Davis, Nakisha, Jill Gallin, Dawn Schuck, and Pamela Valera. 2009.

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308 Affilia: Journal of Women and Social Work Figure 4 Diabetes for Sale Through critical reflections on their surroundings that restricted their choices to eat healthier, the participants reported that they were fearful that their food choices would increase the risk of heart diseases and the likelihood of their children developing type 2 diabetes mellitus. They agreed that local supermarkets and food producers go out of their way to promote unhealthy foods. However, when they turned away from local supermarkets because the food is too expensive and shop at local corner stores, they reported that they are still sold unhealthy food. The participants noted that the option of making wise food choices is not typically available to them. Access to cheap foods because of a limited food stamp budget was identified as the only option that many participants and other people in their neighborhood have. The photograph in Figure 5 shocked some participants that corner stores were allowed to sell debilitated turkey parts. People buy this stuff? (all) Yeah, they can’t afford not to. No, that’s not the local store, that’s between Broadway and Amsterdam. You see how beat up the turkey is; that’s why it’s so cheap, but people buy it. So many scary turkey parts. ... Scary, but it looks like food, and you don’t feel hungry [afterward], but for fruits, you know, you pay like $10 and still make you feel hungry. (Asian woman with one child) The participants’ food choices are based on what they can afford. The participants noted that eating ‘‘so many scary turkey parts’’ may have disastrous and unhealthy outcomes, at 308 Downloaded from aff.sagepub.com at UNIV MASSACHUSETTS LOWELL on September 23, 2011
Valera et al. / ‘‘Trying to Eat Healthy’’ 309 Figure 5 So Many Scary Turkeys least their family would feel satiated after the meal. Because the availability of affordable food is limited, some make poor food choices, not because they eat without thinking about the unhealthy consequences. On the contrary, they think about food constantly and worry about their next meal. Because fast-food restaurants are readily accessible and affordable to low-income women and their children, some participants relied on them to feed their families a three-course meal. In this neighborhood, the participants noted the prevalence of fast-food restaurants within a two-block radius: KFC, Dominos, Popeye’s, and McDonalds. The incessant advertising, marketing, and selling of the poorest quality foods imaginable in their local environment were a real concern for the participants. The participants noted that poor people are often blamed by doctors and the general public for their poor diet and their children’s poor food intake: I have doctors knocking at my door because according to their chart, my son is about 150 pounds overweight. He’s in the obese category. (African American woman with three teenage boys) My daughter, she is 3 years old. I have problems with the weight lady bugging me about my daughter not putting on the pounds that she’s supposed to have. (Afro-Caribbean woman with one child) The Process of Becoming Community Change Agents The participants were encouraged to reflect on what they could do to minimize the difficulties of maintaining a nutritious diet. Several strategies were used in the photovoice 309 Downloaded from aff.sagepub.com at UNIV MASSACHUSETTS LOWELL on September 23, 2011
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Davis, Nakisha, Jill Gallin, Dawn Schuck, and Pamela Valera. 2009.

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