Start Date
10-10-2025 12:00 PM
End Date
10-10-2025 2:00 PM
Description
Objective:
To identify the most effective community-based strategies for type 2 diabetes (T2D) prevention and management among underserved, predominantly Hispanic urban populations.
Methods:
A systematic PubMed search (January 2014–March 2024) identified English-language systematic reviews examining T2D primary prevention or community-based interventions in U.S. urban settings with high Hispanic representation. Reviews limited to non-urban, pediatric, or type 1 diabetes populations were excluded. Eligible studies were selected through two-stage screening of titles/abstracts and full texts. Six systematic reviews encompassing over 60,000 participants were included. Although no formal risk-of-bias tool was applied, studies were appraised for design quality, sample size, and relevance to target population; consistency of findings across diverse settings supports reliability.
Results:
Culturally tailored diabetes self-management education (DSME) reduced HbA1c by 0.34–1.2% and improved quality of life, particularly when delivered in Spanish and with family involvement. Structured lifestyle interventions combining dietary guidance, physical activity, and behavioral support reduced diabetes-related morbidity and mortality by 10–15% and incidence by up to 58% in high-risk groups. DSME delivery at community venues or virtually improved engagement among low-income populations. Success factors included family participation and sociocultural adaptation; barriers included socioeconomic constraints, low health literacy, and adherence challenges.
Conclusion:
Effective strategies for urban Hispanic communities integrate culturally tailored DSME, accessible lifestyle interventions, and robust community support. Collaborative, multisectoral approaches that address social determinants of health—such as economic stability, language access, and transportation—are essential to reduce T2D disparities. Future efforts should expand virtual and community-embedded programs to promote equity and lasting impact.
Included in
Community Health and Preventive Medicine Commons, Endocrine System Diseases Commons, Endocrinology, Diabetes, and Metabolism Commons, Nutritional and Metabolic Diseases Commons
Reducing Type 2 Diabetes Disparities Through Community-Based, Culturally Tailored Interventions: A Systematic Review of Evidence in Underserved Hispanic Urban Communities
Objective:
To identify the most effective community-based strategies for type 2 diabetes (T2D) prevention and management among underserved, predominantly Hispanic urban populations.
Methods:
A systematic PubMed search (January 2014–March 2024) identified English-language systematic reviews examining T2D primary prevention or community-based interventions in U.S. urban settings with high Hispanic representation. Reviews limited to non-urban, pediatric, or type 1 diabetes populations were excluded. Eligible studies were selected through two-stage screening of titles/abstracts and full texts. Six systematic reviews encompassing over 60,000 participants were included. Although no formal risk-of-bias tool was applied, studies were appraised for design quality, sample size, and relevance to target population; consistency of findings across diverse settings supports reliability.
Results:
Culturally tailored diabetes self-management education (DSME) reduced HbA1c by 0.34–1.2% and improved quality of life, particularly when delivered in Spanish and with family involvement. Structured lifestyle interventions combining dietary guidance, physical activity, and behavioral support reduced diabetes-related morbidity and mortality by 10–15% and incidence by up to 58% in high-risk groups. DSME delivery at community venues or virtually improved engagement among low-income populations. Success factors included family participation and sociocultural adaptation; barriers included socioeconomic constraints, low health literacy, and adherence challenges.
Conclusion:
Effective strategies for urban Hispanic communities integrate culturally tailored DSME, accessible lifestyle interventions, and robust community support. Collaborative, multisectoral approaches that address social determinants of health—such as economic stability, language access, and transportation—are essential to reduce T2D disparities. Future efforts should expand virtual and community-embedded programs to promote equity and lasting impact.
