Dichos & Diabetes: Literary Devices Used by Mexican-Origin Males to Share Their Perspectives on Type 2 Diabetes and Health

The medical literature emphasizes the increasing role of cultural c onsiderations for improved health education among Latinos. Research in Latino culture reveals the inherent function of figurative language devices, such as dichos, in individual expression and cultural norm transmission. Increased understanding of dichos may provide unique insight into the dynamic relationship between collective cultural knowledge and individual health perceptions. Dichos related to health and diabetes among Latinos, however, remain entirely unexplored. The present study represents a secondary qualitative analysis of the perspectives on diabetes and health of Mexican-origin males that identified inadequate understanding of disease processes and cultural customs as barriers to health. Spanish language transcriptions from the original study were content analyzed by two Latino researchers fluent in English and Spanish to identify the use of dichos by the participants to convey their perspectives on health and diabetes. The results reveal four major categorizations of dichos: religiosity, familism, formation, and individuality. Findings from this study provide insight on the utility of dichos for the identification of health-related perspectives. Dichos may also serve clinicians and health educators as culturally relevant vehicles of communication for encouraging and transformative health discussions. Future diabetes interventions should incorporate dichos to explore quantifiable outcomes of culturally tailored programs.