A Systematic Review of the Relationship Between Discrimination, Racism, and Type 2 Diabetes Healthcare Outcomes for Black Americans.
Black Americans
Care outcomes
Diabetes
Discrimination
Healthcare disparities
Racism
Journal
Journal of racial and ethnic health disparities
ISSN: 2196-8837
Titre abrégé: J Racial Ethn Health Disparities
Pays: Switzerland
ID NLM: 101628476
Informations de publication
Date de publication:
14 Aug 2023
14 Aug 2023
Historique:
received:
15
05
2023
accepted:
03
08
2023
revised:
02
08
2023
medline:
15
8
2023
pubmed:
15
8
2023
entrez:
14
8
2023
Statut:
aheadofprint
Résumé
Disparities in type 2 diabetes (T2DM) risk, care, and complications impact Black Americans more than that of their White counterparts. This study aims to examine the association between discrimination, racism, and T2DM care and outcomes in Black Americans. The systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A total of six original research articles met the inclusion criteria, comprising three quantitative and three qualitative studies. Overall, the systematic review findings revealed that among Black Americans, perceived interpersonal discrimination and racism by healthcare professionals are associated with patients' behaviors that impact T2DM outcomes. The findings also revealed that provider-level factors such as communication, provider assumptions and attitudes, information sharing, shared decision-making, and disease management behaviors might influence T2DM outcomes in this population. Better T2DM-related outcomes depend on optimal disease control through adequate disease management. Building a therapeutic and culturally appropriate relationship free of discrimination and racism is vital for optimal disease management and decreasing health disparities in this patient population. Perceived interpersonal racism and discrimination by healthcare providers, among other sociocultural factors, play a crucial role in influencing some patient behaviors that affect T2DM health outcomes in this population. Efforts to decrease health disparities in this specific community should also focus on interventions addressing provider-level factors and behaviors perceived as racist or discriminatory.
Sections du résumé
BACKGROUND
BACKGROUND
Disparities in type 2 diabetes (T2DM) risk, care, and complications impact Black Americans more than that of their White counterparts. This study aims to examine the association between discrimination, racism, and T2DM care and outcomes in Black Americans.
METHOD
METHODS
The systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
RESULTS
RESULTS
A total of six original research articles met the inclusion criteria, comprising three quantitative and three qualitative studies. Overall, the systematic review findings revealed that among Black Americans, perceived interpersonal discrimination and racism by healthcare professionals are associated with patients' behaviors that impact T2DM outcomes. The findings also revealed that provider-level factors such as communication, provider assumptions and attitudes, information sharing, shared decision-making, and disease management behaviors might influence T2DM outcomes in this population.
DISCUSSION
CONCLUSIONS
Better T2DM-related outcomes depend on optimal disease control through adequate disease management. Building a therapeutic and culturally appropriate relationship free of discrimination and racism is vital for optimal disease management and decreasing health disparities in this patient population.
CONCLUSION
CONCLUSIONS
Perceived interpersonal racism and discrimination by healthcare providers, among other sociocultural factors, play a crucial role in influencing some patient behaviors that affect T2DM health outcomes in this population. Efforts to decrease health disparities in this specific community should also focus on interventions addressing provider-level factors and behaviors perceived as racist or discriminatory.
Identifiants
pubmed: 37580438
doi: 10.1007/s40615-023-01751-x
pii: 10.1007/s40615-023-01751-x
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. W. Montague Cobb-NMA Health Institute.
Références
Ndugga N, Artiga S. Disparities in health and health care: 5 key questions and answers. Kaiser Family Foundation; 2021. p. 11.
Artiga S, Garfield R, Orgera K. Communities of color at higher risk for health and economic challenges due to COVID-19. Kaiser Family Foundation. 2020. https://www.kff.org/coronavirus-covid-19/issue-brief/communities-of-color-at-higher-risk-for-health-and-economicchallenges-due-to-covid-19/ . Accessed 23 Sep 2022
Piccolo RS, Pearce N, Araujo AB, McKinlay JB. The contribution of biogeographical ancestry and socioeconomic status to racial/ethnic disparities in type 2 diabetes mellitus: results from the Boston Area Community Health Survey. Ann Epidemiol. 2014;24(9):648–54.
doi: 10.1016/j.annepidem.2014.06.098
pubmed: 25088753
pmcid: 4145472
Rodríguez JE, Campbell KM. Racial and ethnic disparities in prevalence and care of patients with type 2 diabetes. Clin Diabetes. 2017;35(1):66–70.
doi: 10.2337/cd15-0048
pubmed: 28144049
pmcid: 5241767
Hicklin T. Factors contributing to higher incidence of diabetes for black Americans. National Institute of Health. 2018. https://www.nih.gov/news-events/nih-research-matters/factors-contributing-higher-incidence-diabetes-black-americans . Accessed 23 Sep 2022.
Spears EC, Guidry JJ, Harvey IS. Measuring type 2 diabetes mellitus knowledge and perceptions of risk in middle-class African Americans. Health Educ Res. 2018;33(1):55–63.
doi: 10.1093/her/cyx073
pubmed: 29237071
Cunningham AT, Crittendon DR, White N, Mills GD, Diaz V, LaNoue MD. The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis. BMC Health Serv Res. 2018;18(1):1–13.
doi: 10.1186/s12913-018-3186-7
Bullard KM, Cowie CC, Lessem SE, Saydah SH, Menke A, Geiss LS, Orchard TJ, Rolka DB, Imperatore G. Prevalence of diagnosed diabetes in adults by diabetes type—United States, 2016. Morb Mortal Wkly Rep. 2018;67(12):359.
