Using photovoice to explore social determinants of obesity in two underserved communities in the southeast

Datos Bibliográficos

ID2155643
AutoresLori Brand Bateman (0000-0003-4705-165X, School of Medicine, Division of Preventive Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA, autor de correspondencia), Zachary Simoni (0000-0002-1094-385X, Department of Sociology, The University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA), Gabriela R Oates (0000-0003-4052-1524, School of Medicine, Division of Pediatric Pulmonary and Sleep Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA), Barbara Hansen (0000-0002-9046-3476, School of Medicine, Division of Preventive Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA), Mona N Fouad (0000-0002-3522-4835, School of Medicine, Division of Preventive Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA)
Año2019
Volumen39
Número6
Páginas405-423
Fecha de publicación2019-11-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaSociological Spectrum (JOURNAL)
Identificadores de la revistaISSN: 0273-2173 • E-ISSN: 1521-0707
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02732173.2019.1704327
PMID32606486
OpenAlexW3000260281
IdiomaEN
Citas recibidas4
Referencias citadas54

Over the past 25 years, the adult obesity rate in the U.S. has increased 70%, with obesity placing a disproportionate chronic disease burden on African Americans. Using Photovoice methodology, this study aimed to: (1) explore the social determinants contributing to obesity from the perspectives of residents of two low-income municipalities in Birmingham, Alabama with varying levels of segregation, (2) better understand residents' perceptions of contributors to obesity in their communities, and (3) examine residents' perceptions of interventions that might be effective in promoting positive change. Focus groups (N=10) segmented by race and community were conducted by trained moderators. Transcriptions were analyzed by theoretical thematic analysis. The study design and data analysis analyses were guided by a conceptual framework based on the Social Determinants of Obesity model. Findings from this study lend support to the efficacy of the conceptual framework as a multilevel approach describing obesity disparities in the south. Regardless of community and race, participants believed that elements of their built environment, such as fast food restaurants and unsafe walking conditions, contributed to obesity, and that schools and churches should play an active role in addressing the issue

Conceptual framework · Economic growth · Environmental health · Focus group · Health equity · Obesity · Perception · Photovoice · Psychological intervention · Public health · Qualitative research · Race (biology · Social science · Sociology · Thematic analysis · Community Health and Development · Gender Studies · Medicine · Nursing · Obesity, Physical Activity, Diet · Participatory Visual Research Methods · Psychology · Gerontology