Gandhi Kajal K, Baranowski Tom, Anderson Barbara J, Bansal Nidhi, Redondo Maria J
Division of Pediatric Endocrinology and Metabolism, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, Texas.
Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas.
Pediatr Res. 2016 Sep;80(3):347-55. doi: 10.1038/pr.2016.87. Epub 2016 Apr 13.
Latino and Asian-Americans represent the fastest growing immigrant populations in the United States. We aimed to review the current knowledge on the psychosocial factors that influence type 1 diabetes (T1D) care, education, and outcomes in Latino and Asian-American youth immigrants in the United States, as well as culturally sensitive programs to address health disparities. We conducted a narrative, conceptual review of studies on T1D in Latino and Asian-American youth and relevant studies in type 2 diabetes and adults. Approximately 50% of both Latino and Asian-American youth with T1D are in suboptimal glycemic control. Socioeconomic status, literacy, English proficiency, acculturation, access to health care, family functioning, mental health, and nutrition influence T1D care and outcomes. However, the degree to which these complex, inter-related and dynamic factors affect long-term T1D outcomes is largely unknown. Culturally sensitive programs for Latino or Asian-American youth with T1D are scarce in the United States. Research is needed among Latino and Asian-American youth with T1D so that comprehensive, culturally sensitive diabetes education, and care programs can be developed to decrease disparities in the health burden of these groups.
拉丁裔和亚裔美国人是美国增长最快的移民群体。我们旨在回顾当前关于影响美国拉丁裔和亚裔美国青少年移民1型糖尿病（T1D）护理、教育及治疗结果的社会心理因素的知识，以及解决健康差距的文化敏感项目。我们对拉丁裔和亚裔美国青少年T1D的研究以及2型糖尿病和成人的相关研究进行了叙述性概念综述。约50%的患有T1D的拉丁裔和亚裔美国青少年血糖控制不佳。社会经济地位、读写能力、英语水平、文化适应、医疗保健可及性、家庭功能、心理健康和营养都会影响T1D护理及治疗结果。然而，这些复杂、相互关联且动态的因素在多大程度上影响T1D长期治疗结果，很大程度上尚不清楚。在美国，针对患有T1D的拉丁裔或亚裔美国青少年的文化敏感项目很少。需要对患有T1D的拉丁裔和亚裔美国青少年开展研究，以便制定全面、文化敏感的糖尿病教育和护理项目，以减少这些群体健康负担方面的差距。
