Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada

International Journal of Endocrinology - Tập 2015 - Trang 1-9 - 2015
Justine Chan1, Margaret DeMelo2, Jacqui Gingras1, Enza Gucciardi1
1Ryerson University, 350 Victoria Street, Toronto, ON, Canada M5B 2K3
2University Health Network, 399 Bathurst Street, Toronto, ON, Canada M5T 2S8

Tóm tắt

Objective.To explore how food insecurity affects individuals’ ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre.Design.Qualitative study comprising of in-depth interviews, using a semistructured interview guide.Setting.Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada.Participants.Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions).Method.Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews.Main Findings.Three themes emerged from our analysis of participants’ experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience.Conclusion.Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.

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Tài liệu tham khảo

2010

10.1056/NEJMoa0706245

2000, Canadian Journal of Diabetes, 24, 23

2013, Canadian Journal of Diabetes, 37, S1, 10.1016/S1499-2671(13)01409-3

10.1177/014572178601200107

10.2337/dc09-0823

10.4066/amj.2011.1104

10.1007/s11606-007-0192-6

1998

10.1016/s1499-2671(10)42008-0

2003, Journal of Nutrition, 133, 120, 10.1093/jn/133.1.120

10.1016/j.clnu.2011.09.014

10.2337/diaspect.25.1.14

10.1056/nejmp1000072

2010, Journal of Health Care for the Poor and Underserved, 21, 1227

10.2337/dc11-1627

10.1108/13660750310486730

10.1177/1049732306296451

10.1177/1525822X05279903

2003, Field Methods, 15, 85, 10.1177/1525822X02239569

10.1177/146879410100100307

10.1177/109019810102800408

2009, Canadian Journal of Public Health, 100, 135, 10.1007/BF03405523

2010

10.1111/j.1365-2648.2010.05329.x

10.1177/1742395309349315

10.2337/dc12-1961

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International Journal of Endocrinology

Tập 2015

1-9

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