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Diabetes and Health Disparities

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Diabetes and Health Disparities

SKU# 9780826101280

Community-Based Approaches for Racial and Ethnic Populations

Author: Leandris C. Liburd PHD


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What Liburd and colleagues provide in this edition is a framework for all practitionersÖinvolved in diabetes prevention and control. The recommendations and tools provided here are key to the success of future research and programmatic efforts.

-Wayne H. Giles, MD, MS &
Ann Albright, PhD, RD
(From the Foreword)

Type 2 diabetes and its principal risk factor, obesity, have emerged as twin epidemics in communities of color. This book investigates the epidemiology of diabetes in these minority communities, arguing that the determinants of diabetes include not only personal choices, but also broader social and contextual factors, such as community racism, residential segregation, and cultural patterns.

This book includes in-depth analyses of many community-based interventions which serve African-American, Hispanic/Latino American, Asian American, and Native American populations. The author also provides suggestions for community-based initiatives to reduce the "obesogenic" environment many minorities live in.

Key features:

    Includes effective intervention approaches for prevention and control of diabetes in racial and ethnic populations

    Explores the influence of institutionalized racism and residential segregation on the emergence of diabetes and obesity

    Presents extensive case studies detailing the experiences, challenges, and breakthroughs of various community health initiatives and programs

This book will serve as an important resource for professors, students, community leaders, policymakers, health practitioners, and anyone interested in joining the movement to eliminate health disparities and achieve health equity.

Product Details 

  • Publication Date September 14, 2009
  • Page Count 400
  • Product Form Paperback / softback
  • ISBN 13 9780826101280
  • EISBN 9780826101297

Table of Contents 

Chapter 1: Overview of diabetes
I. What is diabetes?
II. Type 2 diabetes - Epidemiology of a pandemic
III. Why reducing the burden of diabetes in the U.S. is a national public health priority
Chapter 2: Diabetes in communities of color in the U.S.
I. The social and cultural evolution of a 21st century epidemic
II. Beyond race, who are the "high risk groups" for the development of diabetes?
III. What do we know about the distribution of diabetes by income, education, and region (urban vs. rural) of residence?
Chapter 3: The co-emergence of the diabetes and obesity epidemics
I. What is obesity and how is it measured?
II. Why is obesity associated with the development of diabetes?
III. What are obesity rates in communities of color?
IV. What are the drivers of obesity rates in these communities?
Chapter 4: Reframing diabetes risk from personal choice to the social environment
I. The Social Production of type 2 diabetes in communities of color
II. The illusion of personal choice in an obesogenic environment
III. Health equity and social justice
IV. Refocusing public health research and practice to address the social production of diabetes
Chapter 5: The centrality of "community" in diabetes prevention and control
I. Why the "population-based medicine" approach to eliminating disparities in diabetes has not worked
II. Meanings of community in public health
III. What does the literature teach us about the efficacy and effectiveness of community-based approaches?
IV. Case studies of effective community-based diabetes prevention and control programs
V. Promising community-based programs addressing the social determinants of diabetes and other chronic diseases
Chapter 6: Implications for health policy and public health practice
I. Community-based participatory approaches become the principle paradigm for public health research and practice in the 21st century
II. Community public health models
III. Imbalances in power between community members and institutions and the larger political and corporate structures
IV. Greater financial support for intervention research that inform social justice approaches will be needed
V. Innovative public-private partnerships to address the social production of diabetes and diabetes disparities will be needed
VI. Changes in graduate level public health training will be needed to include required courses in the social determinants of health disparities and strategies to overcome them
Chapter 7: How will we know we're winning the battle to eliminate disparities in diabetes?
I. Innovative models of program evaluation
II. Opportunities for the development of new evaluation models
III. Examples from the field