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Disparities in diabetes prevalence and management by race and ethnicity in the USA: defining a path forward. | LitMetric

Disparities in diabetes prevalence and management by race and ethnicity in the USA: defining a path forward.

Lancet Diabetes Endocrinol

Department of Medicine, Emory University, Atlanta, GA, USA; Emory School of Medicine, and the Nutrition and Health Sciences Doctoral Program, Laney Graduate School, Emory University, Atlanta, GA, USA; Emory Global Diabetes Research Center, Emory University, Atlanta, GA, USA; Hubert Department of Global Health, Rollins School of Public Health, Atlanta, GA, USA.

Published: July 2023

AI Article Synopsis

  • Disparities in Type 2 diabetes prevalence and complications persist across various racial and ethnic groups in the USA, particularly among young people under 18 years old.
  • A literature review explores the differences in diabetes prevention, management, and complications while examining the pathophysiology of diabetes through a socioecological lens focused on health behaviors, public awareness, structural racism, economic factors, and access to healthcare.
  • The findings emphasize the need for a collaborative, multidisciplinary approach involving community members, researchers, health professionals, and policymakers to create equitable diabetes prevention and care strategies in the USA.

Article Abstract

Type 2 diabetes disparities in the USA persist in both the prevalence of disease and diabetes-related complications. We conducted a literature review related to diabetes prevention, management, and complications across racial and ethnic groups in the USA. The objective of this review is to summarise the current understanding of diabetes disparities by examining differences between and within racial and ethnic groups and among young people (aged <18 years). We also examine the pathophysiology of diabetes as it relates to race and ethnic differences. We use a conceptual framework built on the socioecological model to categorise the causes of diabetes disparities across the lifespan looking at factors in five domains of health behaviours and social norms, public awareness, structural racism, economic development, and access to high-quality care. The range of disparities in diabetes prevalence and management in the USA calls for a community-engaged and multidisciplinary approach that must involve community partners, researchers, practitioners, health system administrators, and policy makers. We offer recommendations for each of these groups to help to promote equity in diabetes prevention and care in the USA.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070656PMC
http://dx.doi.org/10.1016/S2213-8587(23)00129-8DOI Listing

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