Fit Around the Farm: A holistic approach to health promotion for elders

As a consequence of historical and contemporary structural racism, people from minoritized communities are burdened with higher incidence, more severe morbidity, and earlier mortality from chronic diseases, including diabetes, heart disease, and hypertension. To advance health equity, public health...

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Main Authors: Tamar Harrison, Linda Palmer, Sara Shostak
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321523001312
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author Tamar Harrison
Linda Palmer
Sara Shostak
author_facet Tamar Harrison
Linda Palmer
Sara Shostak
author_sort Tamar Harrison
collection DOAJ
description As a consequence of historical and contemporary structural racism, people from minoritized communities are burdened with higher incidence, more severe morbidity, and earlier mortality from chronic diseases, including diabetes, heart disease, and hypertension. To advance health equity, public health policies and programs must address racialized inequities in the social and environmental determinants of health and support individuals in making the behavioral changes that can prevent the onset of chronic disease and intervene in its progression. Based on analysis of in-depth, qualitative interviews with elder Black women (n = 13), this article examines the experiences and perspectives of participants in Fit Around the Farm, an innovative, farm-based, multicomponent health promotion program in Boston, MA. Drawing on their narratives, we describe how the program supports participants’ health and well-being by improving food access and nutrition, increasing physical activity (and capacity for physical activity), creating a supportive community oriented to wellness, and providing access to safe and culturally resonant green space. This analysis suggests that community based urban farms offer a compelling site for multicomponent health promotion programs for Black elders in urban communities, a structurally disadvantaged population at risk for chronic disease.
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spelling doaj.art-83c9f9ad66704495aa2dd6a1ab91b3132023-12-08T04:47:15ZengElsevierSSM: Qualitative Research in Health2667-32152023-12-014100347Fit Around the Farm: A holistic approach to health promotion for eldersTamar Harrison0Linda Palmer1Sara Shostak2Brandeis University, Health: Science, Society and Policy Program, 415 South Street, Waltham, MA, 02453, USAUrban Farming Institute of Boston, 487 Norfolk Street, Mattapan, MA, 02126, USABrandeis University, Department of Sociology and Health: Science, Society and Policy Program, 415 South Street, Waltham, MA, 02453, USA; Corresponding author.As a consequence of historical and contemporary structural racism, people from minoritized communities are burdened with higher incidence, more severe morbidity, and earlier mortality from chronic diseases, including diabetes, heart disease, and hypertension. To advance health equity, public health policies and programs must address racialized inequities in the social and environmental determinants of health and support individuals in making the behavioral changes that can prevent the onset of chronic disease and intervene in its progression. Based on analysis of in-depth, qualitative interviews with elder Black women (n = 13), this article examines the experiences and perspectives of participants in Fit Around the Farm, an innovative, farm-based, multicomponent health promotion program in Boston, MA. Drawing on their narratives, we describe how the program supports participants’ health and well-being by improving food access and nutrition, increasing physical activity (and capacity for physical activity), creating a supportive community oriented to wellness, and providing access to safe and culturally resonant green space. This analysis suggests that community based urban farms offer a compelling site for multicomponent health promotion programs for Black elders in urban communities, a structurally disadvantaged population at risk for chronic disease.http://www.sciencedirect.com/science/article/pii/S2667321523001312Chronic diseaseEldersGreen spaceHealth equityHealth promotionUrban agriculture
spellingShingle Tamar Harrison
Linda Palmer
Sara Shostak
Fit Around the Farm: A holistic approach to health promotion for elders
SSM: Qualitative Research in Health
Chronic disease
Elders
Green space
Health equity
Health promotion
Urban agriculture
title Fit Around the Farm: A holistic approach to health promotion for elders
title_full Fit Around the Farm: A holistic approach to health promotion for elders
title_fullStr Fit Around the Farm: A holistic approach to health promotion for elders
title_full_unstemmed Fit Around the Farm: A holistic approach to health promotion for elders
title_short Fit Around the Farm: A holistic approach to health promotion for elders
title_sort fit around the farm a holistic approach to health promotion for elders
topic Chronic disease
Elders
Green space
Health equity
Health promotion
Urban agriculture
url http://www.sciencedirect.com/science/article/pii/S2667321523001312
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