Diabetes and ethnicity Sample Clauses

Diabetes and ethnicity. Both Hispanic and Asian populations worldwide have a higher prevalence of diabetes than European and African populations, both in their native environments and in their diaspora (Xxxxxx-Xxxxxxx et al., 2016). These distinctions between races/ethnicities may be due to a variety of factors, including genetic, epigenetic, lifestyle, and environment which I will go on to discuss. According to a previous USA population-based national study, Hispanic and non-Hispanic Asian populations have a similar prevalence of total diabetes and prediabetes as non-Hispanic Black populations, but a higher prevalence of undiagnosed diabetes (Xxxxx et al., 2015), indicating that some observed differences are accounted for by differences in diagnosed vs. undiagnosed disease. On the other hand, Xxxxxxxxxx et al. (2009) reported that ethnic differences in diabetes prevalence persisted after BMI stratification. Considering the UK context, recently, Xxxx et al., (2019) found that diabetes prevalence in UK minority ethnic groups, was approximately three to five times higher than in the white British population. In another analytic approach, according to data from the London SABRE multi-ethnic cohort, 40–50% of South Asian and African-Caribbean men and women will have T2DM by age 80, more than twice the proportion of their age-matched white European counterparts (Xxxxxxx et al., 2005). It is also widely recognised that ethnic groups vary significantly in terms of health beliefs, especially true among members of successive generations of migrant groups, who may undergo significant acculturation. There is, however, a wealth of evidence describing distinct cultural beliefs and behaviours that exist among non-white European ethnic groups and can act as impediments to healthy self-management practices and in turn may contribute significantly to ethnic disparities in T2DM management and outcome. Xxxx et al. (2019) considered other differences between ethnicities and found that cultural obstacles to healthcare contribute significantly to ethnic disparities in diabetes. Linguistic and cultural disparities, limited health literacy, low socioeconomic standing, and migrant status all contribute. Despite numerous studies investigating ethnic differences in the pathophysiology of T2DM, the major mechanism underlying risk differences between ethnic groups remains unclear (Xxxx et al., 2019). Epidemiological evidence and migration studies demonstrating disparate disease rates within an ethnic group l...
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