An ecological approach to understanding contributions to disparities in diabetes prevention and care.
This paper highlights causes of disparities associated with the prevention and treatment of diabetes. An ecological approach is presented that depicts interactions among the social, institutional, and physical environments that may serve to further exacerbate these disparities. Recommendations for change, including enhanced cultural training, participatory involvement of communities to develop solutions, and implementing policies that equalize environmental exposures across populations, are recommended.
Haire-Joshu
Debra
D
Obesity Prevention Center, St. Louis University School of Public Health, 3545 Lafayette Avenue, St. Louis, MO 63104, USA. joshud@slu.edu
Fleming
Chris
C
D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control; D004032:Diet; D005006:Ethnicity; D005260:Female; D006801:Humans; D008019:Life Style / Q000208:ethnology*; D008297:Male; D008913:Minority Groups; D012959:Socioeconomic Factors; D014481:United States