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Journal of Community Health

, Volume 44, Issue 2, pp 412–422 | Cite as

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

  • Ivan MarquezEmail author
  • Neil Calman
  • Casey Crump
Review
  • 322 Downloads

Abstract

Despite national efforts to redress racial/ethnic disparities, Latino Americans continue to share a disproportionate burden of diabetes-related morbidity and mortality. A better understanding of underlying causes and influencing factors is needed to guide future efforts to eliminate racial/ethnic disparities in diabetes control. The objectives of this review are: (1) to summarize our understanding of determinants and modifiable predictors of glycemic control; (2) to provide an overview of existing strategies to reduce diabetes-related disparities; and (3) to identify gaps in the literature regarding whether these interventions effectively address disparities in US Latino populations. Key findings include evidence that diabetes care services can be designed to accommodate heterogeneity within the Latino American community by addressing key modifiable predictors of poor glycemic control, including insurance status, diabetes care utilization, patient self-management, language access, culturally appropriate care, and social support services. Future research efforts should evaluate the effect of structurally tailored interventions that address these key modifiable predictors by targeting patients, providers, and health care delivery systems.

Keywords

Health disparities Diabetes mellitus Latino Americans Minority health 

Notes

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Icahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Department of Family Medicine and Community HealthIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.The Institute for Family HealthNew YorkUSA
  4. 4.Department of Population Health Science and PolicyIcahn School of Medicine at Mount SinaiNew YorkUSA

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