title: Social Support of Patients with Type 2 Diabetes in Marginalized Contexts in Mexico and Its Relation to Compliance with Treatment: A Sociocultural Approach.
abstract: OBJECTIVE
  This study aimed to describe the ways social support works in the daily life of patients with type 2 diabetes living in conditions of social and economic marginality, in order to understand how that support relates to treatment compliance.
  
  
  METHODS
  Sequential mixed methods research was used. The sample of patients was obtained from primary health care units and selected considering regional representativeness, and levels of morbidity and mortality for type 2 diabetes.
  
  
  RESULTS
  Results point to the nuclear family as the main source of support. Regardless of the area of residence, four main dimensions of support were identified: economic support, help with treatment compliance, emotional support, and material aid.
  
  
  CONCLUSIONS
  We conclude that the support network assists the patient in different ways and helps cope with the disease, but in conditions of social and economic marginality, does not guarantee the quality of attention nor enable the self-management of treatment.
authors.affiliation: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
authors.forename: Clara
authors.initials: C
authors.lastname: Juárez-Ramírez
authors.affiliation: Centre for Nutrition Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
authors.forename: Florence L
authors.initials: FL
authors.lastname: Théodore
authors.affiliation: Centre for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
authors.forename: Aremis
authors.initials: A
authors.lastname: Villalobos
authors.affiliation: Department of Ocular Epidemiology and Visual Health, Institute of Ophthalmology Conde de Valenciana IAP, México City, Mexico.|Directorate of Epidemiology, Ministry of Health, Mexico City, Mexico.
authors.forename: Aida
authors.initials: A
authors.lastname: Jiménez-Corona
authors.affiliation: Department of Medical Anthropology, Centre for Research and Studies in Social Anthropology, Mexico City, Mexico.
authors.forename: Sergio
authors.initials: S
authors.lastname: Lerin
authors.affiliation: School of Medicine, Morelos State Autonomous University, Cuernavaca, Morelos, Mexico.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Nigenda
authors.affiliation: Doctoral Student, Health Services & Policy Analysis, University of California, Berkeley, California, United States of America.
authors.forename: Sarah
authors.initials: S
authors.lastname: Lewis
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology* / Q000628:therapy*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology* / Q000706:statistics & numerical data; D062487:Social Marginalization / Q000523:psychology*; D012944:Social Support