A Framework for Addressing Diabetes-Related Disparities in US Latino Populations

Márquez, Iván; Calman, Neil S.; Crump, Casey

doi:10.1007/s10900-018-0574-1

Cited by 27 publications

(28 citation statements)

References 79 publications

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“…Connecting women to interventions or programs that are targeted to women of reproductive age, such as The Magnolia Project, can facilitate health education and screening services for these women, especially women who lack access to a regular source of care (25). Future interventions should seek to overcome barriers that are specific to racial/ethnic minority groups and incorporate culturally appropriate, respectful care and services that address the social determinants of health (eg, transportation, housing insecurity) (26).…”

Section: Discussionmentioning

confidence: 99%

Hypertension and Diabetes in Non-Pregnant Women of Reproductive Age in the United States

et al. 2019

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IntroductionDiagnosis and control of chronic conditions have implications for women’s health and are major contributing factors to maternal and infant morbidity and mortality. This study estimated the prevalence of hypertension and diabetes in non-pregnant women of reproductive age in the United States, the proportion who were unaware of their condition or whose condition was not controlled, and differences in the prevalence of these conditions by selected characteristics.MethodsWe used data from the 2011–2016 National Health and Nutrition Examination Survey to estimate overall prevalence of hypertension and diabetes among women of reproductive age (aged 20–44 y), the proportion who were unaware of having hypertension or diabetes, and the proportion whose diabetes or hypertension was not controlled. We used logistic regression models to calculate adjusted prevalence ratios to assess differences by selected characteristics.ResultsThe estimated prevalence of hypertension was 9.3% overall. Among those with hypertension, 16.9% were unaware of their hypertension status and 40.7% had uncontrolled hypertension. Among women with diabetes, almost 30% had undiagnosed diabetes, and among those with diagnosed diabetes, the condition was not controlled in 51.5%.ConclusionThis analysis improves our understanding of the prevalence of hypertension and diabetes among women of reproductive age and may facilitate opportunities to improve awareness and control of these conditions, reduce disparities in women’s health, and improve birth outcomes.

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Section: Discussionmentioning

confidence: 99%

Hypertension and Diabetes in Non-Pregnant Women of Reproductive Age in the United States

et al. 2019

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“…4 Not only are they more likely to develop diabetes they also experience worse complications. [5][6][7] To reduce the health burden associated with type 2 diabetes, 8,9 the Centers for Disease Control and Prevention 10 promote two different programs: one for individuals with pre-diabetes, and a separate one for those with diabetes. 11 The Diabetes Self-Management Education and Support (DSMES) program, for those with diabetes, consists of six to ten weekly meetings lasting two hours or less and is typically offered in clinical settings.…”

Section: How Does Your Research Contribute To the Field?mentioning

confidence: 99%

Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study

Joachim-Célestin

Gamboa-Maldonado

Santos

et al. 2021

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Background Despite nationwide efforts to address the diabetes epidemic and reduce prevalence disparities, higher rates persist among the poor, especially those with limited literacy. Currently, individuals with abnormal glycemia who have pre-diabetes and diabetes qualify for different programs. However, evidence suggests that, for low-income Hispanic/Latinos, offering a single intervention to all those with abnormal glycemia may provide a more culturally acceptable and effective approach. Our objective was to explore the feasibility of such an intervention led by community health workers (CHWs) among low-income Hispanic/Latinos with diabetes and at risk for diabetes. Methods Using a quasi-experimental mixed method design, we assessed weight, glycosylated hemoglobin, diabetes knowledge, and behavior changes of Hispanic/Latinos participants with pre-diabetes and diabetes living in Southern California. Biometric measurements, blood tests, and surveys were collected at baseline and 3 months post-intervention. Interviews and focus group discussions provided qualitative data. Results Although the program was less costly, results exceeded those reported for low-income H/L attending the National Diabetes Prevention Program and did not differ between pre-diabetes and diabetes groups. Instead, including individuals at different stages of the dysglycemic spectrum seemed to have enhanced the intervention. Physician referral and attendance of family/friends were associated with better outcomes. Conclusion Our findings indicate that a joint prevention/self-management intervention led by CHWs for low-income Hispanic/Latinos with diabetes and with pre-diabetes is feasible and cost-effective, providing results that could help reduce the success gap. Incorporating suggestions and replicating this study on a larger scale could help determine whether or not results are reproducible.

