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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.

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


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.


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

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