Cuevas Heather E, Brown Sharon A
School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78728, USA.
J Immigr Minor Health. 2017 Oct;19(5):1245-1252. doi: 10.1007/s10903-016-0488-x.
Type 2 diabetes is associated with increased morbidity and mortality in Hispanics but few studies have been done to differentiate diabetes effects in Hispanic subgroups, such as Cuban Americans. The purpose of this review was to characterize the studies conducted on Cuban Americans with type 2 diabetes with the aim of updating knowledge related to physiologic factors, psychologic factors, and diabetes selfmanagement. An extensive literature search located 18 studies that met the inclusion criteria for this review. Previous studies provided consistent evidence demonstrating the influence of lifestyle, metabolic, and psychosocial risk factors that lead to poorer outcomes for CAs. No intervention studies were found examining the effect of treatment and education on diabetes control. Future research is needed to determine how these factors associated with diabetes can be used in lowering risks and improving health outcomes for Cuban Americans.
2型糖尿病与西班牙裔人群发病率和死亡率的增加相关，但针对西班牙裔亚组（如古巴裔美国人）中糖尿病影响的研究却很少。本综述的目的是对有关2型糖尿病古巴裔美国人的研究进行总结，以更新与生理因素、心理因素和糖尿病自我管理相关的知识。广泛的文献检索找出了18项符合本综述纳入标准的研究。先前的研究提供了一致的证据，证明生活方式、代谢和社会心理风险因素的影响，这些因素导致古巴裔美国人的预后较差。未发现有干预研究考察治疗和教育对糖尿病控制的影响。未来需要开展研究，以确定如何利用这些与糖尿病相关的因素来降低古巴裔美国人的风险并改善健康结局。
