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Private Trouble or Public Issue: Nut...

Vescia, Carmen Rio,

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Private Trouble or Public Issue: Nutritionists' Narratives of Treating Spanish-Speaking Latinos Living with Diabetes /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Private Trouble or Public Issue: Nutritionists' Narratives of Treating Spanish-Speaking Latinos Living with Diabetes // Carmen Rio Vescia.
Author:	Vescia, Carmen Rio,
Description:	1 electronic resource (104 pages)
Notes:	Source: Masters Abstracts International, Volume: 84-12.
Contained By:	Masters Abstracts International84-12.
Subject:	Latin American studies. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30485392
ISBN:	9798379716899

Private Trouble or Public Issue: Nutritionists' Narratives of Treating Spanish-Speaking Latinos Living with Diabetes /
Vescia, Carmen Rio,

Private Trouble or Public Issue: Nutritionists' Narratives of Treating Spanish-Speaking Latinos Living with Diabetes /Carmen Rio Vescia. - 1 electronic resource (104 pages)

Source: Masters Abstracts International, Volume: 84-12.

US policy makers, public health officials, researchers, and healthcare providers recognize rising diabetes rates and diabetes disparities as a public health issue. Conversations around health equity continue to develop (Hill-Briggs et al., 2020). But the status quo for prevention and treatment continues to focus on individual behavior change, interventions mostly implemented by providers working in nutrition and dietetics (Williams & Buttfield, 2016). In this thesis, I study nutrition professionals working with Spanish-speaking Latino patients in Texas. These professionals work at the intersection of the abstract and the concrete. They are trained according to the medical field's status quo and are then sent into hospitals, out-patient clinics, and community settings to directly treat patients. Their interactions with patients reflect broader discourses about diabetes in Spanish-speaking Latino populations, demonstrating how individualization, blame, and overemphasizing culture can manifest on an individual level. However, their reflections on their work, critiques of the healthcare system, and descriptions of how they navigate it trouble the notion of a single hegemonic discourse and offer insight into what barriers might hold providers back from helping to tackle the structural causes of their patients' diagnoses.I take an interdisciplinary approach and construct my argument around a few key texts from sociology, medical anthropology, and public health. I rely heavily on C Wright Mill's distinction between private troubles and public issues in The Sociological Imagination (1959) to critique how the medicalization of diabetes frames it as an individual problem that must be solved on an individual level; it is rarely approached as a broader challenge that can only be effectively addressed by addressing the political and economic structures that create the conditions for lifestyles that lead to chronic illnesses like diabetes. Julie Guthman's Weighing In: Obesity, Food Justice, and the Limits of Capitalism (2011) demonstrates how, in the US, narratives surrounding obesity-a chronic condition often comorbid with diabetes and spoken about in similar ways- refer to obesity a crisis and place the onus on individuals to prevent it by controlling their own bodies. She argues that framing obesity in this way both marginalizes people in larger bodies and invisibilizes the economic and political structures that shape our food system and contribute to chronic illness. I apply Guthman's framework coupled with scholarship that specifically explores diabetes and its intersections with Latinidad in the US to argue that discourses about diabetes in Spanish-speaking Latino communities engage in similar patterns of individual responsibility and blame and contribute to masking underlying causes. Emily Mendenhall's Syndemic Suffering: Social Distress, Depression, and Diabetes Among Mexican Immigrant Women (2016) illustrates how diabetes cannot be understood in isolation, especially for Mexican immigrants; rather, it exists at in the entanglements of a term she coins called VIDDA: violence (inter-personal and structural), immigration, depression, diabetes, and abuse. Her in-depth ethnographic work with Mexican immigrant populations strengthens my argument that, while my interviewees generally emphasize education and behavior change, their patients face myriad structural challenges that limit their ability to 'comply' with nutrition advice.

English

ISBN: 9798379716899Subjects--Topical Terms:

2122903
Latin American studies.
Subjects--Index Terms:

Diabetes

Private Trouble or Public Issue: Nutritionists' Narratives of Treating Spanish-Speaking Latinos Living with Diabetes /
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500 $a Advisors: Leguizamon, Amalia Committee members: McDowell, Andrew; Fuster, Melissa.
502 $b M.A. $c Tulane University $d 2023.
520 $a US policy makers, public health officials, researchers, and healthcare providers recognize rising diabetes rates and diabetes disparities as a public health issue. Conversations around health equity continue to develop (Hill-Briggs et al., 2020). But the status quo for prevention and treatment continues to focus on individual behavior change, interventions mostly implemented by providers working in nutrition and dietetics (Williams & Buttfield, 2016). In this thesis, I study nutrition professionals working with Spanish-speaking Latino patients in Texas. These professionals work at the intersection of the abstract and the concrete. They are trained according to the medical field's status quo and are then sent into hospitals, out-patient clinics, and community settings to directly treat patients. Their interactions with patients reflect broader discourses about diabetes in Spanish-speaking Latino populations, demonstrating how individualization, blame, and overemphasizing culture can manifest on an individual level. However, their reflections on their work, critiques of the healthcare system, and descriptions of how they navigate it trouble the notion of a single hegemonic discourse and offer insight into what barriers might hold providers back from helping to tackle the structural causes of their patients' diagnoses.I take an interdisciplinary approach and construct my argument around a few key texts from sociology, medical anthropology, and public health. I rely heavily on C Wright Mill's distinction between private troubles and public issues in The Sociological Imagination (1959) to critique how the medicalization of diabetes frames it as an individual problem that must be solved on an individual level; it is rarely approached as a broader challenge that can only be effectively addressed by addressing the political and economic structures that create the conditions for lifestyles that lead to chronic illnesses like diabetes. Julie Guthman's Weighing In: Obesity, Food Justice, and the Limits of Capitalism (2011) demonstrates how, in the US, narratives surrounding obesity-a chronic condition often comorbid with diabetes and spoken about in similar ways- refer to obesity a crisis and place the onus on individuals to prevent it by controlling their own bodies. She argues that framing obesity in this way both marginalizes people in larger bodies and invisibilizes the economic and political structures that shape our food system and contribute to chronic illness. I apply Guthman's framework coupled with scholarship that specifically explores diabetes and its intersections with Latinidad in the US to argue that discourses about diabetes in Spanish-speaking Latino communities engage in similar patterns of individual responsibility and blame and contribute to masking underlying causes. Emily Mendenhall's Syndemic Suffering: Social Distress, Depression, and Diabetes Among Mexican Immigrant Women (2016) illustrates how diabetes cannot be understood in isolation, especially for Mexican immigrants; rather, it exists at in the entanglements of a term she coins called VIDDA: violence (inter-personal and structural), immigration, depression, diabetes, and abuse. Her in-depth ethnographic work with Mexican immigrant populations strengthens my argument that, while my interviewees generally emphasize education and behavior change, their patients face myriad structural challenges that limit their ability to 'comply' with nutrition advice.
546 $a English
590 $a School code: 0235
650 4 $a Latin American studies. $3 2122903
650 4 $a Public health. $3 534748
650 4 $a Social research. $3 2122687
653 $a Diabetes
653 $a Nutrition
653 $a Healthcare
653 $a Out-patient clinics
653 $a Latino communities
690 $a 0550
690 $a 0573
690 $a 0344
710 2 $a Tulane University. $b Latin American Studies. $e degree granting institution. $3 3767608
720 1 $a Leguizamon, Amalia $e degree supervisor.
773 0 $t Masters Abstracts International $g 84-12.
790 $a 0235
791 $a M.A.
792 $a 2023
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30485392