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Research Article| Volume 54, ISSUE 4, P288-298, April 2022

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Food Assistance Use Among Food Bank Clients Affected by Type 2 Diabetes

  • Eliza Short
    Correspondence
    Address for correspondence: Eliza Short, BS, RD, School of Nutritional Sciences and Wellness, College of Agriculture and Life Sciences, The University of Arizona, 1177 E 4th St, Tucson, AZ 85721
    Affiliations
    School of Nutritional Sciences and Wellness, College of Agriculture and Life Sciences, The University of Arizona, Tucson, AZ

    University of Arizona Collaboratory for Metabolic Disease Prevention and Treatment, Abrams Public Health Center, The University of Arizona, Tucson, AZ
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  • Author Footnotes
    † Jayati Sharma was affiliated with the Mel and Enid Zuckerman College of Public Health, The University of Arizona at the time this study was completed.
    Jayati Sharma
    Footnotes
    † Jayati Sharma was affiliated with the Mel and Enid Zuckerman College of Public Health, The University of Arizona at the time this study was completed.
    Affiliations
    Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
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  • Debbe I. Thompson
    Affiliations
    Department of Pediatrics, US Department of Agriculture/Agricultural Research Service, Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX
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  • Douglas Taren
    Affiliations
    Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ
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  • Rhonda Gonzalez
    Affiliations
    Community Food Bank of Southern Arizona, Tucson, AZ
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  • Melanie Hingle
    Affiliations
    School of Nutritional Sciences and Wellness, College of Agriculture and Life Sciences, The University of Arizona, Tucson, AZ

    University of Arizona Collaboratory for Metabolic Disease Prevention and Treatment, Abrams Public Health Center, The University of Arizona, Tucson, AZ
    Search for articles by this author
  • Author Footnotes
    † Jayati Sharma was affiliated with the Mel and Enid Zuckerman College of Public Health, The University of Arizona at the time this study was completed.
Published:January 14, 2022DOI:https://doi.org/10.1016/j.jneb.2021.11.001

      Abstract

      Objective

      To understand the perspectives of food bank clients affected by type 2 diabetes (T2DM).

      Design

      Semi-structured in-depth interviews conducted with food bank clients.

      Setting

      Arizona regional food bank.

      Participants

      Twenty English- and Spanish-speaking food bank clients with T2DM or living with a person with T2DM, aged 45–83 years, majority female, Hispanic, and food insecure.

      Phenomenon of Interest

      Food bank use and preferences, and how these related to T2DM management.

      Analysis

      A hybrid thematic analysis combining inductive and deductive reasoning.

      Results

      Three organizing themes emerged from the analysis. First, food assistance was influenced by food preferences and the ability to pair with existing household foods. Second, desired support included fresh fruits and vegetables, meat, oats, oil, and herbs; recipes; cooking demonstrations; and social support. Third, factors influencing T2DM management were lack of financial resources, low motivation, insufficient nutrition knowledge, low medication adherence, and multiple comorbidities. Participants also expressed resilience and interest in improving T2DM management.

      Conclusions and Implications

      Among a predominantly Hispanic food bank sample, produce and protein-rich foods, nutrition and culinary education, and social support were components of a supportive food bank experience and should be considered when designing food-based interventions for T2DM management for food insecure persons.

      Keywords

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