South Asian immigrants in the United States face an elevated risk of developing type 2 diabetes (T2DM). This phenomenon has been linked to lifestyle factors and social determinants of health (SDOH) such as high-carbohydrate diet, limited physical activity, and stress from assimilation and other life challenges. Unfortunately, barriers stemming from language discordance, low health literacy, and certain cultural practices can hinder effective clinical management of T2DM among South Asian immigrants. In this perspective, we address these sociocultural barriers and propose culturally informed recommendations to improve healthcare delivery for South Asian groups and empower South Asian patients to self-manage T2DM. Our recommendations include (1) considerations and support for SDOH in South Asian communities, (2) culturally tailored healthcare delivery for South Asians, (3) mHealth technologies for T2DM education and self-management; and (4) enhanced epidemiological and South Asian-centric research.
机构:
UT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
UT Southwestern Med Ctr, Ctr Human Nutr, Dallas, TX USA
Texas Christian Univ, Dept Kinesiol, Ft Worth, TX 76129 USAUT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
Shah, Meena
Vasandani, Chandna
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UT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
UT Southwestern Med Ctr, Ctr Human Nutr, Dallas, TX USAUT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
Vasandani, Chandna
Adams-Huet, Beverley
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UT Southwestern Med Ctr, Dept Clin Sci, Div Biostat, Dallas, TX USAUT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
Adams-Huet, Beverley
Garg, Abhimanyu
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UT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
UT Southwestern Med Ctr, Ctr Human Nutr, Dallas, TX USAUT Southwestern Med Ctr, Dept Internal Med, Div Nutr & Metab Dis, Dallas, TX USA
机构:
Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Rebchook, Gregory M.
Chakravarty, Deepalika
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Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Chakravarty, Deepalika
Xavier, Jessica M.
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机构:Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Xavier, Jessica M.
Keatley, JoAnne G.
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Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Innovat Response Globally Transgender Women & HIV, San Francisco, CA USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Keatley, JoAnne G.
Maiorana, Andres
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Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Maiorana, Andres
Sevelius, Jae
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Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Sevelius, Jae
Shade, Starley B.
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Univ Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Prevent Sci, San Francisco, CA 94143 USA
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Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Lab Med, Okayama 7008558, Japan
Vet Affairs Puget Sound Hlth Care Syst, Seattle, WA USAOkayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Lab Med, Okayama 7008558, Japan
Obika, Mikako
Trence, Dace L.
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Univ Washington, Div Metab Endocrinol & Nutr, Seattle, WA 98195 USAOkayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Lab Med, Okayama 7008558, Japan
机构:
Nova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USANova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USA
Vidal, Therese M.
Williams, Caitlin A.
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Nova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USANova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USA
Williams, Caitlin A.
Ramoutar, Uma D.
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Nova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USANova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USA
Ramoutar, Uma D.
Haffizulla, Farzanna
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Nova Southeastern Univ, Dr Kiran C Patel Coll Osteopath Med, Internal Med, Ft Lauderdale, FL 33314 USANova Southeastern Univ, Dr Kiran C Patel Coll Allopath Med, Internal Med, Ft Lauderdale, FL 33314 USA
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Univ Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USA
Gadgil, Meghana D.
Oza-Frank, Reena
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Ohio State Univ, Dept Pediat, Nationwide Childrens Hosp, Ctr Perinatal Res,Res Inst, Columbus, OH 43210 USAUniv Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USA
Oza-Frank, Reena
Kandula, Namratha R.
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Northwestern Univ, Dept Med, Feinberg Sch Med, Div Gen Internal Med & Geriatr, Chicago, IL 60611 USAUniv Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USA
Kandula, Namratha R.
Kanaya, Alka M.
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Univ Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Gen Internal Med, Box 0320,1545 Divisadero St,Suite 320, San Francisco, CA 94143 USA
机构:
Vanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Vanderbilt Univ, Med Ctr, Diabet Res & Training Ctr, Vanderbilt Eskind Diabet Ctr, Nashville, TN 37232 USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Osborn, Chandra Y.
Amico, K. Rivet
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Univ Connecticut, Center Hlth Intervent & Prevent, Storrs, CT USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Amico, K. Rivet
Cruz, Noemi
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HumanaCares, St Petersburg, FL USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Cruz, Noemi
Perez-Escamilla, Rafael
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Yale Univ, Dept Epidemiol & Publ Hlth, New Haven, CT 06520 USA
Univ Connecticut, Ctr Eliminating Hlth Dispar Latinos, Storrs, CT USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Perez-Escamilla, Rafael
Kalichman, Seth C.
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Univ Connecticut, Center Hlth Intervent & Prevent, Storrs, CT USA
Univ Connecticut, Dept Psychol, Storrs, CT USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Kalichman, Seth C.
O'Connell, Ann A.
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Ohio State Univ, Quantitat Res Evaluat & Measurement, Columbus, OH 43210 USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
O'Connell, Ann A.
Wolf, Scott A.
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Mercy Med Ctr, Springfield, MA USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA
Wolf, Scott A.
Fisher, Jeffrey D.
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Univ Connecticut, Center Hlth Intervent & Prevent, Storrs, CT USA
Univ Connecticut, Dept Psychol, Storrs, CT USAVanderbilt Univ, Med Ctr,Ctr Hlth Serv Res, Dept Med, Div Gen Internal Med & Publ Hlth, Nashville, TN 37232 USA