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

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Poverty* ; Public Health*; Diabetes Mellitus, Type 2/*psychology ; Health Literacy/*statistics & numerical data ; Minority Groups/*statistics & numerical data; Adolescent ; Female ; Focus Groups ; Humans ; Male ; Minority Groups/psychology ; Qualitative Research

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.

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P30 DK092924 United States DK NIDDK NIH HHS; P60 MD006902 United States MD NIMHD NIH HHS

Keywords: diabetes prevention; health literacy; qualitative research; social marketing; type 2 diabetes

Date Created: 20180427 Date Completed: 20190301 Latest Revision: 20190301

20221213

PMC5981879

10.3390/ijerph15050840

29695114