Experiences of Latinos with Diabetes in the Central San Joaquin Valley Page: 37
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which food item is better, A or B, for instance. Rapport is further strengthened when patients can
observe first-hand Ms. Marquez's commitment to her job and to patients.
Community is created in the three-week cycle of participants attending health education
classes. Informal conversations and information is exchanged between patients before and after
class. In one particular case, a woman I eventually interviewed during the course of this research
study befriended another woman whom she met in class. Although these two women live on
different ends of Fresno, they check-in with each other regularly to encourage each other
according to the interviewed participant.
Finally, given that patients have increased their knowledge and understanding about
diabetes in the span of three weeks and have had opportunities to ask questions aloud during
class or speak with Ms. Marquez individually after class, their agency has improved. Patients
seem to feel more confident in their ability to manage and treat their diabetes. This improved
sense of agency is also apparent in the interviews I conducted as each participant reported
behavior changes that were a direct result from having attended the health education courses.
Interview Results
Understanding Diabetes
I now discuss the nuanced etiology of diabetes that should be taken into consideration
when attempting to provide patient education and disease management strategies to Latino
patients. To demonstrate that clinical and lay understandings of diabetes are often closely related
I juxtapose what participants express as root causes for their diabetes diagnosis against public
health frameworks.37
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Cortez, Jacqueline Nicole. Experiences of Latinos with Diabetes in the Central San Joaquin Valley, thesis, May 2018; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc1157605/m1/44/?rotate=90: accessed July 18, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .