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1.
Lancet Diabetes Endocrinol ; 11(7): 509-524, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37356445

RESUMO

Type 2 diabetes disparities in the USA persist in both the prevalence of disease and diabetes-related complications. We conducted a literature review related to diabetes prevention, management, and complications across racial and ethnic groups in the USA. The objective of this review is to summarise the current understanding of diabetes disparities by examining differences between and within racial and ethnic groups and among young people (aged <18 years). We also examine the pathophysiology of diabetes as it relates to race and ethnic differences. We use a conceptual framework built on the socioecological model to categorise the causes of diabetes disparities across the lifespan looking at factors in five domains of health behaviours and social norms, public awareness, structural racism, economic development, and access to high-quality care. The range of disparities in diabetes prevalence and management in the USA calls for a community-engaged and multidisciplinary approach that must involve community partners, researchers, practitioners, health system administrators, and policy makers. We offer recommendations for each of these groups to help to promote equity in diabetes prevention and care in the USA.


Assuntos
Diabetes Mellitus Tipo 2 , Etnicidade , Humanos , Estados Unidos/epidemiologia , Adolescente , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/terapia , Prevalência , Disparidades em Assistência à Saúde , Qualidade da Assistência à Saúde
3.
Semin Pediatr Neurol ; 36: 100857, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33308521

RESUMO

This article aims to highlight the impact of mentorship on the lives of youth with chronic conditions (YCC). Here, we focus on the concepts of mentoring and technology as a means to support transitioning YCC. This is in response to the urgent need for effective healthcare transition strategies and the increasing importance and prevalence of technology in healthcare and health systems. This article also highlights an e-mentoring program for youth with epilepsy, an intervention that bridges the fields of mentoring, transition, and technology. While there is need for further research in these areas, consideration of these factors are highly relevant to the effort to improve health for this generation of YCC.


Assuntos
Tutoria , Doenças do Sistema Nervoso/terapia , Apoio Social , Telemedicina , Transição para Assistência do Adulto , Adolescente , Adulto , Doença Crônica , Humanos , Adulto Jovem
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