THE DEI SHIFT
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    • SEASON 1 >
      • TRAILER
      • EPISODE 1 >
        • WELCOME TO THE DEI SHIFT
      • EPISODE 2 >
        • MEET THE DEI SHIFT: MORNING HANDOFF
      • EPISODE 3 >
        • MENTORSHIP & RECRUITMENT OF URIMS
      • EPISODE 4 >
        • Women in Medicine: "Faces Like Mine"
      • EPISODE 5 >
        • Disparity Exacerbation, Triggered by COVID-19
      • EPISODE 6 >
        • Hidden in the Data: Understanding Bias in Informatics
      • EPISODE 7A >
        • At the Intersection of Asian + American + Female + Physician + Leader (Pt. 1)
      • EPISODE 7B >
        • At the Intersection of Asian + American + Male + Physician + Leader (Pt. 2)
      • EPISODE 8 >
        • Promoting Inclusive Healthcare Environments for LGBTQ Patients
      • EPISODE 9 >
        • The Hidden Curriculum
      • EPISODE 10 >
        • Women Physicians Mid Career Transitions
    • SEASON 2 >
      • EPISODE 1 >
        • Minority Tax
      • EPISODE 2 >
        • A Native Narrative: Caring for American Indian and Alaskan Native Patients
      • EPISODE 3 >
        • Anti-Racism in Healthcare Education
      • EPISODE 4 >
        • Religious and Spiritual Diversity in Healthcare
      • EPISODE 5 >
        • Doctors As Patients
    • SEASON 3 >
      • EPISODE 1 >
        • Voices of URiM Premeds
      • EPISODE 2 >
        • Seize the DEI: Shaping the Future of I.M.
      • EPISODE 3 >
        • Digital Health Equity and Bridging the Divide
      • EPISODE 4a >
        • Food Insecurity- Part 1
      • EPISODE 4b >
        • Food Insecurity- Part 2
      • EPISODE 5 >
        • The Breadth of Addiction Medicine
      • EPISODE 6 >
        • The Power of Primary Care
      • EPISODE 7 >
        • Healthy Policy and Advocacy
    • SEASON 4 >
      • EPISODE 1 >
        • ACP IM 2022 Live
      • EPISODE 2A >
        • Trauma Informed Care Part 1
      • EPISODE 2B >
        • Trauma Informed Care Part 2
      • EPISODE 3 >
        • Pediatric-to-Adult Transitions of Care
      • EPISODE 4 >
        • Medical Misinformation and Disinformation
      • EPISODE 5 >
        • Immigrant/Migrant Health
      • EPISODE 6A >
        • Houselessness Part 1
    • SEASON 5 >
      • EPISODE 1
  • Sponsored Podcasts
    • Obesity Management Series
    • Pain Management
    • Proud To Be GIM Week
  • Meet the Team
  • Medicine in Motion
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EPISODE 2

Weight and Cultural Considerations
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Incorporating culture and social determinants as we partner with patients with obesity, with dietician and epidemiologist Dr. Shreela Sharma and patient representative Ms. LaToshia Rouse.

Click here to claim CME credit for listening to the episode through ACP!
TRANSCRIPT

Learning Objectives
​

    1. Give an example of how one’s culture can shape one’s perceptions of weight. 
    2. List 3 potential questions that can be used to humbly and sensitively elicit a patient’s individual and cultural perceptions of weight          and their particular weight goals.
    3. Compare and contrast certain cultural groups’ variable receptivity to different obesity interventions.
    4. Evaluate how adverse childhood experiences (ACEs) and social determinants of health can lead to obesity.
    5. Describe some positive steps being taken by healthcare systems to address social determinants and improve their patients’ ability          to live healthy lives.

Show Notes
​

[00:00-01:11] Introduction
  • Introduction to co-hosts and episode 

[01:11-01:54] Introduction to Guests
  • Dr. Shreela Sharma, an epidemiologist and a dietician, who does work in food insecurity, obesity prevention, and health disparities research 
  • Ms. LaToshia Rouse, a patient representative in numerous capacities, especially when it comes to maternal and infant health and patient engagement

[01:54-06:41] Cultural Perceptions of Weight
  • Honor and celebrate the cultural nuances and perceptions regarding weight instead of viewing them as barriers.
  • Dieticians and healthcare providers need to ask better questions to work within the patients’ cultural nuances to help them on their journey.
  • Flavor, taste, and culture are important mediators of behavior change. 
  • Traditional foods are healthier than westernized diets. 
[06:41-09:39] Conversations with Patients 
  • Providers need to talk and really listen to patients in order to understand their familial and cultural backgrounds and perceptions of weight before recommending interventions. 
  • This conversation should not just be a one-time thing, but an ongoing process.
[09:39-12:40] Culturally Sensitive Questions for Understanding a Patient’s Views on Weight
  • Focus on being healthy, not on becoming a certain universal size.
  • Ask about the patient’s goals, their ideal size, etc. 
  • Talk about the patient’s access to food and cooking appliances, and about their food environment. 

