Using Photovoice and Asset Mapping to Inform a Community-Based Diabetes Intervention, Boston, Massachusetts, 2015.
Using Photovoice and Asset Mapping to Inform a Community-Based Diabetes Intervention, Boston, Massachusetts, 2015.
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DOI：
10.5888/pcd13.160160
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发表时间：
2016-08-11
影响因子：
5.5
通讯作者：
Lasser KE
中科院分区：
文献类型：
--
作者：
Florian J;Roy NM;Quintiliani LM;Truong V;Feng Y;Bloch PP;Russinova ZL;Lasser KE
糖尿病自我管理发生在复杂的社会和环境背景下。本研究的目的是检查可能有助于糖尿病控制的社区资产的感知和实际存在。我们在马萨诸塞州波士顿对11名控制不佳的糖尿病患者进行了6小时的声光会话。参与者是从人口普查区招募的，那里有大量控制不良的糖尿病患者（糖尿病“热点”）。我们对讨论进行了编码，并确定了相关主题。我们通过社区资产映射进一步探索了与建筑环境相关的主题。通过步行调查，我们评估了5个与身体活动资源、步行环境、餐馆和食品店食物选择可得性相关的糖尿病热点。影像语音会议的社区主题是获得健康食品、餐馆和预制食品；粮食援助计划；运动设施;和教堂。资产映射确定了114个社区资产，包括22个食品店、22个餐馆和5个运动设施。每个糖尿病热点至少有一个食品店，有5至9种水果和蔬菜。只有1个健身设施有关于时间或服务的标志。会员资格从每月免费到9.95美元不等。总的来说，这些发现与photovoice组参与者的报告不一致。我们发现了对社区资产和建筑环境的看法与该环境的客观现实之间的不匹配。将光电语音和社区资产测绘纳入社区糖尿病干预可能会使人们意识到未充分利用的社区资源可以帮助人们控制他们的糖尿病。
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. 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. 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. 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.