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Do Low Income Youth of Color See “ The Bigger Picture ” When Discussing Type 2 Diabetes: A Qualitative Evaluation of a Public Health Literacy Campaign

Author

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  • Dean Schillinger

    (Department of Medicine and Center for Vulnerable, Populations University of California San Francisco, Zuckerberg San Francisco Hospital, 1001 Potrero Avenue San Francisco, CA 94118, USA)

  • Jessica Tran

    (Department of Medicine and Center for Vulnerable, Populations University of California San Francisco, Zuckerberg San Francisco Hospital, 1001 Potrero Avenue San Francisco, CA 94118, USA)

  • Sarah Fine

    (Department of Medicine and Center for Vulnerable, Populations University of California San Francisco, Zuckerberg San Francisco Hospital, 1001 Potrero Avenue San Francisco, CA 94118, USA)

Abstract

As Type 2 diabetes spikes among minority and low-income youth, there is an urgent need to tackle the drivers of this preventable disease. The Bigger Picture (TBP) is a counter-marketing campaign using youth-created, spoken-word public service announcements (PSAs) to reframe the epidemic as a socio-environmental phenomenon requiring communal action, civic engagement and norm change. Methods: We examined whether and how TBP PSAs advance health literacy among low-income, minority youth. We showed nine PSAs, asking individuals open-ended questions via questionnaire, then facilitating a focus group to reflect upon the PSAs. Results: Questionnaire responses revealed a balance between individual vs. public health literacy. Some focused on individual responsibility and behaviors, while others described socio-environmental forces underlying risk. The focus group generated a preponderance of public health literacy responses, emphasizing future action. Striking sociopolitical themes emerged, reflecting tensions minority and low-income youth experience, such as entrapment vs. liberation. Conclusion: Our findings speak to the structural barriers and complexities underlying diabetes risk, and the ability of spoken word medium to make these challenges visible and motivate action. Practice Implications: Delivering TBP content to promote interactive reflection has potential to change behavioral norms and build capacity to confront the social, economic and structural factors that influence behaviors.

Suggested Citation

  • Dean Schillinger & Jessica Tran & Sarah Fine, 2018. "Do Low Income Youth of Color See “ The Bigger Picture ” When Discussing Type 2 Diabetes: A Qualitative Evaluation of a Public Health Literacy Campaign," IJERPH, MDPI, vol. 15(5), pages 1-14, April.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:5:p:840-:d:142966
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    References listed on IDEAS

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    1. Gollust, Sarah E. & Lantz, Paula M., 2009. "Communicating population health: Print news media coverage of type 2 diabetes," Social Science & Medicine, Elsevier, vol. 69(7), pages 1091-1098, October.
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    Cited by:

    1. Liesbeth de Wit & Pania Karnaki & Archontoula Dalma & Peter Csizmadia & Charlotte Salter & Andrea de Winter & Louise Meijering, 2020. "Health Literacy in the Everyday Lives of Older Adults in Greece, Hungary, and the Netherlands," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    2. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.

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