Sweetened syndemics: diabetes, obesity, and politics in Puerto Rico

Ginzburg, Shir Lerman

doi:10.1007/s10389-020-01345-5

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…The findings suggest that the field, especially the understudied NCD-related syndemics, could benefit from research designs with integrated quantitative and qualitative methods that would ideally use a longitudinal approach and recognize the importance of studying the connections between multiple levels of context. Recent qualitative research in Puerto Rico highlights the benefits of using a longitudinal approach in terms of describing the connections between context and interacting health conditions, but quantitative data collected alongside could have strengthened the argument [35].…”

Section: Discussionmentioning

confidence: 99%

Syndemic contexts: findings from a review of research on non-communicable diseases and interviews with experts

Pirrone

Dieleman

Reis

et al. 2021

Global Health Action

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Background: Syndemics are characterized by the clustering of two or more health conditions, their adverse interaction, and contextual factors that create the conditions for clustering and/or interaction that worsens health outcomes. Studying syndemics entails drawing on diverse disciplines, including epidemiology and anthropology. This often means collaboration between researchers with different scholarly backgrounds, who share and -ideally -integrate their findings. Objective: This article examines how context within syndemics has been defined and studied. Methods: A literature review of empirical studies focusing on syndemics involving noncommunicable diseases (NCDs) and mental health conditions was conducted and the full text of 13 articles was analyzed. The review was followed-up with semi-structured interviews with 11 expert researchers working in the field. Results: The review and interviews highlighted a relatively consistent definition of syndemics. The reviewed studies of NCD-related syndemics tended to focus on micro-level context, suggesting a need to analyze further underlying structural factors. In their syndemics research, respondents described working with other disciplines and, although there were some challenges, welcomed greater disciplinary diversity. Methodological gaps, including a lack of mixed methods and longitudinal studies, were identified, for which further interdisciplinary collaborations would be beneficial. Conclusions: NCD-related syndemics research would benefit from further analysis of structural factors and the interconnections between syndemic components across multiple levels, together with more ambitious research designs integrating quantitative and qualitative methods. Research on the COVID-19 pandemic can benefit from a syndemics approach, particularly to understand vulnerability and the unequal impacts of this public health crisis.

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Section: Discussionmentioning

confidence: 99%

Syndemic contexts: findings from a review of research on non-communicable diseases and interviews with experts

Pirrone

Dieleman

Reis

et al. 2021

Global Health Action

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“…Conversely, diabetes contributes to depression by deteriorating social networks, draining financial resources, and changing dietary patterns (Katon et al 2010;McSharry et al 2013). Food is a cohesive force: holidays, meetings, family meals, and casual gatherings often include food sharing (Lerman Ginzburg 2022b). When an individual cannot partake due to diabetes-related dietary limitations, the ensuing feelings of guilt or shame may provoke reluctance to attend the event, adding to social isolation.…”

Section: Syndemic Interactionsmentioning

confidence: 99%

“…When an individual cannot partake due to diabetes-related dietary limitations, the ensuing feelings of guilt or shame may provoke reluctance to attend the event, adding to social isolation. This is particularly true of women, who tend to be the primary cooks in their families and do not always receive support from their families to prepare healthier meals (Lerman Ginzburg 2022b).…”

Section: Syndemic Interactionsmentioning

confidence: 99%

Diabetes

Lerman Ginzburg

2023

OEA

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“…A growing body of work identified stigma as a structural factor driving a diverse array of disease interactions, including HIV, malnutrition, stunting, depression and anxiety, dental caries, and poor pregnancy outcomes (Lerman et al 2017). Emard's (2017) ethnographic investigation of biomedical expectations of HIV treatment adherence among HIV-infected MSM communities revealed that in-group stigma produced "biomedical moralities" that enhanced risk engagement and worsened biomedical outcomes.…”

Section: Stigma-driven Syndemicsmentioning

confidence: 99%

Syndemics: A Cross-Disciplinary Approach to Complex Epidemic Events Like COVID-19

Singer

Bulled

Ostrach

et al. 2021

Annu. Rev. Anthropol.

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In this review, we trace the origins and dissemination of syndemics, a concept developed within critical medical anthropology that rapidly diffused to other fields. The goal is to provide a review of the literature, with a focus on key debates. After a brief discussion of the nature and significance of syndemic theory and its applications, we trace the history and development of the syndemic framework within anthropology and the contributions of anthropologists who use it. We also look beyond anthropology to the adoption and use of syndemics in other health-related disciplines, including biomedicine, nursing, public health, and psychology, and discuss controversies in syndemics, particularly the perception that existing syndemics research focuses on methodologies at the individual level rather than at the population level and fails to provide evidence of synergistic interactions. Finally, we discuss emerging syndemics research on COVID-19 and provide an overview of the application of syndemics research.

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Sweetened syndemics: diabetes, obesity, and politics in Puerto Rico

Cited by 8 publications

References 20 publications

Syndemic contexts: findings from a review of research on non-communicable diseases and interviews with experts

Syndemic contexts: findings from a review of research on non-communicable diseases and interviews with experts

Diabetes

Syndemics: A Cross-Disciplinary Approach to Complex Epidemic Events Like COVID-19

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