Type 2 Diabetes as a Socioecological Disease: Can Youth Poets of Color Become Messengers of Truth and Catalysts for Change?
Autor: | Elizabeth Abbs, Ryane Daniels, Dean Schillinger |
---|---|
Rok vydání: | 2021 |
Předmět: |
Gerontology
medicine.medical_specialty Nursing (miscellaneous) Adolescent Health literacy Type 2 diabetes Disease Article 03 medical and health sciences medicine Humans Social determinants of health Exercise Life Style Health communication Preventive healthcare 030504 nursing 05 social sciences Public Health Environmental and Occupational Health 050301 education Cognitive reframing medicine.disease Health equity Health Literacy Diabetes Mellitus Type 2 Public Health 0305 other medical science Psychology 0503 education |
Zdroj: | Health Promot Pract |
ISSN: | 1552-6372 1524-8399 |
DOI: | 10.1177/15248399211007818 |
Popis: | Background Efforts to confront the type 2 diabetes (T2D) epidemic have been stymied by an absence of effective communication on policy fronts. Whether art can be harnessed to reframe the T2D discourse from an individual, biomedical problem to a multilevel, communal and social problem is not known. Method We explored whether spoken word workshops enable young artists of color to convey a critical consciousness about T2D. The Bigger Picture fosters creation and dissemination of art to shift from the narrow biomedical model toward a comprehensive socioecological model (SEM). Workshops offer (1) public health content, (2) writing exercises, and (3) feedback on drafts. Based on Freire and Boal’s participatory pedagogy, workshops encourage youth to tap into their lived experiences when creating poetry. We analyzed changes in public health literary and activation among participants and mapped poems onto the SEM to assess whether their poetry conveyed the multilevel perspective critical to public health literacy. Results Participants reported significant increases in personal relevance of T2D prevention, T2D discussions with peers, concern about corporations’ targeted marketing, and interest in community organizing to confront the epidemic. Across stanzas, nearly all poems (95%) featured >three of five SEM levels (systemic forces, sectors of influence, societal norms, behavioral settings, individual factors); three-quarters (78%) featured >four levels. Conclusions Engaging youth poets of color to develop artistic content to combat T2D can increase their public health literary and social activation and foster compelling art that communicates how complex, multilevel forces interact to generate disease and disease disparities. |
Databáze: | OpenAIRE |
Externí odkaz: |