[12:40-16:02] Variable Receptivity Amongst Distinct Social Groups to Different Interventions 
  • Food is a need, not a want. 
  • Food insecurity, disordered eating patterns, and spending trade-offs affect distinct cultural groups to varying degrees and, therefore, impact those groups’ receptivity to different treatments.
  • ISMART framework for setting lifestyle modification goals with patients
  • Sex and racial differences are present in patients’ reported quality of life relative to BMI and receptivity to bariatric surgery. ​
  • Gender and racial differences are dissipated when adjusted for socioeconomic factors.

[16:02-20:13] Research on the Effects of Social Determinants of Health 
  • Food insecurity and food deserts, a history of trauma, and living in a neighborhood with high violence or crime affect a patient with obesity’s ability to achieve a healthy weight
  • ACEs study showed that adverse childhood experiences increase the likelihood of developing obesity.​
  • An early lifecycle approach to obesity prevention can break the cycle of obesity in families. Next steps in obesity prevention: altering early life systems to support healthy parents, infants, and toddlers by Dr. Phillip Nader, et al.

[20:13-23:00]  Challenges that Patients and their Families May Face with Healthy Eating
  • Money factors into a patient’s idea of healthy eating.
  • Unhealthy, processed junk food and fast food are convenient, are cheap, and taste good. 
  • Healthcare providers and patients need to share information specific to each patient’s situation

[22:36-26:29] Advocating For and Working Towards Health Equity 
  • Healthcare systems and providers implementing food prescription programs in partnership with food banks and grocery stores
  • Providers advocating for patients inside and outside of the clinical setting 
  • ​Providers thinking about these issues through a social justice and equity lens, as described by Dr. Shiriki Kumanyika

[26:29-28:12] Closing
  • Website: www.thedeishift.com 
  • Twitter/Instagram: @TheDEIShift 
  • Theme Music: www.chrisdingman.com
​
Course Director and Senior Producer: Dr. Maggie Kozman
Co-Hosts: Dr. Pooja Jaeel and Likitha Aradhyula

Guests: Dr. Shreela Sharma and Ms. LaToshia Rouse

Production Assistant: Lynn Nguyen


Special thanks to Dr. Davoren Chick, Monica Lizarraga, Dr. Charles Hamori, Dr. Tammy Lin, Dr. Tiffany Leung, and Darian Harris for helping to make this project possible.



Disclaimer

.The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.

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  • Home
  • EPISODES
    • Table of Contents
    • SEASON 1 >
      • TRAILER
      • EPISODE 1 >
        • WELCOME TO THE DEI SHIFT
      • EPISODE 2 >
        • MEET THE DEI SHIFT: MORNING HANDOFF
      • EPISODE 3 >
        • MENTORSHIP & RECRUITMENT OF URIMS
      • EPISODE 4 >
        • Women in Medicine: "Faces Like Mine"
      • EPISODE 5 >
        • Disparity Exacerbation, Triggered by COVID-19
      • EPISODE 6 >
        • Hidden in the Data: Understanding Bias in Informatics
      • EPISODE 7A >
        • At the Intersection of Asian + American + Female + Physician + Leader (Pt. 1)
      • EPISODE 7B >
        • At the Intersection of Asian + American + Male + Physician + Leader (Pt. 2)
      • EPISODE 8 >
        • Promoting Inclusive Healthcare Environments for LGBTQ Patients
      • EPISODE 9 >
        • The Hidden Curriculum
      • EPISODE 10 >
        • Women Physicians Mid Career Transitions
    • SEASON 2 >
      • EPISODE 1 >
        • Minority Tax
      • EPISODE 2 >
        • A Native Narrative: Caring for American Indian and Alaskan Native Patients
      • EPISODE 3 >
        • Anti-Racism in Healthcare Education
      • EPISODE 4 >
        • Religious and Spiritual Diversity in Healthcare
      • EPISODE 5 >
        • Doctors As Patients
    • SEASON 3 >
      • EPISODE 1 >
        • Voices of URiM Premeds
      • EPISODE 2 >
        • Seize the DEI: Shaping the Future of I.M.
      • EPISODE 3 >
        • Digital Health Equity and Bridging the Divide
      • EPISODE 4a >
        • Food Insecurity- Part 1
      • EPISODE 4b >
        • Food Insecurity- Part 2
      • EPISODE 5 >
        • The Breadth of Addiction Medicine
      • EPISODE 6 >
        • The Power of Primary Care
      • EPISODE 7 >
        • Healthy Policy and Advocacy
    • SEASON 4 >
      • EPISODE 1 >
        • ACP IM 2022 Live
      • EPISODE 2A >
        • Trauma Informed Care Part 1
      • EPISODE 2B >
        • Trauma Informed Care Part 2
      • EPISODE 3 >
        • Pediatric-to-Adult Transitions of Care
      • EPISODE 4 >
        • Medical Misinformation and Disinformation
      • EPISODE 5 >
        • Immigrant/Migrant Health
      • EPISODE 6A >
        • Houselessness Part 1
    • SEASON 5 >
      • EPISODE 1
  • Sponsored Podcasts
    • Obesity Management Series
    • Pain Management
    • Proud To Be GIM Week
  • Meet the Team
  • Medicine in Motion
  • Contact Us