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. 2005 Apr;95(4):645-51.
doi: 10.2105/AJPH.2004.048256.

Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention

Amy J Schulz  1 , Shannon Zenk, Angela Odoms-Young, Teretha Hollis-Neely, Robin Nwankwo, Murlisa Lockett, William Ridella, Srimathi Kannan
Affiliations

Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention

Amy J Schulz et al. Am J Public Health. 2005 Apr.

Abstract

Objectives: We examined a community-based participatory diabetes intervention to identify facilitators of and barriers to sustained community efforts to address social factors that contribute to health.

Methods: We conducted a case study description and analysis of the Healthy Eating and Exercising to Reduce Diabetes project in the theoretical context of a conceptual model of social determinants of health.

Results: We identified several barriers to and facilitators of analysis of social determinants of a community-identified disease priority (in this case, diabetes). Barriers included prevailing conceptual models, which emphasize health behavioral and biomedical paradigms that exclude social determinants of health. Facilitating factors included (1) opportunities to link individual health concerns to social contexts and (2) availability of support from diverse partners with a range of complementary resources.

Conclusions: Partnerships that offer community members tangible resources with which to manage existing health concerns and that integrate an analysis of social determinants of health can facilitate sustained engagement of community members and health professionals in multilevel efforts to address health disparities.

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Figures

FIGURE 1—
FIGURE 1—
Social determinants of racial disparities in diabetes risk in Detroit.…Note. Bold text highlights points of intervention for the Healthy Eating and Exercising to Reduce Diabetes project.
See this image and copyright information in PMC

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