Moving Diabetes Upstream: the Social Determinants of Diabetes Management and Control Among Immigrants in the US

Martinez-Cardoso, Aresha; Jang, Woorin; Baig, Arshiya A.

doi:10.1007/s11892-020-01332-w

Cited by 11 publications

(6 citation statements)

References 98 publications

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“…A clear need for health equity in implementation science is the ability to understand pathways between social determinants of health and outcomes of relevance to various stakeholders, recognizing that the impact may be neither direct nor immediate, but still profound and measurable. There is a substantial and growing body of evidence linking interventions on social determinants of health to a broad range of health outcomes (Table 3) [4,38,39,[62][63][64][65][66][67][68]. In primary care studies, there are multiple ways in which social determinants of health are increasingly being addressed (e.g., screening for social risk factors, linking patients with local resources) [69].…”

Section: Improving the Evidence Base Link Social Determinants With Hementioning

confidence: 99%

Implementation science should give higher priority to health equity

et al. 2021

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Background There is growing urgency to tackle issues of equity and justice in the USA and worldwide. Health equity, a framing that moves away from a deficit mindset of what society is doing poorly (disparities) to one that is positive about what society can achieve, is becoming more prominent in health research that uses implementation science approaches. Equity begins with justice—health differences often reflect societal injustices. Applying the perspectives and tools of implementation science has potential for immediate impact to improve health equity. Main text We propose a vision and set of action steps for making health equity a more prominent and central aim of implementation science, thus committing to conduct implementation science through equity-focused principles to achieve this vision in U.S. research and practice. We identify and discuss challenges in current health disparities approaches that do not fully consider social determinants. Implementation research challenges are outlined in three areas: limitations of the evidence base, underdeveloped measures and methods, and inadequate attention to context. To address these challenges, we offer recommendations that seek to (1) link social determinants with health outcomes, (2) build equity into all policies, (3) use equity-relevant metrics, (4) study what is already happening, (5) integrate equity into implementation models, (6) design and tailor implementation strategies, (7) connect to systems and sectors outside of health, (8) engage organizations in internal and external equity efforts, (9) build capacity for equity in implementation science, and (10) focus on equity in dissemination efforts. Conclusions Every project in implementation science should include an equity focus. For some studies, equity is the main goal of the project and a central feature of all aspects of the project. In other studies, equity is part of a project but not the singular focus. In these studies, we should, at a minimum, ensure that we “leave no one behind” and that existing disparities are not widened. With a stronger commitment to health equity from funders, researchers, practitioners, advocates, evaluators, and policy makers, we can harvest the rewards of the resources being invested in health-related research to eliminate disparities, resulting in health equity.

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Section: Improving the Evidence Base Link Social Determinants With Hementioning

confidence: 99%

Implementation science should give higher priority to health equity

et al. 2021

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“…Type 2 diabetes prevention programmes after GDM have had limited success, largely due to difficulty engaging new mothers during a demanding time of their lives 29‐31 . Immigrant women in particular may have added barriers to engagement in programmes due to social isolation, language barriers, socio‐economic challenges and mistrust or cultural beliefs 32 . Given these factors, we may need to consider specific type 2 diabetes outreach and awareness programmes that are tailored to immigrant mothers with recent GDM.…”

Section: Discussionmentioning

confidence: 99%

“…[29][30][31] Immigrant women in particular may have added barriers to engagement in programmes due to social isolation, language barriers, socio-economic challenges and mistrust or cultural beliefs. 32 Given these factors, we may need to consider specific type 2 diabetes outreach and awareness programmes that are tailored to immigrant mothers with recent GDM. This may include incorporating cultural and lifestyle perspectives into type 2 diabetes prevention programmes which has been shown to be effective in various cultural groups such as programmes among Chinese, Indian and Latin American communities.…”

Section: Overallmentioning

confidence: 99%

The association between immigration status and the development of type 2 diabetes in women with a prior diagnosis of gestational diabetes: A population‐based study

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Giannakeas

et al. 2023

Diabet Med

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Aims:The aim of this study was to examine the influence of immigration status and region of origin on the risk of type 2 diabetes in women with prior gestational diabetes (GDM). Methods:This retrospective population-based cohort study included women with gestational diabetes (GDM) aged 16 to 50 years in Ontario, Canada, who gave birth between 2006 and 2014. We compared the incidence of type 2 diabetes after delivery between long-term residents and immigrants-overall, by time since immigration and by region of-using Cox regression adjusted for age, year, neighbourhood income, rurality, infant birth weight and presence of hypertensive disorders of pregnancy (HDP).Results: Among 38,515 women with prior GDM (42% immigrants), immigrants had a significantly higher risk of type 2 diabetes compared with long-term residents (adjusted hazard ratio [HR] 1.19, 95% confidence interval [CI] 1.13-1.26), with no meaningful difference based on time since immigration. The highest adjusted relative risks of type 2 diabetes compared with long-term residents were found for immigrants from Sub-Saharan Africa (HR 1.63, 95% CI 1.40-1.90),

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“…Diabetes was found to increase the threat of CVD in the Strong Heart Study, which included American Indians and tracked participants from 1989 to 1991. Disodium edetate chelation improved cardiovascular outcomes in diabetic patients in a clinical study [ 21 ].…”

Section: Reviewmentioning

confidence: 99%

Complications in Diabetes Mellitus: Social Determinants and Trends

Cuddapah¹,

Chennakesavulu²,

Pentapurthy³

et al. 2022

Cureus

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Conditions that impact an individual's health are referred to as social determinants of health. Through a retrospective study (January 2017-February 2022) and statistical analysis, researchers looked at the relationship between social demands and type 2 diabetes mellitus (T2DM) diagnosis. All social demands, with the exception of childcare, were more typically documented in patients with T2DM. Prescription expense, conveyance, and health literacy were the domains with the greatest relationships. These results might help health systems and social service providers develop collaborations to help in certain areas.

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Moving Diabetes Upstream: the Social Determinants of Diabetes Management and Control Among Immigrants in the US

Cited by 11 publications

References 98 publications

Implementation science should give higher priority to health equity

Implementation science should give higher priority to health equity

The association between immigration status and the development of type 2 diabetes in women with a prior diagnosis of gestational diabetes: A population‐based study

Complications in Diabetes Mellitus: Social Determinants and Trends

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