Improving prevention, monitoring and management of diabetes among ethnic minorities: contextualizing the six G’s approach

Abstract

ObjectivePeople from Black, Asian and Minority Ethnic (BAME) groups are known to have an increased risk of developing diabetes and face greater barriers to accessing healthcare resources compared to their ‘white British’ counterparts. The extent of these barriers varies by demographics and different socioeconomic circumstances that people find themselves in. The purpose of this paper is to present and discuss a new framework to understand, disentangle and tackle these barriers so that improvements in the effectiveness of diabetes interventions for BAME communities can be achieved.ResultsThe main mediators of lifestyle behavioural change are gender, generation, geography, genes, God/religion, and gaps in knowledge and economic resources. Dietary and cultural practices of these individuals significantly vary according to gender, generation, geographical origin and religion. Recognition of these factors is essential in increasing knowledge of healthy eating, engagement in physical activity and utilisation of healthcare services. Use of the six G’s framework alongside a community centred approach is crucial in developing and implementing culturally sensitive interventions for diabetes prevention and management in BAME communities. This could improve their health outcomes and overall wellbeing.

Sex and Gender Differences in Prevention of Type 2 Diabetes

“…A framework of four key domains including Facilitating Interventions through Language, Location, and Message (FiLLM) was developed to assess overall effectiveness of these. In this context, six mediators were identified, which are relevant for successful lifestyle behavioral change, which are gender, generation, geography, genes, religion, and gaps in knowledge and economic resources ( 32 ). All these studies demonstrate the necessity for awareness of the high risk among minority groups and for evaluation of culturally tailored interventions based on sociocultural and environmental differences in future DPPs.…”

Healthcare Providers and Caregivers’ Perspectives on the Quality of Child Health Services in Urban Indonesia: A Mixed-Methods Study

“…This is an important finding highlighting the need of providing culturally sensitive care. The provision of culturally sensitive care has been similarly highlighted towards Black, Asian, and Minority Ethnic (BAME) population in previous research [24,25].…”

The Impact of Covid-19 on Food Security. A qualitative analysis of the rise in London’s existing food insecurity due to the financial impact of Covid-19

“…This is supported by the Food Foundation, who found BAME respondents twice as likely to be food insecure (Loopstra, 2020). It should be noted that 70% of those not born in the UK identify as BAME, therefore there is expected to be some overlap within these findings (DWP, 2020;Gumber and Gumber, 2017).…”

“…A House of Lords' (2020) report confirmed that those of Black, Asian and Minority Ethnic (BAME) backgrounds were between twice to eight times more likely to die of Covid-19 compared to Caucasian individuals. In-depth qualitative analyses suggested that the reasons were housing, increased occupational risk due to being keyworkers, socio-economic status, and other social and structural risks putting them at a daily disadvantage, not just to Covid-19 but to other health inequalities including Non-Communicable Diseases [NCDs] (DWP, 2020, Gumber and Gumber, 2017). According to a report by Lang et al (2018) low-income earners face financial pressure when attempting to access healthy and nutritious food.…”