Department of Family Medicine, Virginia Commonwealth University School of Medicine.
Department of Public Health Sciences, University of Texas at El Paso (UTEP).
Ethn Dis. 2017 Jan 19;27(1):63-68. doi: 10.18865/ed.27.1.63.
A substantial gap remains between what we know about type 2 diabetes prevention and our ability to apply that knowledge in socially disadvantaged populations at highest risk. This gap results, in part, from a lack of integration between epidemiologic science and social psychology theory, particularly regarding the intersections of stress, self-regulatory health behaviors, and the biological mechanisms underlying the development of diabetes. In this commentary, we describe the utility of a theoretical framework that focuses on the intersection of biological, psychosocial, and environmental contexts as they apply to diabetes disparities, and how such a framework could inform a translational research agenda to reorient prevention efforts to address these inequalities. Such reorientation is needed to ensure that the implementation of prevention efforts does not inadvertently widen diabetes disparities.
在我们对 2 型糖尿病预防的了解与我们将这些知识应用于处于最高风险的社会弱势群体的能力之间，仍存在着很大差距。这一差距部分源于流行病学科学与社会心理学理论之间缺乏融合，尤其是在压力、自我调节健康行为以及糖尿病发展背后的生物学机制的交叉点方面。在这篇评论中，我们描述了一个理论框架的实用性，该框架侧重于适用于糖尿病差异的生物学、心理社会和环境背景的交叉点，以及这样的框架如何为重新调整预防工作以解决这些不平等问题的转化研究议程提供信息。需要进行这种重新调整，以确保预防工作的实施不会无意中扩大糖尿病的差异。
