ArticleHealth services insights2026
Sociocultural Factors Affecting Chronic Disease Management Among the Hispanic/Latino Ethnic Group in Texas: A Qualitative Study.
Article in Health services insights, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study aimed to explore Hispanic/Latinos' sociocultural experiences of dealing with chronic diseases as first-generation immigrants. Methods: Through purposive sampling, 12 Hispanic/Latino adults with limited English proficiency participated in in-person, semi-structured interviews and provided in-depth insights on lived experiences regarding managing chronic diseases. Interviews were conducted between October 2023 and February 2024 in the Dallas-Fort Worth Metropolitan area, Texas. Interviews were analyzed using the thematic constant comparative method supported by Atlas.ti software to understand participants' experiences with managing chronic diseases, employing the Sociocultural Health Belief Model as a theoretical lens. Results: Participants' experiences reflected on how sociocultural factors, such as socioculturally-informed health norms and beliefs, cultural adaptation and health literacy, and family influence, contributed to disease management, sometimes as barriers or as resources. Seven themes identified from the responses included: (1) I do not trust the doctor's treatment and efficacy, so I avoid or delay going to the doctor; (2) I only go to the doctor when I am symptomatic; (3) Structural barriers further complicate cultural health norms and beliefs; (4) I do not know how to change my traditional meals to include healthier food options; (5) Language is a crucial key to healthcare; (6) I rely on Spanish-language health resources, but I have concerns about reliability; and (7) Family is a major source of instrumental emotional and motivational support. Conclusions: The findings highlight the interconnectedness of these sociocultural factors and recognize the need for cultural competence in chronic disease management to enhance effective care and improve chronic health outcomes among Hispanic/Latino adults with limited English proficiency.
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