Introduction: Type 2 diabetes (T2D) prevalence is increasing at concerning rates for Hispanics. Researchers have attempted to understand why through quantitative or qualitative studies. This meta-synthesis examines qualitative studies concerning barriers and facilitators that Hispanics face while managing their diabetes. Method: Noblit and Hare’s (1988) defined method of analysis was used to synthesize 15 qualitative studies on Hispanics’ diabetes self-management. Results: Findings revealed two themes: (a) famalismo primero and (b) puerta cerrada, translating to family first and closed door, respectively. In famalismo primero, Hispanics with T2D prioritize family, and receive support, motivation, and knowledge from them first; puerta cerrada is tied to barriers such as cost of services and patient–provider relationships. Discussion: Inclusion of family in diabetes self-management provides support and motivation for Hispanics. Hispanics experience barriers to access health care that may interfere with diabetes self-management, which need to be addressed to promote health equity.
Hispanics comprise more than one third of U.S. COVID-19 cases. This higher prevalence is associated with determinants to access that existed long before the pandemic. Using the Preferred Report Items for Systematic Review and Metanalysis (PRISMA) guidelines, this review examined 20 studies that addressed barriers faced specifically by Hispanics in the United States, Sampling methods are described and the synthesized research findings are organized using the Theoretical Framework of Access, which classified barriers as either structural or personal. Results suggested that Hispanics had lower COVID-19 knowledge than other groups. The article discussion considers possible causes, such as low health literacy levels, an inability to reach or pay for services, a mistrust of healthcare providers, or a lack of access to information. To increase U.S. Hispanics’ COVID-19 knowledge and encourage safer behaviors, culturally sensitive and linguistically appropriate information is needed.
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