University of California San Francisco, San Francisco, CA, USA.
Health Promot Pract. 2022 Jul;23(4):583-593. doi: 10.1177/15248399211007818. Epub 2021 May 14.
Efforts to confront the type 2 diabetes (T2D) epidemic have been stymied by an absence of effective communication on policy fronts. Whether art can be harnessed to reframe the T2D discourse from an individual, biomedical problem to a multilevel, communal and social problem is not known.
We explored whether spoken word workshops enable young artists of color to convey a critical consciousness about T2D. The Bigger Picture fosters creation and dissemination of art to shift from the narrow biomedical model toward a comprehensive socioecological model (SEM). Workshops offer (1) public health content, (2) writing exercises, and (3) feedback on drafts. Based on Freire and Boal's participatory pedagogy, workshops encourage youth to tap into their lived experiences when creating poetry. We analyzed changes in public health literary and activation among participants and mapped poems onto the SEM to assess whether their poetry conveyed the multilevel perspective critical to public health literacy.
Participants reported significant increases in personal relevance of T2D prevention, T2D discussions with peers, concern about corporations' targeted marketing, and interest in community organizing to confront the epidemic. Across stanzas, nearly all poems (95%) featured >three of five SEM levels (systemic forces, sectors of influence, societal norms, behavioral settings, individual factors); three-quarters (78%) featured >four levels.
Engaging youth poets of color to develop artistic content to combat T2D can increase their public health literary and social activation and foster compelling art that communicates how complex, multilevel forces interact to generate disease and disease disparities.
由于缺乏在政策层面上进行有效沟通，应对 2 型糖尿病（T2D）流行的努力受到了阻碍。目前尚不清楚艺术是否可以被用来重新构建 T2D 话语，将其从个人的、生物医学问题转变为多层次的、社区和社会问题。
我们探讨了口语工作坊是否能够使有色人种的年轻艺术家能够传达对 T2D 的批判性意识。“大图景”促进了艺术的创作和传播，以从狭隘的生物医学模式转向全面的社会生态模式（SEM）。工作坊提供了（1）公共卫生内容，（2）写作练习，以及（3）对草稿的反馈。基于弗莱雷和博尔的参与式教学法，工作坊鼓励年轻人在创作诗歌时挖掘自己的生活经历。我们分析了参与者在公共卫生文学和激活方面的变化，并将诗歌映射到 SEM 上，以评估他们的诗歌是否传达了公共卫生知识的多层次视角的关键。
参与者报告说，他们对 T2D 预防的个人相关性、与同龄人讨论 T2D、对企业有针对性营销的关注以及对社区组织的兴趣都有了显著的提高，以应对这一流行病。在各个诗节中，几乎所有的诗歌（95%）都突出了 SEM 五个层次中的三个以上（系统力量、影响部门、社会规范、行为环境、个人因素）；四分之三（78%）的诗歌突出了四个层次以上。
让有色人种的青年诗人参与创作对抗 T2D 的艺术内容，可以提高他们的公共卫生文学和社会活跃度，并创作引人注目的艺术作品，传达出复杂的多层次力量如何相互作用产生疾病和疾病差异。
