DIABETES-RELATED DISTRESS, SELF-CARE, AND GLYCEMIC CONTROL IN MEXICAN INDIGENOUS AND NON-INDIGENOUS ADULTS WITH TYPE 2 DIABETES

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Abstract

Objective: To determine the influence of diabetes-related diabetes and self-care on glycemic control in indigenous and non-indigenous Mexican adults with type 2 diabetes in the San Miguel Zapotitlán district of Ahome, state of Sinaloa, México. Material and Method: Descriptive and correlational study. The sample consisted of 241 adults with type 2 diabetes. Sociodemographic and clinical data were collected, and the Diabetes Distress Scale (?= 0.94) and the Diabetes Self-Care Activities Questionnaire (?= 0.85) were administered. Backward multiple linear regression analysis was performed. The study was approved by the Ethics and Research Committee of the Mochis School of Nursing at the Autonomous University of Sinaloa (CEI-109). Results: The mean age was 53 years. Both models were statistically significant. Among indigenous populations, the model explained 38.4% of the variance in glycemic control (p= <0.001), identifying an association with treatment-related distress, interpersonal distress, diet, and foot care. Among non- indigenous populations, the model explained 28.7% of the variance (p= 0.001),
observing an association with physician-related distress, diabetes-related anxiety, and foot care. Conclusion: Glycemic control in adults with type 2 diabetes depends not only on clinical factors, as well as on social, emotional, and cultural aspects.