Syndemic Suffering: Social Distress, Depression, and Diabetes Among Mexican Immigrant Women
In a major contribution to the study of diabetes, this book is the first to analyze the disease through a syndemic framework. An innovative, mixed-methods study, Emily Mendenhall shows how adverse social conditions, such as poverty and oppressive relationships, disproportionately stress certain populations and expose them to disease clusters. She goes beyond epidemiological research that has linked diabetes and depression, revealing how broad structural inequalities play out in the life histories of individuals, families and communities and lead to higher rates of mortality and morbidity. This intimate portrait of syndemic suffering is a model study of chronic disease disparity among the poor in high income countries and will be widely read in public health, medical anthropology, and related fields.
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acculturation associated behaviors biological body mass index chapter Chicago childhood chronic disease clinic clustering contribute correlated cultural depression and diabetes diabetes and depression Diabetes Distress diabetes prevalence diagnosis Domenga eating English-speaking Mexican American everyday factors family members family stress father’s feelings of social fibromyalgia glucose HbA1c health stress immigration stress individuals inequalities insulin resistance interlocutors interpersonal abuse interview Latino linked lives loss Marcía’s Mari’s medical anthropologists Merrill Singer Mexican American woman Mexican immigrant women Mexico narrative theme neighborhood violence obesity one’s pause PCL-C people’s percent physical abuse political-economic and social poor population post-traumatic stress disorder problems PTSD revealed risk role Rosie second-generation Mexican sexual abuse Singer social distress social isolation social networks Spanish-speaking Mexican woman stressors structural violence struggles symbolic violence symptoms syndemic interactions Teresa tion traumatic type 2 diabetes undocumented United VIDDA Syndemic VIDDA Syndemic theory women described women reported women’s life stories