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Research Project: Childhood Obesity Prevention

Location: Children's Nutrition Research Center

Title: Psychosocial aspects of type 1 diabetes in Latino- and Asian-American youth

item GANDHI, KAJAL - Baylor College Of Medicine
item BARANOWSKI, TOM - Children'S Nutrition Research Center (CNRC)
item ANDERSON, BARBARA - Baylor College Of Medicine
item BANSAL, NIDHI - Baylor College Of Medicine
item REDONDO, MARIA - Baylor College Of Medicine

Submitted to: Pediatric Research
Publication Type: Review Article
Publication Acceptance Date: 2/18/2016
Publication Date: 4/13/2016
Citation: Gandhi, K.K., Baranowski, T., Anderson, B.J., Bansal, N., Redondo, M.J. 2016. Psychosocial aspects of type 1 diabetes in Latino- and Asian-American youth. Pediatric Research. doi:10.1038/pr.2016.87.

Interpretive Summary:

Technical Abstract: Latino and Asian-Americans represent the fastest growing immigrant populations in the U.S. We aimed to review the current knowledge on the psychosocial factors that influence type 1 diabetes (T1D) care, education, and outcomes in Latino and Asian-American youth immigrants in the U.S., as well as culturally sensitive programs to address health disparities. We conducted a narrative, conceptual review of studies on T1D in Latino and Asian- American youth and relevant studies in type 2 diabetes and adults. Approximately 50% of both Latino and Asian-American youth with T1D are in suboptimal glycemic control. Socioeconomic status, literacy, English proficiency, acculturation, access to health care, family functioning, mental health and nutrition influence T1D care and outcomes. However, the degree to which these complex, inter-related and dynamic factors affect long term T1D outcomes is largely unknown. Culturally sensitive programs for Latino or Asian- American youth with T1D are scarce in the U.S. Research is needed among Latino and Asian-American youth with T1D so that comprehensive, culturally sensitive diabetes education and care programs can be developed to decrease disparities in the health burden of these groups.