Health Care Delays and Social Suffering Among Indigenous People with Diabetic Foot Complications in Mexico

Datos Bibliográficos

ID4564447
AutoresLaura Montesi (0000-0001-8916-6776, Conahcyt, CIESAS Pacífico Sur, Oaxaca, Mexico, autor de correspondencia), María Guadalupe Ramírez-Rojas (0000-0002-4251-8014, Conahcyt, CIESAS Sureste, San Cristóbal de las Casas, Mexico), Jesús Elizarrarás-Rivas (0000-0003-3416-0267, Health Research Coordination, Mexican Institute of Social Security (IMSS), Oaxaca, Mexico)
Año2024
Volumen43
Número5
Páginas411-427
Fecha de publicación2024-07-03
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Anthropology (JOURNAL)
Identificadores de la revistaISSN: 0145-9740 • E-ISSN: 1545-5882
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01459740.2024.2364241
PMID38865593
OpenAlexW4399560932
IdiomaEN
Citas recibidas1
Referencias citadas28

Diabetic foot (DF) is a leading cause of nontraumatic lower-extremity amputations, premature death, and a sign of social inequality in diabetes treatment. In Mexico, the incidence of DF is on the rise yet little is known about its impact among indigenous people, a disadvantaged group. Based on ethnographic research conducted in Oaxaca and analysis of institutional health-data, in this article we show the health care delays that rural indigenous people face when dealing with DF. Indigenous people's uncertainty regarding their right to health and the structural barriers to medical care favor DF complications, a phenomenon that should be read as social suffering. Since health data concerning indigenous health care service users is patchy and imprecise, indigenous people's social suffering is invisibilized. This omission or partiality in the official records limits public health decision-making and undermines the human rights of the population

Diabetes mellitus · Diabetic foot · Disadvantaged · Environmental health · Ethnography · Health care · Indigenous · Political science · Population · Public health · Sociology · Diabetic Foot Ulcer Assessment and Management · Law · Medicine · Nursing · Oral Health Pathology and Treatment · Wound Healing and Treatments · Gerontology