Hounslow and Richmond Community Healthcare NHS Trust, London, UK.
Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Ethn Health. 2024 May-Jul;29(4-5):465-483. doi: 10.1080/13557858.2024.2346817. Epub 2024 May 2.
Diabetes is a non-communicable disease where the patient's glucose level in the blood is too high. Diabetes is prevalent among ethnic minority groups in the United Kingdom (UK). Type 2 diabetes is a major cause of premature mortality in England. Unfortunately, the lifestyle of these minority groups has become a barrier to diabetes healthcare treatment. The timely intervention of programmes targeting risk factors associated with diabetes may reduce the prevalence of diabetes among these ethnic minority groups. This review critically explores and identifies barriers that hinder specific African-Caribbean groups from accessing diabetes healthcare and how nurses can promote lifestyle changes in patients with prediabetes from African-Caribbean backgrounds.
An extended literature review (ELR). The process consisted of a search of key databases and other nursing and public health journal articles with the keywords defined in this extended review (prediabetes, diabetes, lifestyle of Afro-Caribbean). Thematic analysis is then applied from a socio-cultural theoretical lens to interpret the selected articles for the review.
Three main barriers were identified: (a) the strong adherence to traditional diets, (b) a wrong perception about diet management and (c) 'Western medication' as a key barrier that hinders effective diabetes management in ethnic minorities, including the African-Caribbean in the UK.
To address these barriers, it is important for policymakers to prioritise well-tailored interventions for African-Caribbean groups as well as support healthcare providers with the requisite capacity to provide care.
糖尿病是一种非传染性疾病，患者血液中的葡萄糖水平过高。在英国（UK），少数民族群体中糖尿病较为普遍。2 型糖尿病是英格兰人群过早死亡的主要原因。不幸的是，这些少数民族群体的生活方式成为了糖尿病医疗保健治疗的障碍。针对与糖尿病相关的风险因素的及时干预计划可能会降低这些少数民族群体的糖尿病患病率。本综述批判性地探讨和确定了哪些障碍阻碍了特定的非裔加勒比群体获得糖尿病医疗保健，以及护士如何促进具有前驱糖尿病的非裔加勒比背景患者的生活方式改变。
扩展文献综述（ELR）。该过程包括搜索主要数据库和其他护理及公共卫生期刊文章，并使用本扩展综述中定义的关键字（前驱糖尿病、糖尿病、非裔加勒比生活方式）。然后，从社会文化理论的角度应用主题分析来解释综述中选择的文章。
确定了三个主要障碍：（a）对传统饮食的强烈坚持，（b）对饮食管理的错误认知，以及（c）“西药”作为一个主要障碍，阻碍了少数民族（包括英国的非裔加勒比人）的有效糖尿病管理。
为了解决这些障碍，政策制定者有必要优先为非裔加勒比群体制定量身定制的干预措施，并为医疗保健提供者提供必要的能力来提供护理。
