Experiences of Latinos with Diabetes in the Central San Joaquin Valley Page: 39
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condition that is a fluid state of complexity can seem daunting and overwhelming. I think that
Magdalena points to a very important and overlooked component health care providers miss or
disregard. Sometimes there are factors beyond one's control that makes it difficult to complete
the tasks a person must do each day and makes it difficult for one to manage a complex chronic
condition. It is not always about personal choice. There are systemic, economic forces at play
that are also contributing to a person not being able to fulfill and attain a health status that they
wish to achieve.
Another barrier that is very common to the families and individuals I interviewed with
was the inability to purchase the quantity of food necessary to follow the recommended diet
prescribed in the health education class. A healthier diet is often discussed as being instrumental
in disease prevention and management. Yet, many I interviewed did not have the means to make
such sweeping overhauls to their pantries and kitchens. Diana and Diego, a middle-aged couple
explain during their joint interview that it is not financially possible for them to purchase fresh
fruits, vegetables, and the quantity of foods necessary to prepare and eat six times each day.
Patients in similar circumstances are more likely to be viewed as non-compliant, a label that will
not help them as they move forward and progress into their make-shift disease management
strategies.
Literacy
Literacy is one of the hardest challenges patients face. Based on her experience, Ms.
Marquez is aware that some of her English and Spanish speaking patients do not understand how
to read prescription bottle directions (how to take, what time, how often) nor do they fully
comprehend doctor's orders and instructions. Attending the course requires that the patient, or an39
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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/m1/46/: accessed July 17, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .