Introduction Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status. In this study, past literature and current statistics will provide an explanation for the diabetes health disparity epidemic among the Latino community. There will be another aspect of this disparity in terms of the role of acculturation on Latinos and how this impact the rate one acquires diabetes. Acculturation is the beginning stages of assimilation, rather the way one integrates into the dominant culture. In the case of Latinos, it is adjusting to the American culture. Further, the role of acculturation and cultural lifestyle will be analyzed to validate its role in the high prevalence among the Latino community. After triggers and accu... ... middle of paper ... ...ong Latinos. The Journal of Nutrition, 137(4), 860-870. Fitzgerald, N., Hromi-Fiedler, A., Segura-Pérez, S., & Pérez-Escamilla, R. (2011). Food insecurity is related to increased risk of type 2 diabetes among Latinas. diabetes, 3(4), 24-26. Hu, F. B., Manson, J. E., Stampfer, M. J., Colditz, G., Liu, S., Solomon, C. G., & Willett, W. C. (2001). Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New England Journal of Medicine, 345(11), 790-797. Mainous, A. G., Diaz, V. A., & Geesey, M. E. (2008). Acculturation and healthy lifestyle among Latinos with diabetes. The Annals of Family Medicine, 6(2), 131-137. McBean, A. M., Li, S., Gilbertson, D. T., & Collins, A. J. (2004). Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups: whites, blacks, Hispanics, and Asians. Diabetes care, 27(10), 2317-2324.
The Latino community is considered the largest demographic minority in the United States and is expect to increase by approximately 15% in 2050 (U.S. Bureau of the Census, 2002). The Latino population is comprised of many subgroups from many different regions that have developed unique beliefs, norms, and sociopolitical experiences. Although the term Latino is used throughout this paper, it is important to underscore the great diversity found within the Latino community to avoid the development and perpetuation of stereotypes. In clinical practice, it is important to evaluate the individual in terms of their racial identity, acculturation, and socioeconomic status among other factors to create a more individualized and effective treatment
According to the Department of Health and Human Services (2011), 18.5 % of the United States population is over the age of 60 years. Of these, 10.9 million (26.9%) are diagnosed with diabetes mellitus (ADA, 2011.) In Lewis and associates’ text book on Medical- Surgical nursing, Lewis states that the incidence of diabetes mellitus (DM) increases with age (Lewis, Dirksen, Heitkemper, Bucher, and Camera, 2011.) The purpose of this paper is to explore the disease process of diabetes mellitus in the geriatric population.
Food insecurity is one of the major social problems that we have in our world today. The concern about this problem is the increasing number of people that are beginning to experience hunger more often. “While hunger has long been a public health concern in developing countries, it has received varying degrees of attention in the United States, most notable during the 1930s and 1960s” (Poppendieck 1992). In addition to lack of food, there are consequences that follow. People, especially children, who suffer from food deprivation also undergo some health issues such as malnutrition and obesity, which leads to more health care and hospitalizations. “In the early 1980s, most reports of hunger involved families with children, the elderly, the unskilled and unemployed youth, the mentally ill, the homeless and minorities” (Brown 1992; Nestle and Guttmacher 1992). However, a particular ethnic group that is greatly affected by food insecurities are the Hispanic...
One of the most crucial health problems affecting the people of Kern County is diabetes. The risk factors include: being over the age of 45 years old, having high blood pressure, having pre-diabetes, coming from an ethnic minority or low income household, smoking, being overweight or obese, physical inactivity, and eating less than five fruits and vegetables a day. Diabetes is a chronic medical condition where people identify themselves with irregular quantities of blood glucose, which can be a cause from deficiencies in the making of insulin. There are two types of diabetes that people are diagnosed with. The first one is known as Type 1 diabetes, which has to do with influences in your genetics, and Type 2 diabetes, which is brought on by choices in your daily routine. Gestational diabetes occurs while you are pregnant, and if it is not monitored well pregnant women can develop Type 2 diabetes within 5-10 years (Diabetes in C...
