Vidal Therese M, Williams Caitlin A, Ramoutar Uma D, Haffizulla Farzanna
Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA.
Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2022 Mar 15;14(3):e23173. doi: 10.7759/cureus.23173. eCollection 2022 Mar.
Type 2 diabetes mellitus (T2DM) affects a large number of the American population. When compared to their representation in the general American population, a disproportionate number of Latinx individuals are affected. Within the Latinx American population, T2DM prevalence rates vary among individuals based on their country of origin. Deaths from T2DM among Latinx American population are also more compared to other ethnicities. This disparity underlines the importance of understanding the cultural considerations of T2DM disease presentation and management in Latinx communities, including risk factors, socioeconomic variables, and other social determinants of health such as access to care. There are various modifiable and non-modifiable risk factors for the development of T2DM, regardless of race. Staple foods in the diet of Latinx American communities, such as tortillas, rice, and beans, can cause spikes in blood sugar levels and can lead to obesity, which predisposes patients to develop T2DM. Latinx American populations suffer from lower access to healthcare than the general population due to many reasons, including language proficiency, immigration status, socioeconomic status, and level of acculturation. This study utilized the format of a commentary, while incorporating elements of a scoping review for data collection, to further explore these disparities and their impact on these populations. Understanding the cultural beliefs of Latinx individuals and how these beliefs contribute to the perceived development of T2DM is essential to properly treat these unique populations. Despite high rates of T2DM affecting Latinx individuals, non-adherence to prescribed diabetes medications is high among these populations. Interventions in the form of culturally tailored preventative education, in addition to active T2DM management, are necessary to combat the toll of this disease on Latinx Americans. Generic interventional techniques and methods should be replaced entirely by those that acknowledge, highlight, and utilize the sociocultural characteristics of Latinx Americans.
2型糖尿病(T2DM)影响着大量美国人口。与他们在美国普通人群中的占比相比,受影响的拉丁裔个体数量不成比例。在拉丁裔美国人群体中,T2DM的患病率因个体的原籍国不同而有所差异。与其他种族相比,拉丁裔美国人群体中因T2DM导致的死亡人数也更多。这种差异凸显了了解拉丁裔社区中T2DM疾病表现和管理的文化考量因素的重要性,包括风险因素、社会经济变量以及其他健康的社会决定因素,如获得医疗服务的机会。无论种族如何,T2DM的发生都有各种可改变和不可改变的风险因素。拉丁裔美国社区饮食中的主食,如玉米饼、米饭和豆类,会导致血糖水平飙升,并可能导致肥胖,使患者易患T2DM。由于多种原因,包括语言能力、移民身份、社会经济地位和文化适应程度等,拉丁裔美国人群体获得医疗保健的机会比普通人群要少。本研究采用评论的形式,同时纳入了范围审查的要素以收集数据,以进一步探讨这些差异及其对这些人群的影响。了解拉丁裔个体的文化信仰以及这些信仰如何促成对T2DM发病的认知,对于正确治疗这些独特人群至关重要。尽管T2DM在拉丁裔个体中的发病率很高,但这些人群中不遵医嘱服用糖尿病药物的情况也很普遍。除了积极管理T2DM之外,采用文化定制的预防性教育形式进行干预,对于抗击这种疾病给拉丁裔美国人带来的伤害是必要的。通用的干预技术和方法应该完全被那些承认、突出并利用拉丁裔美国人社会文化特征的技术和方法所取代。