The importance of the cultural dimension of food in understanding the lack of adherence to diet regimens among Mayan people with diabetes

Public Health Nutrition
Clara Juárez-RamírezSarah Lewis

Abstract

To understand non-adherence to medically recommended diets among Mayans with diabetes. Using partially sequential mixed methods, questionnaires, semi-structured brief and in-depth interviews were applied. Questionnaire data were analysed with Pearson's χ2 and Student's t tests and qualitative interviews with grounded theory microanalysis. Rural, predominantly Mayan communities in Chiapas, Quintana Roo and Yucatan, Mexico, 2008-2012. Purposive sample of Mayans with type 2 diabetes; using public health care; 168 women and twenty-seven men; age 21-50+ years. Participants understood diabetes as caused by negative emotions, divine punishment, revenge via spells, chemicals in food and high sugar/fat consumption. Eliminating corn, pork, sugary beverages and inexpensive industrialized foods was perceived as difficult or impossible. More Mayans reporting not understanding physician instructions (30 v. 18 %) reported difficulty reducing red meat consumption (P = 0·051). Non-adherence was influenced by lack of patient-provider shared knowledge and medical recommendations misaligned with local culture. Men whose wives prepared their meals, women who liked vegetables and young adults whose mothers prepared their meals reported greater adher...Continue Reading

References

May 30, 2006·Lancet·Ian AndersonLisa Jackson-Pulver
Mar 4, 2011·The American Journal of Clinical Nutrition·Rafael Pérez-Escamilla
Feb 23, 2017·Salud pública de México·Juan Pablo GutiérrezDulce Alejandra Balandrán
Dec 10, 2017·Diabetes Care·UNKNOWN American Diabetes Association

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Citations

Jun 5, 2020·Nutrients·Hélio J Coelho-JuniorEmanuele Marzetti
Apr 2, 2020·Eating and Weight Disorders : EWD·Fabíola Lacerda Pires SoaresLuciane Bresciani Salaroli
Dec 14, 2019·Maternal and Child Health Journal·Anna Ayers LoobySara E Benjamin-Neelon
Sep 27, 2020·Nutrients·Hélio J Coelho-JuniorRiccardo Calvani

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