A Partnered Approach for Structured Observation to Assess the Environment of a Neighborhood With High Diabetes Rates

Kleinman, Lawrence C.; Lutz, David A.; Plumb, Ellen; Barkley, Pearl; Nazario, Hector R.; Ramos, Michelle; Horowitz, Carol R.

doi:10.1353/cpr.2011.0036

Cited by 9 publications

(16 citation statements)

References 26 publications

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“…39,47,85,99,106,144 The diversion of resources included not just the cost of the food, but also the time and resources required to buy the food, which may not be readily accessible in all neighborhoods. 43,47,66,67,85,99,145 Meal planning and preparation was a common challenge across most studies, but people living in poverty may face additional planning and procurement challenges including ''having to choose between lower prices and long commutes by public transportation, taking up several hours at a time and carrying multiple bags, or higher prices at closer-by stores, where often they are also forced to shop due to time constraints (e.g. holding multiple low-paying jobs)''(p. 152).…”

Section: Magnifying Effect Of Social Marginalizationmentioning

confidence: 99%

Diet modification challenges faced by marginalized and nonmarginalized adults with type 2 diabetes: A systematic review and qualitative meta-synthesis

et al. 2016

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Objectives Diet modification is an important part of the prevention and treatment of type 2 diabetes, but sustained dietary change remains elusive for many individuals. This paper describes and interprets the barriers to diet modification from the perspective of people with type 2 diabetes, paying particular attention to the experiences of people who experience social marginalization. Methods A systematic review of primary, empirical qualitative research was performed, capturing 120 relevant studies published between 2002 and 2015. Qualitative meta-synthesis was used to provide an integrative analysis of this knowledge. Results Due to the central role of food in social life, dietary change affects all aspects of a person's life, and barriers related to self-discipline, emotions, family and social support, social significance of food, and knowledge were identified. These barriers are inter-linked and overlapping. Social marginalization magnifies barriers; people who face social marginalization are trying to make the same changes as other people with diabetes with fewer socio-material resources in the face of greater challenges. Discussion A social-ecological model of behavior supports our findings of challenges at all levels, and highlights the need for interventions and counseling strategies that address the social and environmental factors that shape and sustain dietary change.

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Section: Magnifying Effect Of Social Marginalizationmentioning

confidence: 99%

Diet modification challenges faced by marginalized and nonmarginalized adults with type 2 diabetes: A systematic review and qualitative meta-synthesis

et al. 2016

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“…Consistent with this ''reversecausality'' model, Sharkey (2005) reported that among a random sample of 268 homebound elders in the United States, those who were diabetic showed the greatest increase in food insufficiency over a 1-year period. Medical anthropologists have contributed to research that addresses the complex associations between food insecurity and chronic diseases, including diabetes, through the lens of ''health disparities,'' focusing on health, social and material barriers to food, changing social relationships, and environment structures (e.g., Quandt and Rao, 1999;Schoenberg, 2000;Kleinman et al, 2011). The perspective of biological anthropology could go a long way toward revealing and connecting the complex causal pathways, and the direction of causality, between food insecurity and chronic illness.…”

Section: Food Insecurity and Diabetesmentioning

confidence: 99%

Coping and the biosocial consequences of food insecurity in the 21st century

Hadley

Crooks

2012

American J Phys Anthropol

128

108

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Food security occurs when all members of a household have reliable access to food in sufficient quantity and quality to maintain an active and healthy lifestyle. Given the important biological and social value of food for humans, food and food sufficiency have been traditional topics of study among biological anthropologists. The focus on food insecurity, however, has emerged within the past two decades and recent global events, including the food crisis of 2007/2008, have led to renewed interests in the topic of food insecurity and wellbeing. Here, we review current and novel threats to food security, current thinking on measurement and definitions, and then outline a model that links food insecurity to coping strategies and then to health outcomes. We suggest that coping strategies are typically context-specific and can be food and nonfood based. We further suggest that coping strategies may impact health quite broadly, not just through nutritional pathways. We then review available data on the relationship between food insecurity and nutritional status, chronic diseases, infectious diseases, and mental health. Our review highlights the far reaching consequences of food insecurity for human wellbeing but also the considerable variability in its effect and our limited empirical knowledge of the pathways through which food insecurity impacts health. We conclude by offering thoughts on how biological anthropologists might contribute to growing our understanding of food insecurity and human health and wellbeing. Yrbk Phys Anthropol 55:72-94, 2012. V

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“… 25 Many U.S. researchers have used observation to study the relationships between built environment, physical activity, available food choices, and chronic diseases such as obesity and diabetes. 60 – 63 As with the discussion of sequential processes above, it is worth reiterating that observations related to the built and natural environments can be useful at the household, community, and health facility levels.…”

Section: Discussionmentioning

confidence: 99%

Observe Before You Leap: Why Observation Provides Critical Insights for Formative Research and Intervention Design That You'll Never Get From Focus Groups, Interviews, or KAP Surveys

Harvey

2018

Glob Health Sci Pract

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A Partnered Approach for Structured Observation to Assess the Environment of a Neighborhood With High Diabetes Rates

Abstract: Background-The Communities IMPACT Diabetes Center uses partnered methods to address diabetes-related conditions among African Americans and Latinos in East Harlem, New York.

Cited by 9 publications

References 26 publications

Diet modification challenges faced by marginalized and nonmarginalized adults with type 2 diabetes: A systematic review and qualitative meta-synthesis

Diet modification challenges faced by marginalized and nonmarginalized adults with type 2 diabetes: A systematic review and qualitative meta-synthesis

Coping and the biosocial consequences of food insecurity in the 21st century

Observe Before You Leap: Why Observation Provides Critical Insights for Formative Research and Intervention Design That You'll Never Get From Focus Groups, Interviews, or KAP Surveys

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