Spires, Mark ORCID: 0000-0002-1767-2511 , Delobelle, Peter, Sanders, David and Puoane, Thandi (2021) Using photography to explore people with diabetes’ perspectives on food environments in urban and rural South Africa. Health Promotion International, 36 (1). pp. 120-131. ISSN 0957-4824 (Print), 1460-2245 (Online) (doi:https://doi.org/10.1093/heapro/daaa035)

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Abstract

Diabetes, a serious disease resulting in significant morbidity and early mortality, is currently on the rise globally. A major contributor to this observed increase in low- and middle-income countries, such as South Africa, has been the observed change in diet at the population level—a shift from a traditional diet, to one consisting of more energy-dense, processed foods, with more added sugar, salt and fat. Implicated in this degradation of diet are changing local food environments. Participant-generated digital photographs and facilitated focus group discussion-style workshops were utilized to better understand diabetic community members’ perspectives on their food environments in both an urban and rural setting in South Africa, and what (and how) aspects of these physical environments influence their food acquisition behaviours and diet. Qualitative data were analysed using a deductive thematic analysis approach. The resulting predominant themes of accessibility, availability and affordability are outlined and discussed. Findings from this study have implications beyond the self-management of diabetes and extend to the self-management and reduction of all diet-related non-communicable diseases.

Item Type:	Article
Additional Information:	This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model).
Uncontrolled Keywords:	diabetes, food environment, diet, photo elicitation
Subjects:	R Medicine > R Medicine (General) T Technology > T Technology (General) T Technology > TR Photography
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science Faculty of Engineering & Science > Natural Resources Institute Faculty of Engineering & Science > Natural Resources Institute > Centre for Food Systems Research
Last Modified:	04 Nov 2024 12:02
URI:	http://gala.gre.ac.uk/id/eprint/48399

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