Diaz Monica, Braxton Morgan E, Owolabi Eyitayo O, Godfrey Timian M, Singh Mantej, Rascón Aliria M, Shaibi Gabriel Q
Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 550 N 3rd Street, Health North Suite 300, Phoenix, AZ, 85004, USA.
Curr Diab Rep. 2025 Mar 6;25(1):24. doi: 10.1007/s11892-025-01580-8.
Type 2 diabetes (T2D) disproportionately impacts minority populations. The National Institute on Minority Health and Health Disparities (NIMHD) developed a research framework to encourage health disparities research that considers a multi-level, multi-domain perspective. The purpose of this review was to describe evidence on the levels and domains that influence T2D disparities among minority populations and use this information to adapt the NIMHD Research Framework for T2D.
Screening identified 108 articles published between 2017 and 2023 covering 74,354,597 participants. Articles were classified under the following domains, Biological (18), Behavioral (22), Physical/Built Environment (19), Sociocultural Environment (42), and Health Care System (31). Article levels of influence included Individual (73), Interpersonal (18), Community (36), and Societal (10). Findings were used to adapt the NIMHD Research Framework with an eye towards advancing T2D-related health equity. The results of this review confirm the complex nature of T2D-related disparities and support the notion that drivers operate within and between multiple levels and multiple domains to influence T2D-related outcomes across the lifespan.
2型糖尿病（T2D）对少数族裔人群的影响尤为严重。美国国立少数族裔健康与健康差异研究所（NIMHD）制定了一个研究框架，以鼓励从多层次、多领域的视角开展健康差异研究。本综述的目的是描述影响少数族裔人群T2D差异的层次和领域的相关证据，并利用这些信息对NIMHD的T2D研究框架进行调整。
筛选确定了2017年至2023年间发表的108篇文章，涉及74354597名参与者。文章分为以下领域：生物学领域（18篇）、行为领域（22篇）、物理/建筑环境领域（19篇）、社会文化环境领域（42篇）和医疗保健系统领域（31篇）。文章的影响层次包括个体层面（73篇）、人际层面（18篇）、社区层面（36篇）和社会层面（10篇）。研究结果被用于调整NIMHD研究框架，以推动与T2D相关的健康公平。本综述结果证实了与T2D相关差异的复杂性，并支持这样一种观点，即多种驱动因素在多个层次和多个领域内部及之间发挥作用，从而在整个生命周期内影响与T2D相关的结果。
