Endocrinology and Metabolism Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Peer Support to Enhance Type 2 Diabetes Prevention Among African American and Latino Adults
Social support occurs within complex social networks that are diffusely embedded within the social determinants of health. Social networks operate through five primary interconnected pathways: (1) provision of social support; (2) social influence; (3) social engagement; (4) social capital; and (5) social cohesion. Research has demonstrated that increased social support can have a beneficial impact on Type 2 Diabetes (T2DM) prevention and outcomes through culturally tailored Diabetes Prevention Programs in minority communities. Further research is needed to fully measure the impact of social network peer support on T2DM out...
Source: Endocrinology and Metabolism Clinics of North America - June 23, 2023 Category: Endocrinology Authors: Irving Ling, Ruth Enid Zambrana, Sandra Echeverria, Lenny L ópez Source Type: research

Recognizing and Addressing Health Inequities in Endocrinology and Diabetes
In 2020, the American Diabetes Association published a scientific review on Social Determinants of Health (SDOH) and Diabetes,1 identifying that despite improved treatments, disparities in diabetes care and outcomes persist in minoritized populations. A shift to addressing population health by addressing SDOH has been accelerated by the COVID-19 pandemic. This theme issue of Endocrinology and Metabolism Clinics of North America is focused on health equity in endocrinology. In addition to diabetes and obesity, a wider lens to equity in bone disease, reproductive endocrinology, transgender care, endocrine surgery access, and...
Source: Endocrinology and Metabolism Clinics of North America - June 23, 2023 Category: Endocrinology Authors: Sherita Hill Golden, Rana Malek Tags: Preface Source Type: research

Advancing Equity in Diabetes Prevention, Treatment, and Outcomes
Diabetes inequities exist from diabetes prevention to outcomes and are rooted in the social drivers (determinants) of health. Historical policies such as “redlining” have adversely affected diabetes prevalence, control, and outcomes for decades. Advancing diabetes equity requires multimodal approaches, addressing both individual-level diabetes education, self-management, and treatment along with addressing social needs, and working to improve ups tream drivers of health. All individuals affected by diabetes must advocate for policies to advance diabetes equity at the organizational, local, state, and federal levels. Ce...
Source: Endocrinology and Metabolism Clinics of North America - June 22, 2023 Category: Endocrinology Authors: Joshua J. Joseph Source Type: research

Diabetes Care in Humanitarian Settings
Despite the increasing prevalence of diabetes in populations experiencing humanitarian crisis, along with evidence that people living with diabetes are at higher risk for poor outcomes in a crisis, diabetes care is not routinely included in humanitarian health interventions. We here describe 4 factors that have contributed to the inequities and lack of diabetes inclusion in humanitarian programmes: (1) evolving paradigms in humanitarian health care, (2) complexities of diabetes service provision in humanitarian settings, (3) social and cultural challenges, and (4) lack of financing. We also outline opportunities and possib...
Source: Endocrinology and Metabolism Clinics of North America - June 18, 2023 Category: Endocrinology Authors: Sylvia Kehlenbrink, Kiran Jobanputra, Amulya Reddy, Philippa Boulle, Apoorva Gomber, Rachel Nugent, Vinod Varma, Anna T. Nakayama, Tom Ellman Source Type: research

Interventions Across the Translational Research Spectrum
Racial and ethnic minoritized youth with type 1 diabetes (T1D) are at elevated risk for health disparities. Few intervention studies have been conducted for these youth and evidence to support best practices to address their needs is lacking. Existing evidence supports the use of brief trials of diabetes technology with structured support from clinic staff, culturally tailored interventions such as language-congruent clinical care, and use of community health workers as promising directions to improve health outcomes. Clinicians and researchers should work collaboratively with community members to improve the quality of T1...
Source: Endocrinology and Metabolism Clinics of North America - June 15, 2023 Category: Endocrinology Authors: Deborah A. Ellis, Sylvie Naar Source Type: research

Global Health Disparities in Childhood Rickets
Nutritional rickets is a global health problem reflecting both historical and contemporary health disparities arising from racial, ethnic, environmental, and geopolitical circumstances. It primarily affects marginalized populations and can contribute to long-term morbidity. Deficits in bone health in childhood may also contribute to osteomalacia/osteoporosis. Solutions require a global public health approach. (Source: Endocrinology and Metabolism Clinics of North America)
Source: Endocrinology and Metabolism Clinics of North America - June 13, 2023 Category: Endocrinology Authors: Alicia Diaz-Thomas, Pallavi Iyer Source Type: research

Racial and Ethnic Disparities in Access to and Outcomes of Infertility Treatment and Assisted Reproductive Technology in the United States
Infertility disproportionately affects the minority, non-White populace, with Black women having twofold higher odds than White women. Despite higher infertility rates, minority racial and ethnic groups access and utilize fertility care less frequently. Even once care is accessed, racial and ethnic disparities exist in infertility treatment and ART outcomes. Preliminary studies indicate that Asian and American Indian women have lower intrauterine insemination pregnancy rates. Many robust studies indicate significant racial and ethnic disparities in rates of clinical pregnancy, live birth, pregnancy loss, and obstetrical co...
Source: Endocrinology and Metabolism Clinics of North America - June 11, 2023 Category: Endocrinology Authors: Gabriela Beroukhim, David B. Seifer Source Type: research

