TY - JOUR
T1 - Interventions to address global inequity in diabetes
T2 - international progress
AU - Walker, Ashby F.
AU - Graham, Sian
AU - Maple-Brown, Louise
AU - Egede, Leonard E.
AU - Campbell, Jennifer A.
AU - Walker, Rebekah J.
AU - Wade, Alisha N.
AU - Mbanya, Jean Claude
AU - Long, Judith A.
AU - Yajnik, Chittaranjan
AU - Thomas, Nihal
AU - Ebekozien, Osagie
AU - Odugbesan, Oriyomi
AU - DiMeglio, Linda A.
AU - Agarwal, Shivani
N1 - Publisher Copyright:
© 2023 Elsevier Ltd
PY - 2023/7/15
Y1 - 2023/7/15
N2 - Diabetes is a serious chronic disease with high associated burden and disproportionate costs to communities based on socioeconomic, gender, racial, and ethnic status. Addressing the complex challenges of global inequity in diabetes will require intentional efforts to focus on broader social contexts and systems that supersede individual-level interventions. We codify and highlight best practice approaches to achieve equity in diabetes care and outcomes on a global scale. We outline action plans to target diabetes equity on the basis of the recommendations established by The Lancet Commission on Diabetes, organising interventions by their effect on changing the ecosystem, building capacity, or improving the clinical practice environment. We present international examples of how to address diabetes inequity in the real world to show that approaches addressing the individual within a larger social context, in addition to addressing structural inequity, hold the greatest promise for creating sustainable and equitable change that curbs the global diabetes crisis.
AB - Diabetes is a serious chronic disease with high associated burden and disproportionate costs to communities based on socioeconomic, gender, racial, and ethnic status. Addressing the complex challenges of global inequity in diabetes will require intentional efforts to focus on broader social contexts and systems that supersede individual-level interventions. We codify and highlight best practice approaches to achieve equity in diabetes care and outcomes on a global scale. We outline action plans to target diabetes equity on the basis of the recommendations established by The Lancet Commission on Diabetes, organising interventions by their effect on changing the ecosystem, building capacity, or improving the clinical practice environment. We present international examples of how to address diabetes inequity in the real world to show that approaches addressing the individual within a larger social context, in addition to addressing structural inequity, hold the greatest promise for creating sustainable and equitable change that curbs the global diabetes crisis.
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U2 - 10.1016/S0140-6736(23)00914-5
DO - 10.1016/S0140-6736(23)00914-5
M3 - Review article
C2 - 37356448
AN - SCOPUS:85163480569
SN - 0140-6736
VL - 402
SP - 250
EP - 264
JO - The Lancet
JF - The Lancet
IS - 10397
ER -