Challenges in insulin initiation among Hispanics/Latinos with diabetes in the United States
| Autor: | Magaly Perez-Nieves, Beverly Reed, Puneet Kaushik, Samaneh Kalirai |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Health Knowledge Attitudes Practice Social Determinants of Health Endocrinology Diabetes and Metabolism Family support Population MEDLINE 030209 endocrinology & metabolism Risk Assessment 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Patient Education as Topic Risk Factors Health care Diabetes Mellitus Internal Medicine Humans Hypoglycemic Agents Insulin Medicine 030212 general & internal medicine Healthcare Disparities education Socioeconomic status education.field_of_study Cultural Characteristics Nutrition and Dietetics business.industry Hispanic or Latino Culturally Competent Care United States Health Literacy Race Factors Treatment Outcome Systematic review Socioeconomic Factors Family Practice business Psychosocial |
| Zdroj: | Primary Care Diabetes. 14:401-412 |
| ISSN: | 1751-9918 |
| Popis: | Purpose The prevalence of diagnosed diabetes in the United States (U.S.) is particularly high among people of Hispanic/Latino ethnicity, placing this population at risk of developing diabetes-related complications. We conducted a systematic literature review to understand and communicate the current gaps and disparities, including myths and misconceptions, regarding insulin initiation among the Hispanic/Latino population in the U.S. Methods We searched MEDLINE and MEDLINE In-process, e-pubs ahead of print (OvidSP), EMBASE (OvidSP), and the Cochrane Central Register of Controlled Trials (CENTRAL). The search strategy combined free text and controlled vocabulary terms and was developed to identify challenges associated with insulin use and initiation, as well as myths/misconceptions associated with insulin use. The quality of included studies was assessed using the National Institutes of Health (NIH) quality assessment tool. Principal results In total, 777 articles were identified, with 13 articles included for data synthesis. Frequently reported barriers to initiating diabetes treatment among the Hispanic/Latino community related to socioeconomic and sociocultural factors. In particular, limited health literacy and access to health care, as well as low education and economic status, were common factors preventing treatment initiation for diabetes. Cultural factors, including language, food preferences, and lack of family support were also evident, with misconceptions and fears concerning insulin being commonly reported. Patients also described barriers concerning health care providers, including interpersonal issues and difficulties with communication and language. Major conclusions Overall, the current literature highlights many obstacles facing Hispanic/Latino patients in initiating insulin treatment for diabetes. Although limited research was identified, we describe common barriers and themes among this minority population. Awareness of these barriers is important for health care providers, enabling them to identify and address insulin-related fears and misconceptions and to be mindful of their cultural competency. Additionally, knowledge of current barriers will guide further research aimed at developing tailored strategies and tools to improve long-term health outcomes and quality of life in this population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect