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Ethn Dis. 2017 Jan 19;27(1):63-68. doi: 10.18865/ed.27.1.63.

Commentary: Reconsidering the Role of Context in Diabetes Prevention.

Author information

1
Department of Family Medicine, Virginia Commonwealth University School of Medicine.
2
Department of Public Health Sciences, University of Texas at El Paso (UTEP).
3
Department of Psychology, Virginia Commonwealth University.
4
Department of Health Behavior & Policy, Virginia Commonwealth University.

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.

KEYWORDS:

Diabetes; Diabetes Prevention; Health Behavior; Inequalities; Mental Health

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