Sarah Stotz1, Angela G Brega1, J Neil Henderson2, Steven Lockhart3, Kelly Moore1. 1. Colorado School of Public Health, Centers for American Indian and Alaska Native Health, 129263The University of Colorado Anschutz Medical Campus, Aurora, CO, USA. 2. Memory Keepers Medical Discovery Team, Department of Family Medicine and Biobehavioral Health, 172769The University of Minnesota Medical School, Duluth, MN, USA. 3. Children's Hospital Colorado, Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), 129263The University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Abstract
Objective: To examine stakeholder perspectives on food insecurity and associated challenges to healthy eating among American Indian and Alaska Native (AI/AN) adults with type 2 diabetes (T2D). Methods: Focus groups and interviews were conducted with purposively selected stakeholders: AI/ANs with T2D, their family members, healthcare administrators, nutrition and diabetes educators, and national content experts on AI/AN health. Two coders analyzed transcripts using the constant-comparison method. Results: Key themes included (1) rural- and urban-dwelling AI/ANs experience different primary food security and associated challenges; (2) factors contributing to food insecurity extend beyond cost of healthy food; and (3) barriers to consuming fresh, healthy food include cost, preparation time, limited cooking knowledge, and challenges with gardening. Discussion: Resources for AI/ANs with T2D who experience food insecurity and associated challenges to healthy eating should be tailored based on urban versus rural location and should address cost and other barriers to consumption of fresh fruits and vegetables.
Objective: To examine stakeholder perspectives on food insecurity and associated challenges to healthy eating among American Indian and Alaska Native (AI/AN) adults with type 2 diabetes (T2D). Methods: Focus groups and interviews were conducted with purposively selected stakeholders: AI/ANs with T2D, their family members, healthcare administrators, nutrition and diabetes educators, and national content experts on AI/AN health. Two coders analyzed transcripts using the constant-comparison method. Results: Key themes included (1) rural- and urban-dwelling AI/ANs experience different primary food security and associated challenges; (2) factors contributing to food insecurity extend beyond cost of healthy food; and (3) barriers to consuming fresh, healthy food include cost, preparation time, limited cooking knowledge, and challenges with gardening. Discussion: Resources for AI/ANs with T2D who experience food insecurity and associated challenges to healthy eating should be tailored based on urban versus rural location and should address cost and other barriers to consumption of fresh fruits and vegetables.
Entities:
Keywords:
American Indian and Alaska Native; diabetes self-management education and support; food insecurity; qualitative methods; type 2 diabetes
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