Abstract
Type 2 diabetes is associated with increased morbidity and mortality in Hispanics but few studies have been done to differentiate diabetes effects in Hispanic subgroups, such as Cuban Americans. The purpose of this review was to characterize the studies conducted on Cuban Americans with type 2 diabetes with the aim of updating knowledge related to physiologic factors, psychologic factors, and diabetes selfmanagement. An extensive literature search located 18 studies that met the inclusion criteria for this review. Previous studies provided consistent evidence demonstrating the influence of lifestyle, metabolic, and psychosocial risk factors that lead to poorer outcomes for CAs. No intervention studies were found examining the effect of treatment and education on diabetes control. Future research is needed to determine how these factors associated with diabetes can be used in lowering risks and improving health outcomes for Cuban Americans.
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References
Firmat GP. Life on the Hyphen: The Cuban-American Way. 2nd ed. Austin, TX: University of Texas Press; 2012.
Eckstein SE. The Immigrant Divide: How Cuban Americans Changed the U.S. and Their Homeland. New York: Routledge; 2009.
de Figueiredo JM. Explaining the ‘immigration advantage’ and the ‘biculturalism paradox’: an application of the theory of demoralization. Int J Soc Psychiatry. 2014;60(2):175–7.
National Diabetes Statistics Report. Estimates of diabetes and its burden in the United States. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation; 2014. https://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf.
International Diabetes Federation. IDF Diabetes Atlas. 7th ed. 2015. http://www.diabetesatlas.org/resources/2015-atlas.html. Accessed 1 Aug 2016.
Exebio JC, Zarini GG, Exebio C, Huffman FG. Healthy Eating Index scores associated with symptoms of depression in Cuban-Americans with and without type 2 diabetes: a cross sectional study. Nutr J. 2011;10:135.
Morgan BS, Buscemi CP, Fajardo VP. Assessing instruments in a Cuban American population with type 2 diabetes mellitus. J Transcult Nurs. 2004;15(2):139–46.
Debnath S, Gomez GP, Zarini GG, Vaccaro JA, Al-Hajeri M, Huffman FG. Do dietary factors contribute to medical cost for Cuban Americans with and without type 2 diabetes? J Health Care Finance. 2012;38(4):61–75.
Gallo LC, Fortmann AL, McCurley JL, et al. Associations of structural and functional social support with diabetes prevalence in U.S. Hispanics/Latinos: results from the HCHS/SOL Sociocultural Ancillary Study. J Behav Med. 2015;38(1):160–70.
Schneiderman N, Llabre M, Cowie CC, et al. Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes Care. 2014;37(8):2233–9.
Huffman FG, Vaccaro JA, Gundupalli D, Zarini GG, Dixon Z. Acculturation and diabetes self-management of Cuban Americans: is age a protective factor? Ageing Int. 2012;37(2):195–209.
Huffman FG, Vaccaro JA, Nath S, Zarini GG. Diabetes self-management: are Cuban Americans receiving quality health care? J Health Hum Serv Adm. 2009;32(3):278–304.
Huffman FG, Zarini GG, Cooper V. Dietary glycemic index and load in relation to cardiovascular disease risk factors in Cuban American population. Int J Food Sci Nutr. 2010;61(7):690–701.
Huffman FG, Vaccaro JA, Exebio JC, Zarini G, Katz T, Dixon Z. Television watching, diet quality, and physical activity and diabetes among three ethnicities in the United States. J Environ Public Health. 2012;2012:191465.
Shah ZC, Huffman FG. Depression among Hispanic women with type 2 diabetes. Ethn Dis. 2005;15(4):685–90.
Huffman FG, Zarini GG, McNamara E, Nagarajan A. The healthy eating index and the alternate healthy eating index as predictors of 10-year CHD risk in Cuban Americans with and without type 2 diabetes. Public Health Nutr. 2011;14(11):2006–14.
Huffman FG, Knight-Sepulveda K, McLean M, Vaccaro JA, Zarini GG. Serum adiponectin and ghrelin, metabolic syndrome and diabetes status in Cuban Americans. Int J Health Res. 2010;3(2):93–103.
Huffman F, Vaccaro J, Zarini G, Nath S. Coronary heart disease risk in Cuban Americans with and without type 2 diabetes. Internet J. Health. 2009;12(1).
Huffman FG, Whisner S, Zarini GG, Nath S. Waist circumference and BMI in relation to serum high sensitivity C-reactive protein (hs-CRP) in Cuban Americans with and without type 2 diabetes. Int J Environ Res Public Health. 2010;7(3):842–52.
Huffman FG, Exebio JC, Zarini GG, Exebio C. Use of HbA1c in screening for Cuban-Americans with undiagnosed type 2 diabetes. J Immigr Minor Health. 2011;13(3):541–5.
Huffman FG, Vaccaro JA, Nusrath NS, Zarini GG. The effect of carbohydrate amount, quality and type on arterial pulse pressure in Cuban-Americans with and without type 2 diabetes. J Nutr Food Sci. 2011;1(3):106.
Vaccaro JA, Exebio JC, Zarini GG, Huffman FG. The role of family/friend social support in diabetes self-management for minorities with type 2 diabetes. World J Nutr Health. 2014;2(1):1–9.
Chang A, Kenya S, Ilangovan K, Li H, Koru-Sengul T, Alonzo Y, Carrasquillo O. Is greater acculturation associated with increased prevalence of cardiovascular risk factors among Latinos in South Florida? Med Care. 2015;53(5):417–22.
American Diabetes Association. Standards of medical care in diabetes—2015. Diabetes Care. 2015;38 (Suppl 1):S1–S93.
Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care. 2002;25(2):259–68.
Brown SA, Blozis SA, Kouzekanani K, Garcia AA, Winchell M, Hanis CL. Dosage effects of diabetes self-management education for Mexican Americans: the Starr County border health initiative. Diabetes Care. 2005;28(3):527–32.
Smith JC, Medalia C. Health insurance coverage in the United States: 2014. Washington, DC: U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau; 2015. https://www.census.gov/content/dam/Census/library/publications/2015/demo/p60-253.pdf.
Burroughs Peña MS, Patel D, Rodriguez Leyva D, Khan BV, Sperling L. Lifestyle risk factors and cardiovascular disease in Cubans and Cuban Americans. Cardiol Res Pract. 2012;2012:470705.
Shen BJ, Goldberg RB, Llabre MM, Schneiderman N. Is the factor structure of the metabolic syndrome comparable between men and women and across three ethnic groups: the Miami Community Health Study. Ann Epidemiol. 2006;16(2):131–7.
Lopez G, Patten E. Hispanics of Cuban origin in the United States, 2013. Pew Research Center; 2015.
Espiritu YL. Race, panethnic formation US. In: Bayor RH, editor. The Oxford Handbook of Immigration and Ethnicity. New York: Oxford University Press. 2015.
Funding
Financial support for this research was provided by Sigma Theta Tau International, Epsilon Theta Chapter. Editorial support with manuscript development was provided by the Cain Center for Nursing Research and the Center for Transdisciplinary Collaborative Research in Self-management Science (P30, NR015335) at The University of Texas at Austin School of Nursing.
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Heather Cuevas declares no potential conflicts of interest with respect to the research, authorship, or publication of this article. Sharon Brown declares no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Cuevas, H.E., Brown, S.A. Cuban Americans (CAs) and Type 2 Diabetes: An Integrative Review of the Literature. J Immigrant Minority Health 19, 1245–1252 (2017). https://doi.org/10.1007/s10903-016-0488-x
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DOI: https://doi.org/10.1007/s10903-016-0488-x