PMID- 28929866
OWN - NLM
STAT- MEDLINE
DCOM- 20180702
LR  - 20221207
IS  - 1554-6063 (Electronic)
IS  - 0145-7217 (Print)
IS  - 0145-7217 (Linking)
VI  - 43
IP  - 6
DP  - 2017 Dec
TI  - Culture and Food Practices of African American Women With Type 2 Diabetes.
PG  - 565-575
LID - 10.1177/0145721717730646 [doi]
AB  - Purpose The goals of this descriptive ethnographic study were to (1) describe the 
      day-to-day selection, preparation, and consumption of food among African American 
      women (AAW) with type 2 diabetes mellitus (T2DM); (2) identify their typical food 
      selections and consumption practices when dining out at restaurants and at social 
      gatherings (ie, church functions, holidays); (3) highlight the valued behaviors 
      and beliefs that influence these women's food practices; and (4) determine how 
      social interactions influence those food practices. Methods Symbolic 
      interactionism, a sensitizing framework, guided this study. Purposeful sampling 
      was used to recruit 20 AAW from 35 to 70 years of age diagnosed with T2DM who 
      shopped and prepared meals for their families and attended church functions where 
      food was served. Data collection consisted of one-on-one interviews and 
      observations of participants during church fellowship dinners, grocery shopping, 
      and food preparation. A social anthropological approach to content analysis was 
      used to describe behavioral regularities in food practices. Results Informants 
      exhibited a constant struggle in food practices, particularly within the home 
      setting. Difficulties in making dietary modifications resulted from conflicts 
      between the need to change dietary practices to control diabetes and personal 
      food preferences, food preferences of family members, and AAW's emotional 
      dedication to the symbolism of food derived from traditional cultural food 
      practices passed down from generation to generation. Conclusions African American 
      women are the gatekeepers for family food practices, holding the keys to healthy 
      dietary practices. This study helps to fill the research gap regarding cultural 
      dietary food practices within this population.
FAU - Sumlin, Lisa L
AU  - Sumlin LL
AD  - School of Nursing, The University of Texas at Austin, Austin, Texas (Dr Sumlin, 
      Dr Brown).
FAU - Brown, Sharon A
AU  - Brown SA
AD  - School of Nursing, The University of Texas at Austin, Austin, Texas (Dr Sumlin, 
      Dr Brown).
LA  - eng
GR  - F31 NR013844/NR/NINR NIH HHS/United States
GR  - P30 NR015335/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20170920
PL  - United States
TA  - Diabetes Educ
JT  - The Diabetes educator
JID - 7701401
MH  - Adult
MH  - Black or African American/*psychology
MH  - Aged
MH  - Cooking/methods
MH  - *Culture
MH  - Diabetes Mellitus, Type 2/*ethnology/psychology
MH  - Diet, Diabetic/*ethnology/psychology
MH  - Family/psychology
MH  - Feeding Behavior/*ethnology/psychology
MH  - Female
MH  - Food Preferences/ethnology/psychology
MH  - Humans
MH  - Middle Aged
MH  - Religion
PMC - PMC8401831
MID - NIHMS1733213
EDAT- 2017/09/21 06:00
MHDA- 2018/07/03 06:00
PMCR- 2021/08/28
CRDT- 2017/09/21 06:00
PHST- 2017/09/21 06:00 [pubmed]
PHST- 2018/07/03 06:00 [medline]
PHST- 2017/09/21 06:00 [entrez]
PHST- 2021/08/28 00:00 [pmc-release]
AID - 10.1177/0145721717730646 [doi]
PST - ppublish
SO  - Diabetes Educ. 2017 Dec;43(6):565-575. doi: 10.1177/0145721717730646. Epub 2017 
      Sep 20.