IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v72y2011i11p1776-1783.html
   My bibliography  Save this article

They say it runs in the family: Diabetes and inheritance in Oaxaca, Mexico

Author

Listed:
  • Everett, Margaret

Abstract

The globalization of genetic discourses, especially where ethnicity is treated as a "risk factor" for disease, deserves special attention and concern. In countries such as Mexico, with large indigenous populations, the consequences of the Thrifty Genotype hypothesis and/or the attribution of type 2 diabetes to "family history" may be especially detrimental to poor rural communities, playing as they do into existing racial hierarchies. Based on semi-structured interviews with doctors and patients in a public clinic in a community near Oaxaca, Mexico, the study examines etiologies for type 2 diabetes. While notions of genetic inheritance and family history figure prominently in government and public health discourse, the "explanatory model" of patients places most emphasis on strong emotions, traumatic events, and dietary factors. Clinic doctors emphasize diet and lifestyle factors. The diffusion of "genetic risk" has had little impact on doctor-patient interactions in this community, but can be clearly seen in academic research, government policy, and medical specialties in the region, raising concerns about whether or not interventions will be directed at the social determinants of this growing health concern.

Suggested Citation

  • Everett, Margaret, 2011. "They say it runs in the family: Diabetes and inheritance in Oaxaca, Mexico," Social Science & Medicine, Elsevier, vol. 72(11), pages 1776-1783, June.
  • Handle: RePEc:eee:socmed:v:72:y:2011:i:11:p:1776-1783
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611001080
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. McDermott, Robyn, 1998. "Ethics, epidemiology and the thrifty gene: biological determinism as a health hazard," Social Science & Medicine, Elsevier, pages 1189-1195.
    2. Cohen, Marlene Zichi & Tripp-Reimer, Toni & Smith, Christopher & Sorofman, Bernard & Lively, Sonja, 1994. "Explanatory models of diabetes: Patient practitioner variation," Social Science & Medicine, Elsevier, pages 59-66.
    3. Hunt, Linda M. & Valenzuela, Miguel A. & Pugh, Jacqueline A., 1998. "Porque me tocó a mi ? Mexican American diabetes patients' causal stories and their relationship to treatment behaviors," Social Science & Medicine, Elsevier, pages 959-969.
    Full references (including those not matched with items on IDEAS)

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:72:y:2011:i:11:p:1776-1783. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.