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
16Scientist have found trends in ethnic groups and ages begin to occur in today’s day and age. Type 2 diabetes has been found to be more
According to the Center for Disease Control and Prevention (CDC) (2012), the diabetes rate has more than tripled since 1980 from about 5.6 million people affected, to nearly 21 million people. And, of the 2.9 million Native Americans, approximately 16% have been afflicted with type-2 diabetes (U.S. Census Bureau, 2010). These rates were more than twice the rates for the white population and strongly correlated with income level. One factor that is believed to have contributed to the high rates of non-insulin-dependent diabetes is dietary changes from traditional foods to processed foods (Reinhard et al., 2012).
Linderman, Robert, Charles Mouton, and Melissa Talamantes. "Health and Health Care of Hispanic/Latino American." Stanford University. N.p., n.d. Web. 27 Apr. 2014. .
Piedra, L.M., Andrade, C.D., & Larrison, C.R. (2011). Building response capacity: The need for universally available language services. In L.P. Buki, & L.M. Piedra (Eds.), Creating Infrastructures for Latino Mental Health, Part 1 (pp. 55-75). New York, NY: Springer Science & Business Media, LLC. doi: 10.1007/978-1-4419- 9452-3_3
Jost, Kenneth. “Diabetes Epidemic: why is this serious disease on the increase?” The CQ Researcher (March 9, 2001): 185-200
http://en.wikipedia.org/wiki/Lifestyle_causes_of_diabetes_mellitus_type_2, Reference #8: Eberhart, M. S.; Ogden, C, Engelgau, M, Cadwell, B, Hedley, A. A., Saydah, S. H., (November 2004). "Prevalence of Overweight and Obesity Among Adults with Diagnosed Diabetes --- United States, 1988--1994 and 1999--2002". Morbidity and Mortality Weekly Report (Centers for Disease Control and Prevention) 53 (45): 1066–8. PMID 15549021. Retrieved 19 July 2008.
When working with the older adult population we have many health care challenges. One health concern for older adults is diabetes type 2. Diabetes can be defines as a raised glucose level and symptoms on two separate occasions. Diabetes type 2 is a metabolic disorder where a person shows some, but not complete, lack of insulin verses type 1 in which a person has a complete lack of insulin. The prevalence of diabetes among Americans has steadily increased over the years. “In 2010, 25.6 million Americans over 20 years old were estimated to be living with diabetes, with an additional 79 million estimated to have prediabetes” (Robertson, 2012, p. 225). Without proper education about the disease and how to manage it, the prevalence among our older population is likely to increase. “The epidemic of type 2 diabetes is clearly linked to increasing rates of overweight and obesity in the U.S. population, but projections by the Centers for Disease Control and Prevention (CDC) suggest that even if diabetes incidence rates level off, the prevalence of diabetes will double in the next 20 years, in part due to the aging of the population” (Kirkman et al., 2012, p. 2342).
Various factors are said to increase the chances of developing type II diabetes. These factors fall under two categories-genetics and medical/lifestyle risk factors, which include impaired glucose tolerance, gestational diabetes, hyperinsulinemia and insulin resistance, obesity and physical activity (6). Although studies have shied away from making direct correlations between obesity/physical activity and the susceptibility of developing type II diabetes, researchers suspect, however, that a lack of exercise and obesity, as well as other unidentifiable factors, may be contributing to the high diabetes rates in African American and Hispanic American communities. The NHANES III survey indicated that "50 percent of African American men/65 percent of Mexican American men, and 67 percent of African American women/74 percent of Mexican American women participated in little or no exercise" (7).
The Hispanic community have a unique culture and traditional beliefs. For instance, Hispanics will cook unhealthy foods that contain high fats and salt. These foods can include carne asada, tamales, etc. Hispanic main dishes don’t have much leafy greens; mostly fats, salts, and carbs. This disease appears in mostly adults, but there is a rise in metabolic abnormalities that may affect many children and adolescents. The strong genetic disposition, the inadequate meal planning, and the lack of physical activity is the many of the reasons why 17 percent of all Latinos in the United States have diabetes. Nevertheless, this program can help improve the lives of the Hispanic community for current and future generations to come. Many Hispanics are not aware of this chronic condition and it is their mission for them to help understand with
Hispaninc women will develop typ 2 diabetes in their lifetime (NDEP, 2014 p. 2). In older