Diabetes management outcomes among Black-Africans compared to the Whites and South Asians in Western Countries: A mixed-methods review.
Authors: Alloh, F., Hemingway, A., Turner-Wilson, A. and Folashade, A.
Journal: Journal of Global health Report
Abstract:Background: In this study, we aim to explore the differences in the management of diabetes outcomes and prevalence among black Africans, Whites and South Asians living in Western countries from published evidence. This review incorporates findings on the differences in diabetes management outcome among black African compared to whites and South Asians.
Methods: A systematic search of major electronic databases with peer review publications was conducted. PubMed, CIHNAL, Medline, Web of Science, Scopus, and science direct databases were searched from 2007-2018. Relevant journal and citations from references were selected search and findings analysed to understand differences in diabetes outcomes among these population. Results: Fifteen articles met the inclusion criteria out of the sixty-six retrieved articles and were included in the review. Majority of the articles were cross-sectional quantitative (n=10) and qualitative studies (n=5). Diabetes prevalence and outcomes measures such as HbA1c, blood pressure, cholesterol and body mass index were reported to be higher among black Africans than Whites. The data showed disparity in diabetes management among black Africans as compared to Whites and South Asians. Conclusions: Poorer health outcomes reported among black African as compared to Whites and South Asians as noted in the outcome measures shows poor management. There is a need to have a consistent target measures in studies as the different measures used made it difficult to further synthesise the findings from the review. Further research is needed to understand why there is such disparity in the health outcome of black African living with diabetes in Western countries.
Source: Manual