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“…Unsurprisingly, many of the social determinants which contribute to the health disparities experienced by the U.S. Latinx population overlap with the social determinants of diabetes, including structural determinants (such as race and ethnicity) and more individual-level determinants (such as smoking) ( Fenelon, Chinn, & Anderson, 2017 ; Lariscy et al, 2015 ; Marquez, Calman, & Crump, 2019 ; Rodríguez & Campbell, 2017 ; Sáenz & Garcia, 2021 ). The negative effects of diabetes on the Latinx community are monumental.…”

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confidence: 99%

“…As mentioned earlier, Latinx people are more likely to develop diabetes and to be diagnosed at younger ages ( Avilés-Santa et al, 2017 ; Haw, Shah, Turbow, Egeolu, & Umpierrez, 2021 ). They are more likely to have disabilities related to diabetes and less likely to access and receive high quality care for diabetes; they are more likely to die from diabetes and diabetes-related conditions (such as end-stage renal disease) ( Haw et al, 2021 ; Marquez et al, 2019 ; Rodríguez & Campbell, 2017 ). Though diabetes can be prevented and mitigated at many stages, Latinx communities face disparities at each of these stages.…”

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confidence: 99%

“…In turn, the evidence contributes to the development of social and health policy that can best be implemented to improve equity efforts and decrease disease burden ( Arcaya, Arcaya, & Subramanian, 2015 ; Solar & Irwin, 2010 ). As both the prevalence and severity of diabetes is linked with many social determinants of health, it is a condition that meets the assumptions for this framework ( Avilés-Santa et al, 2017 ; Haw et al, 2021 ; Marquez et al, 2019 ; Rodríguez & Campbell, 2017 ). This paper uses Oaxaca-Blinder decomposition to further examine the social factors contributing to the diabetes disparity between Latinx and non-Latinx populations in the U.S.…”

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confidence: 99%

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Social determinants of the Latinx diabetes health disparity: A Oaxaca-Blinder decomposition analysis

Cartwright¹

2021

SSM - Population Health

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Latinx people living in the U.S. report a disproportionately high prevalence of diabetes. This project builds on the existing social determinants of diabetes literature by examining factors associated with a greater likelihood of diabetes and investigates factors correlated with the Latinx/non-Latinx disparity. This project studies the adult sample (18 and older) from the 2010–2018 IPUMS Health: National Health Interview Survey (NHIS) data. Logistic regression analyses are used to examine the patterns between reporting Latinx identity and reporting diabetes with additional subgroup analyses of the Latinx and non-Latinx groups. Then, Oaxaca-Blinder decomposition is used to examine the patterns explaining the difference in self-reported diabetes between the Latinx and non-Latinx population for the whole sample and by age group. The logistic regression analyses show that after adjusting for age and other key social determinants of health, Latinx individuals are approximately 64.5% (OR 1.645, [95% CI, 1.536–1.760]) more likely to report being diagnosed with diabetes than non-Latinx individuals. Individual characteristics of age, race, and smoking behaviors are identified as suppressors of the gap, and conversely, characteristics of income, education, and BMI all contribute to the Latinx diabetes disparity gap. The Oaxaca-Blinder decomposition results show that the measured social determinants of health characteristics explain a meaningful amount of the Latinx diabetes gap. Importantly, differences in education and income (which are more immediately actionable policy areas) make larger contributions to the gap than BMI or other health behaviors.

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A Framework for Addressing Diabetes-Related Disparities in US Latino Populations

Cited by 27 publications

References 79 publications

Hypertension and Diabetes in Non-Pregnant Women of Reproductive Age in the United States

Hypertension and Diabetes in Non-Pregnant Women of Reproductive Age in the United States

Delivering the Same Intervention to Hispanic/Latinos With Pre-diabetes and Diabetes. Early Evidence of Success in a Longitudinal Mixed Method Study

Social determinants of the Latinx diabetes health disparity: A Oaxaca-Blinder decomposition analysis

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