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

Overview

Journal Curr Diab Rep

Publisher Current Science

Specialty Endocrinology

Date 2020 Aug 29

PMID 32857197

Citations 7

Authors

Aresha Martinez-Cardoso

Woorin Jang

Arshiya A Baig

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: Relative to the US-born population, immigrants are less likely to successfully manage and control their diabetes, leading to a host of diabetes-related complications. This review draws on the social determinants of health framework (SDoH) to summarize the multilevel factors that shape diabetes care and management among immigrants in the USA.

Recent Findings: While the diabetes literature is replete with research on individual-level risk factors and health behaviors, empirical literature linking the SDoH to diabetes management among immigrants is limited. However, housing precarity, food insecurity, poverty, uninsurance and underinsurance, and limited support for immigrants in healthcare systems are consistently shown to deter diabetes management and care. Immigrants with diabetes face a multitude of structural constraints to managing their diabetes. More research that theorizes the role of SDoH in diabetes management along with empirical qualitative and quantitative studies are needed. Interventions to address diabetes also require a more upstream approach in order to mitigate the drivers of diabetes disparities among immigrants.

Citing Articles

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Porterfield L, Yu X, Warren V, Bowen M, Smith-Morris C, Vaughan E J Diabetes Complications. 2024; 38(8):108794.

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References

. 1. Improving Care and Promoting Health in Populations: -. Diabetes Care. 2019; 43(Suppl 1):S7-S13. PMC: 11869376. DOI: 10.2337/dc20-S001. View

Billimek J, Sorkin D . Self-reported neighborhood safety and nonadherence to treatment regimens among patients with type 2 diabetes. J Gen Intern Med. 2011; 27(3):292-6. PMC: 3286552. DOI: 10.1007/s11606-011-1882-7. View

Hansen U, Olesen K, Browne J, Skinner T, Willaing I . A call for inclusion of work-related diabetes distress in the spectrum of diabetes management: Results from a cross-sectional survey among working people with type 1 diabetes. Diabetes Res Clin Pract. 2018; 140:139-147. DOI: 10.1016/j.diabres.2018.03.040. View

Baghikar S, Benitez A, Fernandez Pineros P, Gao Y, Baig A . Factors Impacting Adherence to Diabetes Medication Among Urban, Low Income Mexican-Americans with Diabetes. J Immigr Minor Health. 2019; 21(6):1334-1341. PMC: 6707897. DOI: 10.1007/s10903-019-00867-9. View

Hatzenbuehler M, Prins S, Flake M, Philbin M, Frazer M, Hagen D . Immigration policies and mental health morbidity among Latinos: A state-level analysis. Soc Sci Med. 2017; 174:169-178. PMC: 5258771. DOI: 10.1016/j.socscimed.2016.11.040. View

Leung A, Bo A, Hsiao H, Wang S, Chi I . Health literacy issues in the care of Chinese American immigrants with diabetes: a qualitative study. BMJ Open. 2014; 4(11):e005294. PMC: 4244415. DOI: 10.1136/bmjopen-2014-005294. View

Chesla C, Chun K, Kwan C, Mullan J, Kwong Y, Hsu L . Testing the efficacy of culturally adapted coping skills training for Chinese American immigrants with type 2 diabetes using community-based participatory research. Res Nurs Health. 2013; 36(4):359-72. DOI: 10.1002/nur.21543. View

Stutz M, Rivas-Lopez V, Lonquich B, Baig A . Health Repercussions of a Culture of Fear Within Undocumented Immigrant Communities. J Gen Intern Med. 2019; 34(9):1903-1905. PMC: 6712113. DOI: 10.1007/s11606-019-05161-w. View

Smalls B, Gregory C, Zoller J, Egede L . Effect of neighborhood factors on diabetes self-care behaviors in adults with type 2 diabetes. Diabetes Res Clin Pract. 2014; 106(3):435-42. PMC: 4275065. DOI: 10.1016/j.diabres.2014.09.029. View

10.

Jaber L, Brown M, Hammad A, Zhu Q, Herman W . Lack of acculturation is a risk factor for diabetes in arab immigrants in the US. Diabetes Care. 2003; 26(7):2010-4. DOI: 10.2337/diacare.26.7.2010. View

11.

Eamranond P, Hu H . Environmental and occupational exposures in immigrant health. Environ Health Insights. 2011; 1:45-50. PMC: 3091353. DOI: 10.4137/ehi.s847. View

12.

Nathenson R, Saloner B, Richards M, Rhodes K . Spanish-Speaking Immigrants' Access to Safety Net Providers and Translation Services Across Traditional and Emerging US Destinations. Milbank Q. 2016; 94(4):768-799. PMC: 5192811. DOI: 10.1111/1468-0009.12231. View

13.

Njeru J, Patten C, Hanza M, Brockman T, Ridgeway J, Weis J . Stories for change: development of a diabetes digital storytelling intervention for refugees and immigrants to minnesota using qualitative methods. BMC Public Health. 2015; 15:1311. PMC: 4696160. DOI: 10.1186/s12889-015-2628-y. View

14.

Dondero M, Altman C . Immigrant policies as health policies: State immigrant policy climates and health provider visits among U.S. immigrants. SSM Popul Health. 2020; 10:100559. PMC: 7063137. DOI: 10.1016/j.ssmph.2020.100559. View

15.

Braveman P, Egerter S, Williams D . The social determinants of health: coming of age. Annu Rev Public Health. 2010; 32:381-98. DOI: 10.1146/annurev-publhealth-031210-101218. View

16.

Tsujimoto T, Kajio H, Sugiyama T . Obesity, diabetes, and length of time in the United States: Analysis of National Health and Nutrition Examination Survey 1999 to 2012. Medicine (Baltimore). 2016; 95(35):e4578. PMC: 5008551. DOI: 10.1097/MD.0000000000004578. View

17.

Chun K, Chesla C, Kwan C . "So We Adapt Step by Step": Acculturation experiences affecting diabetes management and perceived health for Chinese American immigrants. Soc Sci Med. 2010; 72(2):256-64. PMC: 3046384. DOI: 10.1016/j.socscimed.2010.11.010. View

18.

Wieland M, Morrison T, Cha S, Rahman A, Chaudhry R . Diabetes care among Somali immigrants and refugees. J Community Health. 2011; 37(3):680-4. DOI: 10.1007/s10900-011-9499-7. View

19.

Penedo F, Brintz C, Llabre M, Arguelles W, Isasi C, Arredondo E . Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS). Ann Behav Med. 2015; 49(6):793-801. PMC: 4636468. DOI: 10.1007/s12160-015-9713-4. View

20.

Commodore-Mensah Y, Ukonu N, Obisesan O, Aboagye J, Agyemang C, Reilly C . Length of Residence in the United States is Associated With a Higher Prevalence of Cardiometabolic Risk Factors in Immigrants: A Contemporary Analysis of the National Health Interview Survey. J Am Heart Assoc. 2016; 5(11). PMC: 5210341. DOI: 10.1161/JAHA.116.004059. View