Service Provider Perspectives on Exploring Social Determinants of Health Impacting Type 2 Diabetes Management for South Asian Adults in Peel Region, Canada

D'Silva, Chelsea; Hafleen, Nuzha; Mansfield, Elizabeth; Martel, Sara; Fierheller, Dianne; Banerjee, Ananya; Malhotra, Gurpreet; Mutta, Baldev; Dhillon, Puneet; Hasan, Zofishan; Parikh, Amish; Yousefi‐Nooraie, Reza; Chaze, Ferzana; Zenlea, Ian

doi:10.1016/j.jcjd.2022.05.011

Cited by 5 publications

(2 citation statements)

References 46 publications

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“…However, much of this can be attributed to racial and ethnic disparities in SDOH – the environmental conditions, such as economic stability, education, healthcare, and built environment, that affect youths’ opportunities [ 1 ] – which are largely due to red-lining and discriminatory housing practices which have resulted in racial and socioeconomic segregation. Lack of funding and investment in these now segregated communities resulted in disparities in access to healthy food and neighborhood environments that promote physical activity, leading to increased rates of obesity and T2D in these communities [ 5 , 6 ▪ , 7 ▪ ]. In either case, youth will continue to struggle with behavior change and weight management, which further contributes to increasing disparities in the rates of obesity and T2Din these communities.…”

Section: Applying the Socioecological Model To Pediatric Obesity And ...mentioning

confidence: 99%

School-based health: an area of opportunity to address challenges in management of pediatric obesity and type 2 diabetes

Wood,

Pratt

2023

Current Opinion in Pediatrics

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Purpose of review Obesity and type 2 diabetes (T2D) are increasingly common, chronic, and complex and disproportionally affect systemically under-resourced communities negatively impacted by social determinants of health. The primary goals of management for both conditions are improvement of medical and psychosocial well being and prevention of secondary complications. The advent of pediatric specific multidisciplinary weight management programs, bariatric surgery, and recent FDA approved medications have provided clinicians with tools to improve patient outcomes. However, implementation remains a challenge. Recent findings The Chronic Care Model proposes utilization of community-based interventions to support children and families in managing chronic disease The CDC's Whole School, Whole Community, Whole Child Model provides a framework for schools to engage in this role. School-Based Health Centers (SBHCs) utilize a child-focused, multidisciplinary approach to support the medical home and overcome barriers to routine primary care, medical screenings and successful care plans for management of chronic disease. SBHCs and school-based programs have proven sustainable and effective in addressing obesity and T2D in youth, however recent studies are limited and more research evaluating impact are needed. Summary School-based health offers an evidence-based solution to ensuring equitable and comprehensive care for obesity and T2D, particularly among at-risk communities.

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Section: Applying the Socioecological Model To Pediatric Obesity And ...mentioning

confidence: 99%

School-based health: an area of opportunity to address challenges in management of pediatric obesity and type 2 diabetes

Wood,

Pratt

2023

Current Opinion in Pediatrics

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“…The Canadian South Asian diaspora is documented to experience a range of health and wellness needs ranging from higher rates of chronic diseases, lower rates of screening for a number of diseases, and greater risk of premature onset, increased prevalence and increased mortality from chronic diseases compared to the general public [ 52 , 53 , 54 , 55 ]. At the same time, recent reports indicate that although South Asian immigrants experience higher rates of CIDs than the general population, this group has low knowledge and awareness of CID symptoms, risk factors, and conditions [ 56 ].…”

Section: Contextmentioning

confidence: 99%

Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada

Rishworth

Cao

Niraula

et al. 2022

IJERPH

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Although immigrants are disproportionately impacted by growing chronic inflammatory disease (CIDs) rates, yet suffer barriers to access health care, little attention has been given to their primary healthcare or specialist healthcare access as it relates to complex, chronic diseases in Canada, a country with universal health care. This study aims to investigate CID health care use and barriers to care among first- and second-generation immigrant South Asian children and parents in the Greater Toronto Area, Ontario. Drawing on analysis of 24 in depth interviews with children and parents (14 children, 10 parents), the results reveal that although CIDs disproportionately affects South Asian immigrants, they encounter health system, geographic, interpersonal, and knowledge barriers to access requisite care. These barriers exist despite participants having a GP, and are compounded further by limited familial systems, culturally insensitive care, and structural inequities that in some instances make parents choose between health access or other basic needs. Although all participants recognized the importance of specialized care, only 11 participants regularly accessed specialized care, creating new schisms in CID management. The findings suggest that a multisectoral approach that address individual and structural level socio-structural drivers of health inequities are needed to create more equitable healthcare access.

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Determinants, Prevention, and Incidence of Cardiovascular Disease Among Immigrant and Refugee Populations

Vyas,

Redditt,

Mohamed

et al. 2024

Canadian Journal of Cardiology

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Service Provider Perspectives on Exploring Social Determinants of Health Impacting Type 2 Diabetes Management for South Asian Adults in Peel Region, Canada

Cited by 5 publications

References 46 publications

School-based health: an area of opportunity to address challenges in management of pediatric obesity and type 2 diabetes

School-based health: an area of opportunity to address challenges in management of pediatric obesity and type 2 diabetes

Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada

Determinants, Prevention, and Incidence of Cardiovascular Disease Among Immigrant and Refugee Populations

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