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Meeting the challenge of diabetes in ageing and diverse populations: a review of the literature from the UK

  • Emma Wilkinson
    ,
  • Muhammad Waqar
    ,
  • Alan Sinclair
    ,
  • Gurch Randhawa(corresponding author)
*Corresponding author for this work
  • Diabetes Frail Ltd
Research Output:
Contribution to journal
Review article
 Peer-review

Open access

Sustainable Development Goals

  • SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well

Abstract

The impact of type 2 diabetes on ageing societies is great and populations across the globe are becoming more diverse. Complications of diabetes unequally affect particular groups in the UK older people, and people with a South Asian background are two population groups with increased risk whose numbers will grow in the future. We explored the evidence about diabetes care for older people with South Asian ethnicity to understand the contexts and mechanisms behind interventions to reduce inequalities. We used a realist approach to review the literature, mapped the main areas where relevant evidence exists, and explored the concepts and mechanisms which underpinned interventions. From this we constructed a theoretical framework for a programme of research and put forward suggestions for what our analysis might mean to providers, researchers, and policy makers. Broad themes of cultural competency; comorbidities and stratification; and access emerged as mid-level mechanisms which have individualised, culturally intelligent, and ethical care at their heart and through which inequalities can be addressed. These provide a theoretical framework for future research to advance knowledge about concordance; culturally meaningful measures of depression and cognitive impairment; and care planning in different contexts which support effective diabetes care for aging and diverse populations.

Publication Information

Output type

Research Output:
Contribution to journal
Review article
 Peer-review

Original language

English

Article number

8030627

Journal (Volume, Issue Number)

Journal of Diabetes Research (Volume 2016)

Publication milestones

  • Accepted/In press - 20/09/2016
  • Published - 17/10/2016

Publication status

Published - 17/10/2016

ISSN

2314-6745

Publication IDs

  • handle.net: 10547/622563
  • Scopus: 84994608044
  • PubMed: 27830158

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