PMID- 34646799 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20220223 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 9 DP - 2021 TI - Exploration of Fatalism and Religiosity by Gender and Varying Levels of Engagement Among Mexican-American Adults of a Type 2 Diabetes Management Program. PG - 652202 LID - 10.3389/fpubh.2021.652202 [doi] LID - 652202 AB - Objectives: Purpose of study is to explore the roles religiosity and fatalistic beliefs play in diabetes management among newly, currently, and long-term enrolled Mexican-American participants in a Type 2 diabetes mellitus (T2DM) chronic care management program. Methods: In 2017, study participants (n = 15) completed a semi-structured interview in their preferred language (English or Spanish). Sample was stratified by amount of time individual had been enrolled as a participant of the Salud y Vida program: newly, currently, or long-term. Interviews assessed religious beliefs, beliefs concerning the cause(s) of diabetes, perceived relationship between religiosity and fatalistic beliefs with T2DM management, and the appropriateness of discussing such topics with a health professional. Interview responses were analyzed using ATLAS.ti 8. Results: Themes identified included: perceived autonomy over diabetes prognosis, motivators for self-care, discussions of personal beliefs in the healthcare setting, and the church's role in diabetes management. Conclusions: Among this sample, religiosity and religious fatalism played a complex role in coping with and managing diabetes. Long-term enrolled and male participants expressed beliefs of divine control over health, and a connection between religiosity and health behavior. Long-term enrolled participants felt religious and fatalistic beliefs may be suitable and beneficial to discuss in the healthcare setting. CI - Copyright (c) 2021 Salazar-Collier, Reininger, Wilkinson and Kelder. FAU - Salazar-Collier, Cindy Lynn AU - Salazar-Collier CL AD - Department of Public Health, College of Nursing and Health Sciences, Texas A&M International University, Laredo, TX, United States. FAU - Reininger, Belinda M AU - Reininger BM AD - Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Brownsville, TX, United States. FAU - Wilkinson, Anna V AU - Wilkinson AV AD - Deaprtment of Epidemiology, Human Genetics & Environmental Sciences, School of Public Health, The University of Texas Health Science at Houston, Austin, TX, United States. FAU - Kelder, Steven H AU - Kelder SH AD - Deaprtment of Epidemiology, Human Genetics & Environmental Sciences, School of Public Health, The University of Texas Health Science at Houston, Austin, TX, United States. LA - eng GR - UL1 TR003167/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20210927 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 SB - IM MH - Adult MH - *Diabetes Mellitus, Type 2/therapy MH - Health Behavior MH - Humans MH - Male MH - *Mexican Americans MH - Religion MH - Self Care PMC - PMC8502957 OTO - NOTNLM OT - Diabetes management OT - Fatalism OT - Hispanic health OT - Mexican-American border region OT - Religiosity COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/10/15 06:00 MHDA- 2021/10/26 06:00 PMCR- 2021/09/27 CRDT- 2021/10/14 06:39 PHST- 2021/01/21 00:00 [received] PHST- 2021/08/30 00:00 [accepted] PHST- 2021/10/14 06:39 [entrez] PHST- 2021/10/15 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/09/27 00:00 [pmc-release] AID - 10.3389/fpubh.2021.652202 [doi] PST - epublish SO - Front Public Health. 2021 Sep 27;9:652202. doi: 10.3389/fpubh.2021.652202. eCollection 2021.