Culture and Food Practices of African-American Women with Type 2 Diabetes

Saturday, 16 November 2013

Lisa L. Sumlin, RN, MSN
School of Nursing, The University of Texas at Austin, Austin, TX

Learning Objective 1: The learner will be able to identify at least three daily food practices in social settings of African-American women with type 2 diabetes.

Learning Objective 2: The learner will be able to utilize learned cultural influences of these daily food practices in order to inform future dietary intervention research.

Background:African-American women (AAW) have had the largest increase in diagnosed diabetes in the US, climbing from 7.9% in 2004 to 9% in 2006. One of the foundational diabetes self-care skills is proper food habits, but traditional expectations of family members may make it more difficult for AAW to improve their eating habits to achieve diabetes control. Few studies have focused solely on dietary changes, particularly in the context of family and the role of AAW.

Objectives:The purpose of this ethnographic study is to explicate cultural influences of food practices of AAW with type 2 diabetes (T2DM) in order to communicate these practices to researchers and the health care community.  The specific aims are to: describe typical daily food practices and identify cultural influences on food practices of AAW with T2DM.

Design & Method: Symbolic Interactionism, a sensitizing framework for viewing AAW with T2DM as a subculture, guides this study. A purposive sampling plan is being used to recruit 20 AAW who: are between the ages of 35 and 70 years, have been diagnosed with T2DM, and shops and prepares meals for their families. Data collection consists of participant observation of: one to two church fellowship dinners; shopping for food in the grocery store; preparing food in the home; and one-on-one interviews. A social anthropological approach to content analysis will be used to describe behavioral regularities in food practices.

Conclusion: Because AAW are the gatekeepers for food practices of the family, they are the keys to dietary modifications to improve diabetes control. This study will begin to fill the gap in the literature regarding cultural dietary food habits of this population. With increased knowledge, researchers and health care providers will be better able to improve AAW food practices, and ultimately improve diabetes control in this high-risk population.