Cargando…

Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities

PURPOSE OF REVIEW: The purpose of this review is to explore using theoretical frameworks of structural violence and syndemics to understand Latinx health disparities with a focus on type 2 diabetes (T2D). We propose that combining these frameworks is a valuable approach for revealing complex root-ca...

Descripción completa

Detalles Bibliográficos
Autores principales: Page-Reeves, Janet, Regino, Lidia, Schleder, Terry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874099/
https://www.ncbi.nlm.nih.gov/pubmed/35212889
http://dx.doi.org/10.1007/s11892-022-01450-7
_version_ 1784657607680589824
author Page-Reeves, Janet
Regino, Lidia
Schleder, Terry
author_facet Page-Reeves, Janet
Regino, Lidia
Schleder, Terry
author_sort Page-Reeves, Janet
collection PubMed
description PURPOSE OF REVIEW: The purpose of this review is to explore using theoretical frameworks of structural violence and syndemics to understand Latinx health disparities with a focus on type 2 diabetes (T2D). We propose that combining these frameworks is a valuable approach for revealing complex root-cause dynamics and explaining the nuances of how and why health disparities exist. We discuss the importance of the relationship between T2D, fear, and stigma. RECENT FINDINGS: Immigration policy creates structural conditions that invite unauthorized immigration while simultaneously excluding undocumented immigrants from access to healthcare resources. Structural exclusion then breeds fear of immigration status disclosure and deportation and, in the highly politicized immigration context that has emerged over the past two decades, also assigns social sigma to immigration status. Undocumented immigrants lack access to healthcare and health insurance; they cannot afford state-of-the-art drugs, they tend to be socially isolated and lack social capital to navigate systems; they are financially limited by poverty and lack of resources, emotionally taxed by the experience of discrimination, humiliation, and language-related challenges; and they have a toxic immigration stress load in the form of multidimensional fear. Potential areas for policy change are identified. SUMMARY: Type 2 diabetes (T2D) follows racial, ethnic, and class fault lines that reflect unequal social and structural dynamics. Latinx immigrants are at disproportionate risk and explaining immigrant T2D social geography requires a holistic lens.
format Online
Article
Text
id pubmed-8874099
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-88740992022-02-25 Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities Page-Reeves, Janet Regino, Lidia Schleder, Terry Curr Diab Rep Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors) PURPOSE OF REVIEW: The purpose of this review is to explore using theoretical frameworks of structural violence and syndemics to understand Latinx health disparities with a focus on type 2 diabetes (T2D). We propose that combining these frameworks is a valuable approach for revealing complex root-cause dynamics and explaining the nuances of how and why health disparities exist. We discuss the importance of the relationship between T2D, fear, and stigma. RECENT FINDINGS: Immigration policy creates structural conditions that invite unauthorized immigration while simultaneously excluding undocumented immigrants from access to healthcare resources. Structural exclusion then breeds fear of immigration status disclosure and deportation and, in the highly politicized immigration context that has emerged over the past two decades, also assigns social sigma to immigration status. Undocumented immigrants lack access to healthcare and health insurance; they cannot afford state-of-the-art drugs, they tend to be socially isolated and lack social capital to navigate systems; they are financially limited by poverty and lack of resources, emotionally taxed by the experience of discrimination, humiliation, and language-related challenges; and they have a toxic immigration stress load in the form of multidimensional fear. Potential areas for policy change are identified. SUMMARY: Type 2 diabetes (T2D) follows racial, ethnic, and class fault lines that reflect unequal social and structural dynamics. Latinx immigrants are at disproportionate risk and explaining immigrant T2D social geography requires a holistic lens. Springer US 2022-02-25 2022 /pmc/articles/PMC8874099/ /pubmed/35212889 http://dx.doi.org/10.1007/s11892-022-01450-7 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)
Page-Reeves, Janet
Regino, Lidia
Schleder, Terry
Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title_full Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title_fullStr Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title_full_unstemmed Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title_short Policy Implications of Structural Violence and Syndemic Dynamics: A Lens for Addressing Latinx Immigrant Diabetes Health Disparities
title_sort policy implications of structural violence and syndemic dynamics: a lens for addressing latinx immigrant diabetes health disparities
topic Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874099/
https://www.ncbi.nlm.nih.gov/pubmed/35212889
http://dx.doi.org/10.1007/s11892-022-01450-7
work_keys_str_mv AT pagereevesjanet policyimplicationsofstructuralviolenceandsyndemicdynamicsalensforaddressinglatinximmigrantdiabeteshealthdisparities
AT reginolidia policyimplicationsofstructuralviolenceandsyndemicdynamicsalensforaddressinglatinximmigrantdiabeteshealthdisparities
AT schlederterry policyimplicationsofstructuralviolenceandsyndemicdynamicsalensforaddressinglatinximmigrantdiabeteshealthdisparities