PMID- 32100614 OWN - NLM STAT- MEDLINE DCOM- 20210114 LR - 20221207 IS - 1554-6063 (Electronic) IS - 0145-7217 (Print) IS - 0145-7217 (Linking) VI - 46 IP - 2 DP - 2020 Apr TI - Neighborhood Influences on Physical Activity Among Low-Income African American Adults With Type 2 Diabetes Mellitus. PG - 181-190 LID - 10.1177/0145721720906082 [doi] AB - PURPOSE: The purpose of the study was to explore the influences of the neighborhood environment on physical activity (PA) among people living with type 2 diabetes mellitus (T2DM) in a community with limited resources. METHODS: Participants were adults with T2DM and their family members or friends who help in the management of T2DM and who were living in a low-income African American (AA) community. Health care providers working in the neighborhood were also included. Using an emergent design, qualitative data were collected through 7 focus group discussions (N = 63) and 13 in-depth interviews. Verbatim transcriptions were analyzed via thematic coding to explore contextual factors that limit PA and meaning around neighborhood features that promote or discourage PA. RESULTS: Levels of PA were strongly limited by neighborhood insecurity and a lack of recreational facilities in the neighborhood. People with T2DM and physical/mobility disabilities were more affected by the neighborhood environment than those without disabilities, particularly due to perceived safety concerns and social stigma. Despite socioeconomic inequalities within neighborhoods, participants showed resilience and made efforts to overcome social-environmental barriers to PA, applied various coping strategies, and received social support. CONCLUSIONS: Results suggested that in an underserved neighborhood, individual barriers to physical activity were amplified by neighborhood-level factors such as crime, especially among individuals who have T2DM and disabilities. Socioeconomic inequalities should be addressed further to improve management of T2DM and its complications. FAU - Park, Soim AU - Park S AUID- ORCID: 0000-0003-3217-1210 AD - Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland. FAU - Zachary, Wayne W AU - Zachary WW AD - Starship Health Technologies, Blue Bell, Pennsylvania. FAU - Gittelsohn, Joel AU - Gittelsohn J AD - Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland. FAU - Quinn, Charlene C AU - Quinn CC AD - School of Medicine, University of Maryland, Baltimore, Maryland. FAU - Surkan, Pamela J AU - Surkan PJ AD - Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland. LA - eng GR - R21 NR015577/NR/NINR NIH HHS/United States GR - R43 DK119079/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200226 PL - United States TA - Diabetes Educ JT - The Diabetes educator JID - 7701401 MH - Adult MH - Black or African American/*psychology MH - Diabetes Mellitus, Type 2/*psychology MH - Exercise/*psychology MH - Family/psychology MH - Female MH - Health Personnel/psychology MH - Humans MH - Male MH - Medically Underserved Area MH - Middle Aged MH - Poverty/*psychology MH - *Residence Characteristics MH - Social Environment MH - Vulnerable Populations/*psychology PMC - PMC7469716 MID - NIHMS1621041 COIS- Declaration of Conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and publication of this article. EDAT- 2020/02/27 06:00 MHDA- 2021/01/15 06:00 PMCR- 2020/09/03 CRDT- 2020/02/27 06:00 PHST- 2020/02/27 06:00 [pubmed] PHST- 2021/01/15 06:00 [medline] PHST- 2020/02/27 06:00 [entrez] PHST- 2020/09/03 00:00 [pmc-release] AID - 10.1177/0145721720906082 [doi] PST - ppublish SO - Diabetes Educ. 2020 Apr;46(2):181-190. doi: 10.1177/0145721720906082. Epub 2020 Feb 26.