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

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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.

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, 1425 Madison Ave, Suite L5-40, New York, NY, 10029, USA

    Ivan Marquez

  2. Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Neil Calman & Casey Crump

  3. The Institute for Family Health, New York, NY, USA

    Neil Calman

  4. Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Casey Crump

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  1. Ivan Marquez
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Correspondence to Ivan Marquez.

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Marquez, I., Calman, N. & Crump, C. A Framework for Addressing Diabetes-Related Disparities in US Latino Populations. J Community Health 44, 412–422 (2019). https://doi.org/10.1007/s10900-018-0574-1

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