{"id":"https://openalex.org/W1990814229","doi":"https://doi.org/10.2190/hs.43.1.j","title":"\u2018You Must Not Confuse Poverty with Laziness\u2019: A Case Study on the Power of Discourse to Reproduce Diabetes Inequalities","display_name":"\u2018You Must Not Confuse Poverty with Laziness\u2019: A Case Study on the Power of Discourse to Reproduce Diabetes Inequalities","publication_year":2013,"publication_date":"2013-01-01","ids":{"openalex":"https://openalex.org/W1990814229","doi":"https://doi.org/10.2190/hs.43.1.j","mag":"1990814229","pmid":"https://pubmed.ncbi.nlm.nih.gov/23527459"},"language":"en","primary_location":{"id":"doi:10.2190/hs.43.1.j","doi":"https://doi.org/10.2190/hs.43.1.j","is_oa":false,"landing_page_url":"https://doi.org/10.2190/hs.43.1.j","pdf_url":null,"source":{"id":"https://openalex.org/S120541213","display_name":"International Journal of Health Services","issn_l":"0020-7314","issn":["0020-7314","1541-4469"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","ki-jl-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Services","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058527540","display_name":"Claudia Chaufan","orcid":"https://orcid.org/0000-0001-9208-7630","observed_orcids":["https://orcid.org/0000-0001-9208-7630"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Claudia Chaufan","raw_affiliation_strings":["University of California-San Francisco, San Francisco, CA 94118, USA. claudia.chaufan@ucsf.edu","University of California-San Francisco, San Francisco, CA 94118, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California-San Francisco, San Francisco, CA 94118, USA. claudia.chaufan@ucsf.edu","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"University of California-San Francisco, San Francisco, CA 94118, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008660786","display_name":"Sophia Constantino","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sophia Constantino","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5077591068","display_name":"Meagan Davis","orcid":"https://orcid.org/0000-0001-6436-6683","observed_orcids":["https://orcid.org/0000-0001-6436-6683"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Meagan Davis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5058527540"],"corresponding_institution_ids":["https://openalex.org/I180670191"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":1.8963,"has_fulltext":false,"cited_by_count":15,"citation_normalized_percentile":{"value":0.84814419,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"43","issue":"1","first_page":"143","last_page":"166"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.8398000001907349,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.8398000001907349,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12066","display_name":"Obesity and Health Practices","score":0.06120000034570694,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.04149999842047691,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9980000257492065},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.8690000176429749},{"id":"https://openalex.org/keywords/poverty","display_name":"poverty","score":0.8849999904632568},{"id":"https://openalex.org/keywords/discourse-analysis","display_name":"discourse analysis","score":0.5339999794960022},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.7089999914169312},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.5040000081062317},{"id":"https://openalex.org/keywords/low-income-communities","display_name":"low-income communities","score":0.6710000038146973},{"id":"https://openalex.org/keywords/non-governmental-organizations","display_name":"non-governmental organizations","score":0.6990000009536743},{"id":"https://openalex.org/keywords/client-beliefs","display_name":"client beliefs","score":0.4819999933242798},{"id":"https://openalex.org/keywords/social-change","display_name":"social change","score":0.39800000190734863}],"concepts":[{"id":"https://openalex.org/C2776447739","wikidata":"https://www.wikidata.org/wiki/Q484","display_name":"Laziness","level":2,"score":0.9790309071540833},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.7574230432510376},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.710432767868042},{"id":"https://openalex.org/C163258240","wikidata":"https://www.wikidata.org/wiki/Q25342","display_name":"Power (physics)","level":2,"score":0.6391348838806152},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.48044726252555847},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.42721492052078247},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.40270107984542847},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33151715993881226},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3150253891944885},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.25805968046188354},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1561252474784851},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.12801262736320496},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003144","descriptor_name":"Communication Barriers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003466","descriptor_name":"Cultural Characteristics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":false},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D005523","descriptor_name":"Food Supply","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006630","descriptor_name":"Hispanic or Latino","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":"Q000208","qualifier_name":"ethnology","is_major_topic":true},{"descriptor_ui":"D011204","descriptor_name":"Poverty