Leveraging Policy Solutions for Diabetes Disparities: Suggestions for Improving the National Clinical Care Commission Report's Recommendations for Hispanic/Latino Populations.
Devika A ShenoyStephanie H RodriguezJeydith GutierrezAndrea ThoumiMarcelo Lima de Gusmão CorreiaAyotunde DokunLeonor CorsinoPublished in: Journal of racial and ethnic health disparities (2024)
In the U.S., Hispanic/Latino populations face increased disparities in both the prevalence and management of type 2 diabetes mellitus (T2DM). This article critically examines the multifaceted nature of T2DM disparities among Hispanic/Latino populations in the U.S. and identifies key factors contributing to T2DM prevalence within these communities, including socioeconomic status, cultural influences, and healthcare access. Utilizing a modified expert consensus procedure, we evaluate the ways in which the National Clinical Care Commission (NCCC) recommendations apply to the Hispanic/Latino community as well as propose recommendations for improved efficacy. Through a comprehensive analysis of government-community health initiatives, food security, environmental exposures, and housing inequalities, we emphasize the need for targeted interventions and health policies to effectively address and dismantle these disparities. Overall, while the National Clinical Care Commission's recommendations provide a valuable framework for the implementation of policies pertaining to diabetes management and prevention in the general population, our analysis suggests that recommendations may be strengthened by considering the unique cultural, social, and economic needs of the Hispanic/Latino population moving forward.
Keyphrases
- healthcare
- african american
- quality improvement
- affordable care act
- public health
- clinical practice
- glycemic control
- type diabetes
- mental health
- cardiovascular disease
- palliative care
- primary care
- risk factors
- physical activity
- health insurance
- health information
- human health
- skeletal muscle
- weight loss
- insulin resistance