Session: Role of the Built Environment and Socio-cultural Context on Diabetes Prevention, Management and Treatment in Six Racial/ethnic Minority, Low-income Communities Throughout California
3113.0: Monday, November 17, 2003: 10:30 AM-12:00 PM
Oral
Role of the Built Environment and Socio-cultural Context on Diabetes Prevention, Management and Treatment in Six Racial/ethnic Minority, Low-income Communities Throughout California
Due to rising rates in California of type 2 diabetes and racial/ethnic disparities in disease incidence and outcomes, The California Endowment funded eight organizations to focus on community-based diabetes prevention, self-management and treatment efforts. As part of the ongoing, multi-method evaluation of this initiative, environmental scans and ethnographic case studies were conducted within six of the grantee communities to better understand the environmental and socio-cultural realities faced by individuals attempting to prevent, manage, or treat diabetes. The six communities studied were low-income and racial/ethnic minority neighborhoods throughout California suffering from high rates of diabetes: the predominantly African-American neighborhoods of East Oakland and North Vallejo, the Latino communities of East Los Angeles and rural Sonoma County, the Vietnamese communities of San Diego, and two small Native American reservations in rural Riverside County. This work was guided by the premise that it is sufficient to promote and educate high-risk communities about the importance of adopting healthier eating and exercise behaviors without first understanding the significant environmental and socio-cultural obstacles faced, such as: limited or no access to affordable fruits and vegetables; lack of local, safe, green parks and other free exercise sites; or traditional health beliefs, practices, and social norms that do not support effective personal diabetes prevention or management. The five panelists will present findings from the environmental scans and ethnographic case studies conducted, portray the similarities and differences between diverse physical and socio-cultural environments, and discuss implications for appropriate and effective diabetes program planning and policy development.
Learning Objectives: Recognize the importance the built environment and the socio-cultural context of a community has on an individualís eating and exercise behaviors and ability to prevent or manage diabetes. 2. Describe how research and program planning efforts can assess physical and socio-cultural environments before implementing diabetes-related services or programs. 3. Apply findings from these six low-income, high-risk and racial/ethnic minority communities in California to programs development efforts in other communities where diabetes prevention and management efforts have been a challenge to the local health care system.
See individual abstracts for presenting author's disclosure statement and author's information.
Organizer(s):Amy M. Carroll, MPH
Moderator(s):Sarah E. Samuels, DrPH
10:30 AMDiabetes and its treatment among American Indians in Riverside and San Bernardino Counties: Findings from a case study
Ane Marie McDonald, PhD
10:45 AMIdentifying characteristics of the built environment that influence diabetes prevention, management and treatment in underserved, racial/ethnic minority communities in California: Findings from The California Endowmentís Diabetes Initiative Environmental Scan
Amy M. Carroll, MPH, Sarah E Stone, MPH, Sarah E. Samuels, DrPH, Zoe Cardoza Clayson, ScD
11:00 AMImpact of immigration patterns on the prevalence, prevention, management and treatment of diabetes within the Vietnamese Community of San Diego County: Findings from a case study
Thi Kim Pham, MPH
11:15 AMImpact of socio-cultural context on the experience and care of diabetes: Findings from a Latino case study
Nancy Mullenax, PhD
11:30 AMMobilizing local resources and informal systems in the prevention and management of diabetes: Findings from an African-American Case Study
Elaine Peacock, MA
Organized by:Community Health Planning and Policy Development
Endorsed by:American Indian, Alaska Native and Native Hawaiian Caucus; Environment
CE Credits:CME, Health Education (CHES), Nursing, Pharmacy

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