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Journal of Transcultural Nursing
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Cultural Values and Political Economic Contexts of Diabetes Among Low-Income Mexican Americans

Lauren Clark, PhD, RN

University of Utah

Deborah Vincent, PhD, RN, FNP

University of Arizona

Lorena Zimmer, MS

Jessica Sanchez, MS, RN, FNP

Colorado Community Health Network

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.

Key Words: Mexican American • diabetes • explanatory model • critical social theory • ethnography

This version was published on October 1, 2009

Journal of Transcultural Nursing, Vol. 20, No. 4, 382-394 (2009)
DOI: 10.1177/1043659609334851
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