Dissertation/Thesis Abstract

Filling in the Gaps: Adaptive Strategies for Latinx Patients Managing Type 2 Diabetes While Lacking Healthcare Access
by Patterson, Kayla Lynn, M.A., California State University, Long Beach, 2020, 85; 28028426
Abstract (Summary)

The Latinx population is the largest and fastest growing minority group in the United States yet is the most underserved and suffer from the highest rates of preventable chronic illnesses, most specifically diabetes. Diabetes requires constant medical supervision and monitoring to effectively manage the overall health of an individual, which members from Latinx communities cannot easily access. Individuals from Latinx communities are afflicted with diabetes due to several barriers that prevent access to healthcare. Those barriers include high rates of being uninsured, financial limitations, implementation of policies limiting access to services for immigrant communities, lack of services available, and language and cultural barriers. Such barriers reduce Latinx communities’ own control and management of their health and impose a range of other needs.

This qualitative ethnographic study investigates the ways in which uninsured Latinx patients manage their diabetes by exploring the methods of practices they use to maintain health in a community clinic in Southern California through observations and semi-structured interviews with patients and medical practitioners. Specifically, this study looks at adaptive strategies, which are understood as adjustments and improvised means of care made by individuals in an effort to survive and the consequences of inadequate access to healthcare. In addition, this study uses the frameworks of political economy of health, chronicity, and structural violence to contextualize the gaps patients experience in healthcare. This study found that patients and medical practitioners have to use adaptive strategies to fill in the gaps in healthcare to manage patients’ diabetes.

Indexing (document details)
Advisor: Miller, Kara
Commitee: Howell, Jayne, Quintiliani, Karen
School: California State University, Long Beach
Department: Anthropology
School Location: United States -- California
Source: MAI 82/6(E), Masters Abstracts International
Subjects: Cultural anthropology, Social research, Alternative Medicine, Health care management, Latin American Studies, Public health, Public policy, Public administration
Keywords: Adaptive strategies, Diabetes, Healthcare accessibility, Latinx patients, Type 2 Diabetes, Filling in the gaps, Patient management, United States, Latinx communities, Financial limitations, Immigrant communities
Publication Number: 28028426
ISBN: 9798698594703
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