Areas","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D054624","descriptor_name":"Health Status Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.2190/hs.43.1.j","doi":"https://doi.org/10.2190/hs.43.1.j","is_oa":false,"landing_page_url":"https://doi.org/10.2190/hs.43.1.j","pdf_url":null,"source":{"id":"https://openalex.org/S120541213","display_name":"International Journal of Health Services","issn_l":"0020-7314","issn":["0020-7314","1541-4469"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","ki-jl-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Services","raw_type":"journal-article"},{"id":"pmid:23527459","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23527459","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of health services : planning, administration, evaluation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Reduced inequalities","score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10"},{"display_name":"Good health and well-being","score":0.8371999859809875,"id":"https://metadata.un.org/sdg/3"},{"display_name":"No poverty","score":0.666700005531311,"id":"https://metadata.un.org/sdg/1"}],"sustainable_development_goals_aurora":[{"display_name":"No poverty","score":0.75,"id":"https://metadata.un.org/sdg/1"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":43,"referenced_works":["https://openalex.org/W119214176","https://openalex.org/W155337534","https://openalex.org/W1519465514","https://openalex.org/W1542541058","https://openalex.org/W1559989352","https://openalex.org/W1564305378","https://openalex.org/W1965789885","https://openalex.org/W1966622877","https://openalex.org/W1967144882","https://openalex.org/W1971797150","https://openalex.org/W1999049524","https://openalex.org/W2000463574","https://openalex.org/W2016835404","https://openalex.org/W2021678337","https://openalex.org/W2029859919","https://openalex.org/W2030450829","https://openalex.org/W2031319308","https://openalex.org/W2046455175","https://openalex.org/W2064630040","https://openalex.org/W2067599919","https://openalex.org/W2077892050","https://openalex.org/W2092318401","https://openalex.org/W2095631580","https://openalex.org/W2105794357","https://openalex.org/W2107016565","https://openalex.org/W2110226848","https://openalex.org/W2123828906","https://openalex.org/W2134912779","https://openalex.org/W2141089991","https://openalex.org/W2159777892","https://openalex.org/W2168389493","https://openalex.org/W2169403100","https://openalex.org/W2170684400","https://openalex.org/W2326071414","https://openalex.org/W2478984248","https://openalex.org/W2993561297","https://openalex.org/W4206209355","https://openalex.org/W4230958478","https://openalex.org/W4231530624","https://openalex.org/W4232810584","https://openalex.org/W4242501010","https://openalex.org/W4245198606","https://openalex.org/W4252217509"],"related_works":["https://openalex.org/W2169403100","https://openalex.org/W7221416844","https://openalex.org/W4292939338","https://openalex.org/W3004548298","https://openalex.org/W2599445288","https://openalex.org/W2016835404","https://openalex.org/W7220567713","https://openalex.org/W2432737621","https://openalex.org/W7119325413","https://openalex.org/W7065421460"],"abstract_inverted_index":{"The":[0],"disproportionate":[1],"impact":[2],"of":[3,26,66,71,111,170],"type":[4],"2":[5],"diabetes":[6],"(T2DM)":[7],"on":[8],"low-income":[9,57],"groups":[10,70],"and":[11,14,19,51,68,73,87,92,95,134,184,188],"the":[12,84,97,108,130,167],"social":[13,136,174,186],"biological":[15],"processes":[16],"linking":[17],"poverty":[18],"T2DM":[20,36,50,90,112],"inequalities":[21,54,91,113],"are":[22,28,101],"well-documented.":[23],"Moreover,":[24],"millions":[25],"dollars":[27],"invested":[29],"annually":[30],"in":[31,55,59],"programs":[32],"aimed":[33],"at":[34,75],"reducing":[35],"inequalities,":[37],"yet":[38],"these":[39],"remain":[40],"stubbornly":[41],"high.":[42],"Our":[43],"article":[44],"explores":[45],"how":[46,96],"public":[47],"discourses":[48,98],"influence":[49],"related":[52],"health":[53,115],"a":[56,63,76,173],"neighborhood":[58],"Northern":[60],"California,":[61],"through":[62],"thematic":[64],"analysis":[65],"interviews":[67],"focus":[69],"staff":[72,106],"clients":[74,152],"non-governmental":[77],"organization.":[78],"We":[79,103],"probe":[80],"participants'":[81],"beliefs":[82],"vis-a-vis":[83],"causes":[85],"of,":[86],"solutions":[88],"to,":[89],"explore":[93],"whether":[94],"normalizing":[99,149],"them":[100],"challenged.":[102],"find":[104,147],"that":[105,138,176],"identify":[107],"ultimate":[109],"source":[110],"within":[114],"sufferers":[116],"(i.e.,":[117],"their":[118,143],"lifestyle":[119],"choices,":[120],"psychological":[121],"makeup,":[122],"or":[123],"cultural":[124],"preferences),":[125],"even":[126],"as":[127,172],"they":[128],"acknowledge":[129],"widespread":[131],"poverty,":[132],"unemployment,":[133],"other":[135],"determinants":[137],"present":[139],"serious":[140],"barriers":[141],"to":[142,164,166,180,185],"health.":[144],"Notably,":[145],"we":[146],"this":[148],"discourse":[150,171],".among":[151],"themselves.":[153],"While":[154],"our":[155],"study":[156],"is":[157,161],"empirical,":[158],"its":[159],"goal":[160],"primarily":[162],"conceptual:":[163],"add":[165],"evolving":[168],"understanding":[169],"practice":[175],"may":[177],"contribute":[178],"both":[179],"status":[181],"quo":[182],"reproduction":[183],"change":[187],"resistance.":[189]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
