Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada

Objective. To explore how food insecurity affects individuals’ ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants...

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Main Authors: Justine Chan, Margaret DeMelo, Jacqui Gingras, Enza Gucciardi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/903468
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author Justine Chan
Margaret DeMelo
Jacqui Gingras
Enza Gucciardi
author_facet Justine Chan
Margaret DeMelo
Jacqui Gingras
Enza Gucciardi
author_sort Justine Chan
collection DOAJ
description Objective. To explore how food insecurity affects individuals’ ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants’ experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.
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spelling doaj-art-5d46f51462c148049dc45ac3a87ac9852025-02-03T05:44:44ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/903468903468Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, CanadaJustine Chan0Margaret DeMelo1Jacqui Gingras2Enza Gucciardi3Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, CanadaUniversity Health Network, 399 Bathurst Street, Toronto, ON, M5T 2S8, CanadaRyerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, CanadaRyerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, CanadaObjective. To explore how food insecurity affects individuals’ ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants’ experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.http://dx.doi.org/10.1155/2015/903468
spellingShingle Justine Chan
Margaret DeMelo
Jacqui Gingras
Enza Gucciardi
Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
International Journal of Endocrinology
title Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
title_full Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
title_fullStr Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
title_full_unstemmed Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
title_short Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
title_sort challenges of diabetes self management in adults affected by food insecurity in a large urban centre of ontario canada
url http://dx.doi.org/10.1155/2015/903468
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