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Objective: to characterize the structure of two generations with the narrative story of women with anorexia or bulimia. Methods: descriptive, qualitative-type retrospective study. Information was gathered from a genogram of two generations, and focused on tape-recorded interviews with eight young women being treated for anorexia or bulimia. Results: the family structure of both generations was characterized by rigid pattern expressed in a controlled and inflexibility behavior to assume changes displayed in overprotective manners. Contemporary family patterns showed closer bonds between fathers and daughters, and lesser bonds and more rigidity between mothers and daughters. The grandparents' generation did not use health services for attention of eating disorders. Conclusions: bonding and rigidity were the main characteristics of the family structure in both generations. It suggests that these structural patterns are transfered from one generation to the next.

Objetivo: caracterizar la estructura familiar de dos generaciones en mujeres con anorexia o bulimia. Métodos: estudio cualitativo a través de la construcción de un genograma de dos generaciones, entrevistas semiestructuradas y audiograbadas a ocho mujeres jóvenes con tratamiento por anorexia o bulimia. El análisis de los datos fue a través de teoría fundamentada. Resultados: la estructura familiar de ambas generaciones estuvo caracterizada por pautas rígidas expresadas en control e inflexibilidad para asumir cambios, y aglutinamiento manifestado en conductas sobreprotectoras. Las pautas de la familia contemporánea fueron más aglutinadas entre padres-hijas y desligadas y rígidas entre madres-hijas. Conclusiones: el aglutinamiento y rigidez fueron las principales características de la estructura familiar de ambas generaciones. Todo parece indicar que estas pautas estructurales se transmiten de una generación a otra.

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INTRODUCTION: removing the biological perspective of the sexual differences and understanding the asymmetries related to diabetes, lead to define situations of benefit or deterioration of the population's health. OBJECTIVE: to analyze gender situations related to self-care and control of type 2 diabetes in primary care patients. METHODS: we conducted a descriptive observational study in 620 patients with diabetes at the family medicine clinic number 3 of Instituto Mexicano del Seguro Social in Guadalajara, Mexico. Three groups each with 79 women and 54 men were integrated. Gender situation was valued by means of questionnaires. Data were tested using the multiple correspondences analysis in seven situations of susceptibility. The comparison included the analysis with Snedecor's F distribution and chi2. RESULTS: women have several social disadvantages, deterioration of healthy life, poor self-care and lack of solidarity that increases their vulnerability to reach glycemic control successfully to avert complications. CONCLUSIONS: continuing investigating about the gender situation as the main driver to design specific actions to provide integrated care, should focus to supporting women's self care in general and glycemic control of diabetic women in particular.

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OBJETIVO: Explorar las dimensiones conceptuales del dengue en contexto urbano, a fin de generar hipótesis sobre actitudes comunitarias relacionadas a campañas preventivas. MÉTODOS: Estudio transversal exploratorio realizado entre marzo y abril de 2003 con 130 personas seleccionadas por muestreo propositivo en tres municipios con distintas prevalencias de dengue en México. Se aplicaron entrevistas semiestructuradas mediante técnicas de listados libres, sorteo de montones y triadas. Se indagaron términos asociados al dengue y grupos de dimensiones conceptuales. Se aplicó análisis de consenso mediante factorización de componentes principales y análisis dimensional mediante conglomerados jerárquicos y escalas multidimensionales. RESULTADOS: El modelo de consenso mostró alta homogeneidad en las concepciones del dengue (valores de 14.5 y 13.5 en los contextos de más prevalencia y de 5.4 en el de menor prevalencia). Las dimensiones comunes en las concepciones fueron: medidas de prevención, síntomas, causas y reservorios de Aedes aegypti (valor de verosimilitud: stress<0.28). En los tres contextos, predominó una concepción de la prevención basada en acciones públicas de autoridades sanitarias, mientras que las acciones individuales y comunitarias casi no se mencionaron. En la concepción también apareció una dimensión moral basada en una noción de higiene como mecanismo diferenciador de la comunidad cercana (limpia) frente a personas y comunidades externas (sucias y enfermas). CONCLUSIONES: Las concepciones culturales del dengue desfavorecen la participación comunitaria autogestiva en las campañas preventivas verticales y generan barreras para la modificación de prácticas comunitarias e individuales de prevención y control.

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OBJECTIVE: To explore the conceptual dimensions of dengue in the urban context, aiming at creating hypotheses about community attitudes toward prevention campaigns. METHODS: An exploratory cross-sectional study was carried out between March and April 2003 comprising 130 people selected by proposition sampling in three municipalities with different dengue prevalences in Mexico. Semi-structured interviews were applied using free lists, pile sorts and triads. Dengue-related terms and groups of conceptual dimensions were investigated. A consensual analysis was performed by factorizing the major components as well as a dimensional analysis with hierarchical clustering and multidimensional scales. RESULTS: The consensual model showed high homogeneity in dengue conceptions (values of 14.5 and 13.5 in the most prevalent contexts, and 5.4 in the least prevalent one). The common dimensions of conceptions were: preventive measures, symptoms, causes and reservoirs of Aedes aegypti (goodness of fit test values: <0.28). In the three contexts studied, a conception of basic prevention based on public actions by health officials predominated while individual and community actions were almost never mentioned. A moral dimension also appeared in the conception based on a notion of hygiene as a differentiating mechanism between the nearby community (clean) and outside people and communities (dirty and sick). CONCLUSIONS: The cultural conceptions of dengue do not favor self-managed community involvement in vertical prevention campaigns, and create obstacles to modifying community and individual prevention and control practices.

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