Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities

Monica Diaz, Morgan E. Braxton, Eyitayo O. Owolabi, Timian M. Godfrey, Mantej Singh, Aliria M. Rascón, Gabriel Q. Shaibi

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: Type 2 diabetes (T2D) disproportionately impacts minority populations. The National Institute on Minority Health and Health Disparities (NIMHD) developed a research framework to encourage health disparities research that considers a multi-level, multi-domain perspective. The purpose of this review was to describe evidence on the levels and domains that influence T2D disparities among minority populations and use this information to adapt the NIMHD Research Framework for T2D. Recent Findings: Screening identified 108 articles published between 2017 and 2023 covering 74,354,597 participants. Articles were classified under the following domains, Biological (18), Behavioral (22), Physical/Built Environment (19), Sociocultural Environment (42), and Health Care System (31). Article levels of influence included Individual (73), Interpersonal (18), Community (36), and Societal (10). Findings were used to adapt the NIMHD Research Framework with an eye towards advancing T2D-related health equity. Summary: The results of this review confirm the complex nature of T2D-related disparities and support the notion that drivers operate within and between multiple levels and multiple domains to influence T2D-related outcomes across the lifespan.

Original languageEnglish (US)
Article number24
JournalCurrent diabetes reports
Volume25
Issue number1
DOIs
StatePublished - Dec 2025
Externally publishedYes

Keywords

  • Health disparity
  • Health equity
  • Minority and vulnerable populations
  • Minority health
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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