Resumo

REQUENA ESTRELLA, Jhonatan del Jesus; PAZ MORALES, María de los Angeles; CARDENAS VILLARREAL, Velia Margarita  e  GUTIERREZ VALVERDE, Juana Mercedes. Ethnic identity and glycemic control in indigenous populations: a pilot study in southeastern Mexico. Vive Rev. Salud [online]. 2025, vol.8, n.23, pp.567-575.  Epub 01-Maio-2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i23.397.

Type 2 diabetes (T2DM) is highly prevalent in indigenous communities in southeastern Mexico, where cultural, socioeconomic, and educational factors complicate its management. Previous research suggests that ethnic identity may influence self-management and glycemic control, but this relationship has been little studied in these populations. Objective: To analyze the interaction between ethnic identity, self-management and glycemic control in indigenous adults with TD2. Material and methods: Descriptive, cross-sectional study, conducted in a rural hospital in Yucatan, with a random sample of 30 indigenous adults diagnosed with TD2. The Ethnic Identity Scale of Phinney and Ong (2007) and the Diabetes Self-Management Questionnaire of Schmitt et al. (2022), culturally adapted, were used. Internal consistency was assessed by Cronbach's alpha (0.74 and 0.75). Capillary blood glucose measurements were performed. Spearman correlation was applied. Results: 90% of the participants identified themselves as Mayan and 76.7% spoke an indigenous language. The 76.7% had had TD2 for more than three years. 68.2% had glucose ≥130 mg/dl. A moderate and significant correlation was found between ethnic identity and self-management (r=0.52, p<0.01), suggesting that greater cultural identification is associated with better self-care practices. Conclusion: The findings provide a basis for larger scale studies and for developing culturally relevant health interventions targeting indigenous populations with TD2.

Palavras-chave : Right to cultural identity; Blood glucose self-monitoring; Culture of indigenous populations; Diabetes mellitus, type 2; Health of indigenous peoples.

        · resumo em Português | Espanhol     · texto em Espanhol     · Espanhol ( pdf )