Social Support of Patients with Type 2 Diabetes in Marginalized Contexts in Mexico and Its Relation to Compliance with Treatment: A Sociocultural Approach

• Published in: PloS one Vol. 10; no. 11; p. e0141766
• Main Authors: Juárez-Ramírez, Clara, Théodore, Florence L, Villalobos, Aremis, Jiménez-Corona, Aida, Lerin, Sergio, Nigenda, Gustavo, Lewis, Sarah
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 06.11.2015; Public Library of Science (PLoS)
• Subjects: Care and treatment; Chronic illnesses; Complications and side effects; Diabetes mellitus; Diabetes Mellitus, Type 2 - ethnology; Diabetes Mellitus, Type 2 - psychology; Diabetes Mellitus, Type 2 - therapy; Economics; Emotions; Female; Health aspects; Health care; Humans; Male; Mexican foreign relations; Mexico - ethnology; Middle Aged; Mixed methods research; Morbidity; Occupational health; Patient compliance; Patient Compliance - ethnology; Patient Compliance - psychology; Patient Compliance - statistics & numerical data; Patient outcomes; Patients; Social aspects; Social interactions; Social Marginalization - psychology; Social networks; Social Support; Studies; Type 2 diabetes; Mexico
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0141766

This study aimed to describe the ways social support works in the daily life of patients with type 2 diabetes living in conditions of social and economic marginality, in order to understand how that support relates to treatment compliance. Sequential mixed methods research was used. The sample of patients was obtained from primary health care units and selected considering regional representativeness, and levels of morbidity and mortality for type 2 diabetes. Results point to the nuclear family as the main source of support. Regardless of the area of residence, four main dimensions of support were identified: economic support, help with treatment compliance, emotional support, and material aid. We conclude that the support network assists the patient in different ways and helps cope with the disease, but in conditions of social and economic marginality, does not guarantee the quality of attention nor enable the self-management of treatment.