doi: 10.15585/mmwr.mm6712a2
Shiyanbola OO, Ward E, Brown C. Sociocultural influences on African Americans’ representations of type 2 diabetes: a qualitative study. Ethn Dis. 2018;28(1):25.
doi: 10.18865/ed.28.1.25
pubmed: 29467563
pmcid: 5794444
Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, Thornton PL, Haire-Joshu D. Social determinants of health and diabetes: a scientific review. Diabetes Care. 2021;44(1):258–79.
doi: 10.2337/dci20-0053
Richardson BS, Willig AL, Agne AA, Cherrington AL. Diabetes connect: African American women’s perceptions of the community health worker model for diabetes care. J Community Health. 2015;40(5):905–11.
doi: 10.1007/s10900-015-0011-7
pubmed: 25773991
pmcid: 4558317
Vela MB, Erondu AI, Smith NA, Peek ME, Woodruff JN, Chin MH. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43:477–501.
doi: 10.1146/annurev-publhealth-052620-103528
pubmed: 35020445
pmcid: 9172268
Achuko O, Walker RJ, Campbell JA, Dawson AZ, Egede LE. Pathways between discrimination and quality of life in patients with type 2 diabetes. Diabetes Technol Ther. 2016;18(3):151–8.
doi: 10.1089/dia.2015.0305
pubmed: 26866351
pmcid: 4790216
Cykert DM, Williams JS, Walker RJ, Davis KS, Egede LE. The association of cumulative discrimination on quality of care, patient-centered care, and dissatisfaction with care in adults with type 2 diabetes. J Diabetes Complicat. 2017;31(1):175–9.
doi: 10.1016/j.jdiacomp.2016.09.012
Lin OM, Reid HW, Fabbro RL, Johnson KS, Batch BC, Olsen MK, Matsouaka RA, Sanders LL, Chung ST, Svetkey LP. Association of provider perspectives on race and racial health care disparities with patient perceptions of care and health outcomes. Health Equity. 2021;5(1):466–75.
doi: 10.1089/heq.2021.0018
pubmed: 34316530
pmcid: 8309434
Reid HW, Lin OM, Fabbro RL, Johnson KS, Svetkey LP, Olsen MK, Matsouaka RA, Chung ST, Batch BC. Racial differences in patient perception of interactions with providers are associated with health outcomes in type II diabetes. Patient Educ Couns. 2021;104(8):1993–2003.
doi: 10.1016/j.pec.2021.01.031
pubmed: 33579569
pmcid: 8217118
Cunningham A, Crittendon D, Konys C, Mills G, Casola A, Kelly S, Arenson C. Critical Race Theory as a lens for examining primary care provider responses to persistently-elevated HbA1c. J Natl Med Assoc. 2021;113(3):297–300.
pubmed: 33342549
Williams IC, Clay OJ, Ovalle F, Atkinson D, Crowe M. The role of perceived discrimination and other psychosocial factors in explaining diabetes distress among older African American and white adults. J Appl Gerontol. 2020;39(1):99–104.
doi: 10.1177/0733464817750273
pubmed: 29291677
Ochieng JM, Crist JD. Social determinants of health and health care delivery: African American women’s T2DM self-management. Clin Nurs Res. 2021;30(3):263–72.
doi: 10.1177/1054773820916981
pubmed: 32321292
Forsyth J, Schoenthaler A, Chaplin WF, Ogedegbe G, Ravenell J. Perceived discrimination and medication adherence in black hypertensive patients: the role of stress and depression. Psychosom Med. 2014;76(3):229–36.
doi: 10.1097/PSY.0000000000000043
pubmed: 24677163
Gonzales KL, Lambert WE, Fu R, Jacob M, Harding AK. Perceived racial discrimination in health care, completion of standard diabetes services, and diabetes control among a sample of American Indian women. Diabetes Educ. 2014;40(6):747–55.
doi: 10.1177/0145721714551422
pubmed: 25249597
Hall WJ, Chapman MV, Lee KM, Merino YM, Thomas TW, Payne BK, Eng E, Day SH, Coyne-Beasley T. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health. 2015;105(12):e60–76.
doi: 10.2105/AJPH.2015.302903
pubmed: 26469668
pmcid: 4638275
Peimani M, Nasli-Esfahani E, Sadeghi R. Patients’ perceptions of patient–provider communication and diabetes care: a systematic review of quantitative and qualitative studies. Chronic Illn. 2020;16(1):3–22.
doi: 10.1177/1742395318782378
pubmed: 29895167
Bonner T, Harvey IS, Sherman L. A qualitative inquiry of lower extremity disease knowledge among African Americans living with type 2 diabetes. Health Promot Pract. 2017;18(6):806–13.
doi: 10.1177/1524839916688867
pubmed: 28107790
Fayfman M, Schechter MC, Amobi CN, Williams RN, Hillman JAL, Alam MM, Rajani RR, Ziemer DC, Kempker RR, Umpierrez GE. Barriers to diabetic foot care in a disadvantaged population: a qualitative assessment. J Diabetes Complicat. 2020;34(12):107688.
doi: 10.1016/j.jdiacomp.2020.107688
Govere L, Govere EM. How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews Evid Based Nurs. 2016;13(6):402–10.
doi: 10.1111/wvn.12176
pubmed: 27779817
Walker RJ, Smalls BL, Campbell JA, Strom Williams JL, Egede LE. Impact of social determinants of health on outcomes for type 2 diabetes: a systematic review. Endocrine. 2014;47:29–48.
doi: 10.1007/s12020-014-0195-0
pubmed: 24532079
pmcid: 7029167
Kornhaber R, Walsh K, Duff J, Walker K. Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. J Multidiscip Healthc. 2016;9:537.
doi: 10.2147/JMDH.S116957
pubmed: 27789958
pmcid: 5072574