[Beliefs in diabetics about the etiology of their disease. Influence of ethnicity].
The education of diabetics often affects the patient's life-style and habits, and the beliefs of his socio-professional and socio-cultural environment. The patient's knowledge is often satisfactory, while his behavior is inadequate. In this study, a sociologist conducted a semi-structured interview for 40 non-obese diabetic patients: 35 IDD and 5 NIDD, who had a knowledge/behavior gap. Emphasis was placed on the study of their subjective etiological beliefs. Four categories beliefs were found: stress, heredity, food and drink transgression, and fatality. Stress, which can lead to deresponsabilization, was the most frequently mentioned etiology (24 patients). Europeans cited several etiological beliefs. North-Africans, in contrast, cited only one, either stress or fatality, but never heredity or food and drink transgression, probably because genetics and genealogy are not superimposable realities and because of their belief in the symbolic benefits of sugar. In conclusion, the patient's etiological beliefs may contribute to the knowledge/behavior gap. Correct information about a more rational etiology for diabetes could improve patient compliance.
Département de Santé Publique, Hôpital Jean Verdier, UFR Paris Nord, Bondy.
C
C
Dechamp-Le Roux
P
P
Valensi
N
N
Assad
P
P
Sislian
J R
JR
Attali
D001294:Attitude to Health; D044383:Black People; D003920:Diabetes Mellitus / Q000209:etiology / Q000235:genetics / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology; D005006:Ethnicity; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D044465:White People
Croyances des diabétiques sur l'étiologie de leur maladie. Influence de l'ethnie.