尿病自我管理的政治和经济层面。设计和方法：关键民族志分析焦点小组数据从照顾者和成人糖尿病患者。调查结果：确定了三个主题：糖尿病自我管理与其他精神和身体状态有关，家庭和邻里环境造成压力并阻止糖尿病解决方案，而卫生保健环境的麻烦破坏了自我管理。讨论和结论：在解释糖尿病时，有关糖尿病的文化结构与社会政治力量相融合。对实践的启示：糖尿病护理的文化能力需要关注疾病的政治经济学，并倡导健康的政治和经济变革。
Purpose: To explore the political and economic dimensions of diabetes self-management for Mexican American adults. Design and methods: Critical ethnographic analysis of focus group data from caregivers and adults with diabetes. Findings: Three themes were identified: diabetes self-management is tied to other mental and bodily states, family and neighborhood environments cause stress and prevent diabetes solutions, and hassles of the health care environment subvert self-management. Discussion and conclusions: Cultural constructs about diabetes merge with social-political forces in explaining diabetes. Implications for practice: Cultural competence in diabetes care requires attention to the political economy of the disease and advocacy for healthful political and economic change.