Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine.
Center for Translational Behavioral Medicine, Florida State University.
Endocrinol Metab Clin North Am. 2023 Dec;52(4):585-602. doi: 10.1016/j.ecl.2023.05.002. Epub 2023 Jun 15.
Racial and ethnic minoritized youth with type 1 diabetes (T1D) are at elevated risk for health disparities. Few intervention studies have been conducted for these youth and evidence to support best practices to address their needs is lacking. Existing evidence supports the use of brief trials of diabetes technology with structured support from clinic staff, culturally tailored interventions such as language-congruent clinical care, and use of community health workers as promising directions to improve health outcomes. Clinicians and researchers should work collaboratively with community members to improve the quality of T1D intervention science for racial and ethnic minoritized youth.
少数民族青少年患有 1 型糖尿病(T1D)的风险较高,存在健康差异。针对这些青少年的干预研究很少,缺乏支持满足其需求的最佳实践的证据。现有证据支持使用糖尿病技术的简短试验,并结合诊所工作人员的结构化支持、文化适应性干预措施(如语言一致的临床护理)以及使用社区卫生工作者,这些都是改善健康结果的有希望的方向。临床医生和研究人员应与社区成员合作,提高少数民族青少年的 T1D 干预科学的质量。