The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #69936

Elaine Peacock, MA, Health Policy Consultant, 2503 19th Avenue, Oakland, CA 94606, (510)532-4129, elainepeacock@yahoo.com

This paper is derived from an ethnographic case study of community mobilization strategies designed to aid in the prevention and management of diabetes among African-Americans in two northern California communities. The research was guided by the premise that to stem the rising rate of diabetes and diabetic complications among African-Americans, the knowledge and experience of local leaders, neighborhood activists, and family members must be incorporated into prevention and disease management protocols. Using an ethnographic approach to understanding African-American disease issues, the research questions were: 1) What ethnic-specific messages increase diabetes prevention and management knowledge?; 2) What cultural values support the use of local resources and informal systems in disease management? ; 3) How do family and community-wide norms affect diet and lifestyle choices?; and 4) How can local resources and informal systems enhance the effectiveness of the health care system to manage diabetes? Data from the previously conducted environmental scan was reviewed. Qualitative data were collected through participant-observation at community meetings, focus groups with providers and public health staff, and in-depth interviews with diabetics and their family members. Pertinent factors which emerged from the findings included the community’s history and origin, levels of violence, affordable housing, presence of parks and recreational facilities, and accessibility of nutritious food choices. This paper presents the findings of this research, and provides insights on how the mobilization of informal sectors among African-Americans (i.e., family members, neighbors, friends, local activists) can play a significant role in preventing and managing the risks and complications of diabetes.

Learning Objectives:

• At the conclusion of the session, the participant (learner) in this session will be able to:
• 3. Discuss what diabetes management practices and barriers are of concern to African-American individuals with diabetes.
  6. Identify what African-American cultural norms, values and messages impact the effectiveness of persons with diabetes to practice healthy behaviors that support diabetes prevention and management.
  9. Describe what local resources and informal systems exist in these African-American communities that could enhance the effectiveness of the health care system to prevent and manage diabetes.

Keywords: Diabetes, Ethnic Identity

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: The Solano Coalition for Better Health; the Alameda County Public Health Department
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: I am an evaluator of The California Endowment's Diabetes Initiative