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dc.contributor.authorWilkinson, Emmaen
dc.contributor.authorWaqar, Muhammaden
dc.contributor.authorSinclair, Alan J.en
dc.contributor.authorRandhawa, Gurchen
dc.date.accessioned2018-03-27T09:48:05Z
dc.date.available2018-03-27T09:48:05Z
dc.date.issued2016-10-17
dc.identifier.citationWilkinson E, Waqar M, Sinclair A, Randhawa G (2016) 'Meeting the challenge of diabetes in ageing and diverse populations: a review of the literature from the UK', Journal of Diabetes Research (2016)en
dc.identifier.issn2314-6745
dc.identifier.pmid27830158
dc.identifier.doi10.1155/2016/8030627
dc.identifier.urihttp://hdl.handle.net/10547/622563
dc.description.abstractThe 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.
dc.language.isoenen
dc.publisherHindawi Publishing Corporationen
dc.relation.urlhttps://www.hindawi.com/journals/jdr/2016/8030627/en
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5086503/
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectdiabetes mellitusen
dc.subjectageingen
dc.subjectBritish South Asianen
dc.subjectblack and ethnic minoritiesen
dc.subjectdiabetesen
dc.titleMeeting the challenge of diabetes in ageing and diverse populations: a review of the literature from the UKen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentFoundation for Diabetes Research in Older Peopleen
dc.identifier.journalJournal of Diabetes Researchen
dc.identifier.pmcidPMC5086503
dc.date.updated2018-03-27T09:20:52Z
dc.description.noteopen access
html.description.abstractThe 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.


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