Department of Anthropology and Archaeology, Dickinson College, Carlisle, PA, USA.
Am J Mens Health. 2024 Mar-Apr;18(2):15579883241239552. doi: 10.1177/15579883241239552.
Type II diabetes is increasingly becoming a problem in Latin American countries such as Peru. People living with diabetes must incorporate several behavioral changes in their everyday lives, which are done outside the purview of medical professionals. Support from friends and family members is essential to the successful management of any chronic condition. Our study discusses the role of family involvement in supporting the management of diabetes among Peruvian men and examines how masculine norms play a role in the way such support is received and perceived, and their influence in motivation to adhere to treatment recommendations. In-depth interviews with 20 men from a low socioeconomic status, aged 27 to 68 with a diagnosis of Type II diabetes were conducted. Our analysis suggests the importance of the close, complex, and integrated experience that connects family members and patients with a chronic condition. Participant accounts demonstrate they receive multiple forms of support from a diverse range of social relationships. The overwhelming majority of the people giving the support were female and were especially significant in supporting management practices. The participants' accounts were able to demonstrate how living with a chronic condition, such as diabetes, affects the whole family-physically, mentally, and emotionally-and they experience the disease as one unit. Our study demonstrates the need for a family health experience approach that considers masculine gender norms around health and provides relevant insights to inform family-based treatments and therapies to allow for more and better targeted health care for men.
2 型糖尿病在秘鲁等拉美国家日益成为一个问题。糖尿病患者必须在日常生活中做出一些行为改变，而这些改变是医疗专业人员无法做到的。来自朋友和家人的支持对于任何慢性疾病的成功管理都是至关重要的。我们的研究讨论了家庭参与在支持秘鲁男性管理糖尿病方面的作用，并探讨了男性规范如何在接受和感知这种支持的方式中发挥作用，以及它们对坚持治疗建议的动机的影响。我们对 20 名来自低社会经济地位的 27 至 68 岁男性进行了深入访谈，他们被诊断患有 2 型糖尿病。我们的分析表明，家庭成员和慢性病患者之间联系紧密、复杂和综合的体验非常重要。参与者的描述表明，他们从各种不同的社会关系中获得了多种形式的支持。提供支持的绝大多数人是女性，她们在支持管理实践方面尤为重要。参与者的描述能够证明，患有糖尿病等慢性病如何影响整个家庭——身体、精神和情感方面——并将疾病视为一个整体。我们的研究表明，需要一种家庭健康体验方法，该方法考虑到围绕健康的男性性别规范，并提供相关的见解，为基于家庭的治疗和疗法提供信息，以便为男性提供更多和更好的有针对性的医疗保健。
