Promoting lifestyle changes in patients with prediabetes from African-Caribbean backgrounds in the United Kingdom

Bibliographic Data

ID15073757
AuthorsMariama Bah (0000-0003-3325-9230, Hounslow and Richmond Community Healthcare NHS Trust, London, UK), John-Paul Safunu Banchani (0000-0003-2799-3471, Kwame Nkrumah University of Science and Technology, corresponding author), Emmanuel Banchani (0000-0002-6955-9473, Department of Sociology, St. Francis Xavier University, Antigonish, NS, Canada), Leonard Baatiema (0000-0003-3286-6565, School of Public Health, University of Ghana, Accra, Ghana), Mohammed Abass Issakah (0000-0001-6579-4399, Faculty of Information and Media Studies (FIMS), Health Information Science (HIS), Western University, Ontario, Canada)
Year2024
Volume29
Issue4-5
Pages465-483
Publication date2024-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEthnicity and Health (JOURNAL)
Journal identifiersISSN: 1355-7858 • E-ISSN: 1465-3419
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13557858.2024.2346817
PMID38696222
OpenAlexW4396577340
LanguageEN
References cited28

OBJECTIVES: Diabetes is a non-communicable disease where the patient's glucose level in the blood is too high. Diabetes is prevalent among ethnic minority groups in the United Kingdom (UK). Type 2 diabetes is a major cause of premature mortality in England. Unfortunately, the lifestyle of these minority groups has become a barrier to diabetes healthcare treatment. The timely intervention of programmes targeting risk factors associated with diabetes may reduce the prevalence of diabetes among these ethnic minority groups. This review critically explores and identifies barriers that hinder specific African-Caribbean groups from accessing diabetes healthcare and how nurses can promote lifestyle changes in patients with prediabetes from African-Caribbean backgrounds. DESIGN: An extended literature review (ELR). The process consisted of a search of key databases and other nursing and public health journal articles with the keywords defined in this extended review (prediabetes, diabetes, lifestyle of Afro-Caribbean). Thematic analysis is then applied from a socio-cultural theoretical lens to interpret the selected articles for the review. RESULTS: Three main barriers were identified: (a) the strong adherence to traditional diets, (b) a wrong perception about diet management and (c) 'Western medication' as a key barrier that hinders effective diabetes management in ethnic minorities, including the African-Caribbean in the UK. CONCLUSION: To address these barriers, it is important for policymakers to prioritise well-tailored interventions for African-Caribbean groups as well as support healthcare providers with the requisite capacity to provide care

Diabetes mellitus · Disease · Environmental health · Ethnic group · Health care · Political science · Prediabetes · Type 2 diabetes · Cultural Competency in Health Care · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Nursing · Endocrinology · Gerontology · Internal Medicine