Diabetes and Health Disparities: Community-Based Approaches for Racial and Ethnic Populations

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''What Liburd and colleagues provide in this edition is a framework for all practitioners involved in diabetes prevention and control. The recommendations and tools provided here are key to the success of future research and programmatic efforts.''

-Wayne H. Giles , MD, MS & Ann Albright , PhD, RD (From the Foreword)

Type 2 diabetes and its principal risk factor, obesity, have emerged as twin epidemics in communities of color. This book investigates the epidemiology of diabetes in these minority communities, arguing that the determinants of diabetes include not only personal choices, but also broader social and contextual factors, such as community racism, residential segregation, and cultural patterns.

This book includes in-depth analyses of many community-based interventions which serve African-American, Hispanic/Latino American, Asian American, and Native American populations. The author also provides suggestions for community-based initiatives to reduce the ''obesogenic'' environment many minorities live in.

Key features:

    Includes effective intervention approaches for prevention and control of diabetes in racial and ethnic populations

    Explores the influence of institutionalized racism and residential segregation on the emergence of diabetes and obesity

    Presents extensive case studies detailing the experiences, challenges, and breakthroughs of various community health initiatives and programs

This book will serve as an important resource for professors, students, community leaders, policymakers, health practitioners, and anyone interested in joining the movement to eliminate health disparities and achieve health equity.

Author(s): Leandris C. Liburd PHD
Edition: 1
Publisher: Springer Publishing Company
Year: 2009

Language: English
Pages: 400

Contents......Page 8
About the Author......Page 3
Contributors......Page 12
Foreword......Page 16
Preface......Page 18
Acknowledgments......Page 22
PART I: BACKGROUND AND CONCEPTUAL FRAMEWORKS......Page 24
1 Diabetes and Health Disparities: Community-Based Approaches for Racial and Ethnic Populations......Page 26
2 Overview and Epidemiology of Diabetes in Racial/Ethnic Minorities in the United States......Page 46
3 The Co-Emergence of the Diabetes and Obesity Epidemics in Racial and Ethnic Populations......Page 84
4 Culture, Meaning, and Obesity Among College-Educated African American Women: An Anthropological Perspective......Page 108
5 The Centrality of Community in Eliminating Diabetes Disparities......Page 142
6 Recontextualizing Place: The Influence of Residential Segregation on Health Disparities in the United States......Page 164
7 Community Change: Its Importance in Evaluating Diabetes Programs in Communities of Color......Page 192
PART II: INNOVATIVE CASE STUDIES FROM THE FIELD......Page 234
8 Project DIRECT (Diabetes Interventions Reaching and Educating Communities Together)......Page 236
9 REACH Charleston and Georgetown Diabetes Coalition: Improving Outcomes for African Americans with Diabetes......Page 260
10 American Indian Higher Education Consortium Honoring Our Health Grant Program......Page 280
11 Cherokee Choices Diabetes Prevention Program: The Eastern Band of Cherokee Indians......Page 298
12 Making the Connection (¡Conéctate!): The Healthy Living Program......Page 318
13 Implementing Environmental Changes in San Luis Valley Colorado Elementary Schools: The School Environment Project......Page 332
14 Pacific Diabetes Today: Cultivating Community Partnerships for Successful and Sustainable Diabetes Programs in Hawaii and the U.S.-Associated Pacific......Page 352
15 A Multilevel Intervention Approach for Reducing Racial and Ethnic Disparities in Diabetes: The Bronx Health REACH Nutrition Evaluation Project......Page 368
16 Diabetes Disparities Reduction Through Improvement in Healthy Eating: The Chicago Southeast Diabetes Community Action Coalition......Page 398
Epilogue......Page 416
A......Page 420
B......Page 421
C......Page 422
D......Page 425
F......Page 426
H......Page 427
I......Page 428
M......Page 429
O......Page 430
P......Page 431
R......Page 433
S......Page 435
V......Page 437
Z......Page 438