Rascón Aliria M, Owolabi Eyitayo O, Braxton Morgan E, Verdecias-Pellum Niko, Shaibi Gabriel Q
Edson College of Nursing and Health Innovation, Arizona State University, Health North Suite 300, 550 N 3rd Street, Phoenix, AZ, 85004, USA.
College of Health Solutions, Arizona State University, Phoenix, USA.
J Racial Ethn Health Disparities. 2025 May 2. doi: 10.1007/s40615-025-02448-z.
Type 2 diabetes (T2D) disparities in Latinos in the United States continue to rise despite ongoing efforts to advance health equity. Major drivers of T2D disparities are shaped by the social determinants of health which create unmet social needs such as unstable housing, unreliable transportation, food insecurity, financial need, and insufficient childcare. Latino communities are disproportionately affected by many social determinants of health and thus report disproportionately greater social needs than their Non-Hispanic White counterparts. As T2D prevalence, incidence, and associated complications in Latinos outpace those of Non-Latino Whites, an understanding of the potential influence of social needs on T2D prevention and management in this population is warranted. This integrative review describes the role of social needs in T2D prevention and management among Latinos. This review informs how certain social needs are associated with increased risk for T2D, prediabetes, and poor T2D self-management. Specific social needs interventions had mixed results in affecting T2D outcomes and social needs. There is a lack of research evaluating interventions with comprehensive social needs screen and referral for Latinos with or at risk for T2D across the lifespan.
尽管美国一直在努力促进健康公平，但拉丁裔人群中的2型糖尿病（T2D）差距仍在不断扩大。T2D差距的主要驱动因素是由健康的社会决定因素形成的，这些因素造成了未得到满足的社会需求，如住房不稳定、交通不可靠、粮食不安全、经济需求和儿童保育不足。拉丁裔社区受到许多健康社会决定因素的影响尤为严重，因此与非西班牙裔白人相比，他们报告的社会需求也相应更多。由于拉丁裔人群中T2D的患病率、发病率及相关并发症超过了非拉丁裔白人，因此有必要了解社会需求对该人群T2D预防和管理的潜在影响。这篇综合综述描述了社会需求在拉丁裔人群T2D预防和管理中的作用。该综述说明了某些社会需求如何与T2D、糖尿病前期风险增加以及T2D自我管理不善相关联。特定的社会需求干预措施在影响T2D结局和社会需求方面效果不一。缺乏针对拉丁裔全生命周期中患有或有T2D风险的人群进行全面社会需求筛查和转诊的干预措施的研究。
