ArticleInternational journal for equity in health2019
Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Barriers and facilitators of self-management of diabetes amongst people experiencing socioeconomic deprivation: A systematic review and qualitative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Non-adherence to self-care and associated factors among diabetes adult population in Ethiopian: A systemic review with meta-analysis.PloS one · 2021Pooled it
- Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review.PloS one · 2020Pooled it
- Living with type 2 diabetes: stress and daily life challenges among adults in the Ashanti Region, Ghana.BMC public health · 2026Article
- Municipal deprivation and cardiometabolic outcomes in Mexican adults: findings from ENSANUT 2021-2023.International journal for equity in health · 2026Article
- The role of outcome expectancies and social support in adherence to nutrition counseling: perspectives of Emirati adults with diabetes.Frontiers in public health · 2026Article
- Evaluation of large language model-generated information in diabetes health patient education: a scoping review.Frontiers in public health · 2026Article
- Internal factors related to self-management among type 2 diabetes patients during the COVID-19 pandemic as humanitarian emergencies: a scoping review protocol.Systematic reviews · 2025Article
- [Study on effectiveness and changes in immunoglobulin levels of transverse tibial transport in treatment of Wagner grade 3-4 type 2 diabetic foot ulcer].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Gendered experience of people living with type 2 diabetes in rural and urban Mexico: an ethnographic study.International journal for equity in health · 2025Article
- Article
- Self-management knowledge, attitudes and practices among persons with type 2 diabetes in Ghana.African journal of primary health care & family medicine · 2025Article
- Experiences of adults with type 2 diabetes mellitus with low socioeconomic status: a qualitative study.BMC public health · 2025Article
- Knowledge, Practices, and Barriers to Diabetes Self-Management Among Patients with Type 2 Diabetes in a Rwandan Referral Hospital.Patient preference and adherence · 2025Article
- Association of Social Support and Self-Care Beverage Consumption in Adults With Type 2 Diabetes From the Southwest of Mexico.Nursing research and practice · 2025Article
- Patient-Perceived Challenges to Type 2 Diabetes Self-Management in Sub-Saharan Africa: A Qualitative Exploratory Study.The science of diabetes self-management and care · 2024Article
- Harnessing Digital Initiatives for Improved Health Outcomes in Diabetes Management: An Observational Patient Program.Cureus · 2024Article
- Article
- Healthcare workers' views on type 2 diabetes mellitus management at selected clinics in Mthatha.African journal of primary health care & family medicine · 2024Article
- Prevalence and determinants of post-acute sequelae after SARS-CoV-2 infection (Long COVID) among adults in Mexico during 2022: a retrospective analysis of nationally representative data.Lancet regional health. Americas · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThe prevalence of type 2 diabetes (T2D) in Mexico is one of the highest in the world, with high morbidity and mortality, and difficulty meeting glycemic targets. The purpose of this study was to identify the challenges for T2D self-management as perceived by both adults with T2D and health care providers in primary health clinics from Seguro Popular in Mexico City.
methodsThis was a qualitative descriptive study conducted in three Seguro Popular primary care clinics in Mexico City using convenience sampling. Semi-structured interviews were conducted with participants and data were analyzed using a content analysis approach.
resultsThe sample included 20 adults with T2D [52.5 years old (SD = 9.9), diagnosed with T2D for 12.3 years (SD = 6.3), mean A1C of 9.8% (SD = 2.4), 80% female, 90% with financial insecurity] and 19 providers [primarily female (78.9%), mean age of 41.6 years old (SD = 11.4), 12.3 mean years in practice (SD = 8.50)]. Personal challenges included cultural beliefs, lack of resources, challenges to lifestyle modification, lack of family support/competing demands, and mental health issues. System level challenges included lack of resources, perceived quality of care, and patient engagement barriers.
conclusionsEvidence-based diabetes self-management programs need to become more accessible, taking into consideration the social determinants of health and building upon current initiatives to improve early diagnosis and treatment of T2D. Cultural beliefs, personal control, and low health literacy influence diabetes self-management in adults with T2D with limited resources. Mental health and financial challenges of adults with T2D will require multidisciplinary team-based care. Future research on best practices to implement and scale-up evidence-based patient-centered T2D prevention and DSME programs for the poor and underserved is warranted in Mexico and world-wide.
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