Using Photovoice and Asset Mapping to Inform a Community-Based Diabetes Intervention, Boston, Massachusetts, 2015

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Florian, Jana ; Roy, Nicole M. St. Omer ; Quintiliani, Lisa M. ; Truong, Ve ; Feng, Yi ; Bloch, Philippe P. ; Russinova, Zlatka L. ; Lasser, Karen E.
• Description:
  Introduction
  
  Diabetes self-management takes place within a complex social and environmental context.  This study’s objective was to examine the perceived and actual presence of community assets that may aid in diabetes control.
  
  Methods
  
  We conducted one 6-hour photovoice session with 11 adults with poorly controlled diabetes in Boston, Massachusetts.  Participants were recruited from census tracts with high numbers of people with poorly controlled diabetes (diabetes “hot spots”).  We coded the discussions and identified relevant themes.  We further explored themes related to the built environment through community asset mapping.  Through walking surveys, we evaluated 5 diabetes hot spots related to physical activity resources, walking environment, and availability of food choices in restaurants and food stores.
  
  Results
  
  Community themes from the photovoice session were access to healthy food, restaurants, and prepared foods; food assistance programs; exercise facilities; and church.  Asset mapping identified 114 community assets including 22 food stores, 22 restaurants, and 5 exercise facilities.  Each diabetes hot spot contained at least 1 food store with 5 to 9 varieties of fruits and vegetables.  Only 1 of the exercise facilities had signage regarding hours or services.  Memberships ranged from free to $9.95 per month.  Overall, these findings were inconsistent with participants’ reports in the photovoice group.
  
  Conclusion
  
  We identified a mismatch between perceptions of community assets and built environment and the objective reality of that environment. Incorporating photovoice and community asset mapping into a community-based diabetes intervention may bring awareness to underused neighborhood resources that can help people control their diabetes.
  
  
• Subjects:
  Community-Based Participatory Research Diabetes Mellitus Diet, Healthy Environment Exercise Female Health Promotion Humans Male Middle Aged Photography Self Care

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160160
• ISSN:
  1545-1151
• Pubmed ID:
  27513998
• Pubmed Central ID:
  PMC4993113
• Document Type:
  Journal Article
• Place as Subject:
  Boston, MA
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f5ca32b270d4e17bb2bb10c4e6fb404d7111572712efe6813b3f4a5cd1c57c3cefe84f224df15123dee691b509c85cb64d5d603e4845db781e99fb1c5efcce9d
• Download URL:
  https://stacks.cdc.gov/view/cdc/41225/cdc_41225_DS1.pdf
• File Type:
  [PDF - 1.02 MB ]