Hormonal Injustice
The toll of multiple endocrine disorders has increased substantially in recent decades, and marginalized populations bear a disproportionate burden of disease. Because of the significant individual and societal impact of these conditions, it is essential to identify and address all modifiable risk factors contributing to these disparities. Abundant evidence now links endocrine dysfunction with exposure to endocrine-disrupting chemicals (EDCs), with greater exposures to multiple EDCs occurring among vulnerable groups, such as racial/ethnic minorities, those with low incomes, and others with high endocrine disease burdens. I...
Source: Endocrinology and Metabolism Clinics of North America - June 11, 2023 Category: Endocrinology Authors: Margaret C. Weiss, Luyu Wang, Robert M. Sargis Source Type: research

Equity in Obesity Review
Obesity disproportionately affects racial and ethnic minoritized populations and those of lower socioeconomic status. Similarly, disparities exist in the development of its downstream consequences, such as type 2 diabetes and hypertension. The causes of these disparities are multifactorial and are influenced by structural factors such as segregation and healthcare access, and individual-level factors such as weight stigma. Interventions to decrease disparities in obesity should consider macro-level, community, and individual-level factors that might reduce disparities and improve equity in obesity care. Clinicians must als...
Source: Endocrinology and Metabolism Clinics of North America - June 9, 2023 Category: Endocrinology Authors: Karla N. Kendrick, Kevin J. Bode Padron, Nichola Z. Bomani, Jashalynn C. German, Dennis D. Nyanyo, Brenda Varriano, Lucy Tu, Fatima Cody Stanford Source Type: research

Challenges of Gender-Affirming Care in Incarcerated Transgender People
Social and health disparities among transgender people may result in increased rates of incarceration, particularly among Black transgender women. The World Professional Association for Transgender Health states that all recommendations for gender-affirming care made in the Standards of Care-8 be applied equally to people living in institutions. Understanding the structural challenges to gender-affirming care in the corrections environment will allow the endocrinologist to navigate the complex correctional health care system. The barriers to gender-affirming care and surgery will be highlighted in this article. (Source: En...
Source: Endocrinology and Metabolism Clinics of North America - June 7, 2023 Category: Endocrinology Authors: Rana Malek, Mauro Sarmiento, Elizabeth Lamos Source Type: research

Sociodemographic Factors in Pituitary Adenomas
Pituitary adenomas have been increasingly detected in recent years, especially in the older population. Black patients have a higher incidence than other racial groups. In patients with functioning tumors, presentation and comorbidities are influenced by age and sex, whereas the impact of ethnoracial background is unclear. Active surveillance recommendation and surgery refusal disproportionally affect Black and older patients. The likelihood of surgery at high-volume centers is lower for patients of Black or Hispanic background, uninsured or with lower socioeconomic status. Multicentric studies are necessary to delineate t...
Source: Endocrinology and Metabolism Clinics of North America - June 7, 2023 Category: Endocrinology Authors: Adriana G. Ioachimescu Source Type: research

Disparities in Access to High-Volume Surgeons and Specialized Care
The significant volume –outcome relationship has triggered interest in improving quality of care by directing patients to high-volume centers and surgeons. However, significant disparities exist for different racial/ethnic, geographic, and socioeconomic groups for thyroid, parathyroid, adrenal, and pancreatic neuroendoc rine surgical diseases disease. (Source: Endocrinology and Metabolism Clinics of North America)
Source: Endocrinology and Metabolism Clinics of North America - June 4, 2023 Category: Endocrinology Authors: Terry P. Gao, Rebecca L. Green, Lindsay E. Kuo Source Type: research

Pregnancy and Metabolic-Associated Fatty Liver Disease
This article provides an overview of the evidence for this dangerous liaison. (Source: Endocrinology and Metabolism Clinics of North America)
Source: Endocrinology and Metabolism Clinics of North America - March 22, 2023 Category: Endocrinology Authors: Claudia Mandato, Nadia Panera, Anna Alisi Source Type: research

Metabolic-Associated Fatty Liver Disease and Diabetes
Metabolic-associated fatty liver disease (MAFLD) is the hepatic manifestation of metabolic syndrome and affects about 55% of people living with diabetes. MAFLD has been shown to be an individual risk factor for cardiovascular disease and its associated mortality. Although common, MAFLD is often underdiagnosed and not given adequate attention during clinical visits. This review highlights the most recent literature available on the evaluation and management of MAFLD in the presence of diabetes. The more recently available antidiabetic agents including glucagon-like peptide-1 analogs and sodium –glucose cotransporter-2 inh...
Source: Endocrinology and Metabolism Clinics of North America - March 22, 2023 Category: Endocrinology Authors: Nitin Kapoor, Sanjay Kalra Source Type: research

Metabolic-Associated Fatty Liver Disease: A Disastrous Human Health Challenge
This article emphasizes the importance of early identification of sarcopenia in patients with MAFLD and vice versa. Obstructive sleep apnea and MAFLD are often underdiagnosed and inadequately managed. Preshy and Brown in their review highlight the association between these common disorders to enhance the global awareness with updated evaluation and management strategies in their review. Mandato and colleagues review current literature on pregnancy and MAFLD and update the best clinical approach in their article. The interlink between polycystic ovary syndrome and MAFLD, their coexistence, diagnosis, and current management ...
Source: Endocrinology and Metabolism Clinics of North America - March 22, 2023 Category: Endocrinology Authors: Sherouk Fouda, Joseph M. Pappachan Tags: Preface Source Type: research