title: Commentary: Reconsidering the Role of Context in Diabetes Prevention.
abstract: A substantial gap remains between what we know about type 2 diabetes prevention and our ability to apply that knowledge in socially disadvantaged populations at highest risk. This gap results, in part, from a lack of integration between epidemiologic science and social psychology theory, particularly regarding the intersections of stress, self-regulatory health behaviors, and the biological mechanisms underlying the development of diabetes. In this commentary, we describe the utility of a theoretical framework that focuses on the intersection of biological, psychosocial, and environmental contexts as they apply to diabetes disparities, and how such a framework could inform a translational research agenda to reorient prevention efforts to address these inequalities. Such reorientation is needed to ensure that the implementation of prevention efforts does not inadvertently widen diabetes disparities.
authors.affiliation: Department of Family Medicine, Virginia Commonwealth University School of Medicine.
authors.forename: Briana
authors.initials: B
authors.lastname: Mezuk
authors.affiliation: Department of Public Health Sciences, University of Texas at El Paso (UTEP).
authors.forename: Jeannie B
authors.initials: JB
authors.lastname: Concha
authors.affiliation: Department of Psychology, Virginia Commonwealth University.
authors.forename: Paul
authors.initials: P
authors.lastname: Perrin
authors.affiliation: Department of Health Behavior & Policy, Virginia Commonwealth University.
authors.forename: Tiffany
authors.initials: T
authors.lastname: Green
mesh_terms: D044383:Black People; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control*; D015438:Health Behavior; D006297:Health Services Accessibility; D006302:Health Services Research; D006801:Humans; D008603:Mental Health; D012307:Risk Factors; D012931:Social Environment; D012959:Socioeconomic Factors; D014481:United States; D044465:White People; D001741:Black or African American
keywords: Diabetes; Diabetes Prevention; Health Behavior; Inequalities; Mental Health