Ethnic Minority

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Charles Agyemang - One of the best experts on this subject based on the ideXlab platform.

  • Type 2 Diabetes in Ethnic Minority Groups in Europe
    Updates in Hypertension and Cardiovascular Protection, 2018
    Co-Authors: Karlijn Meeks, Charles Agyemang
    Abstract:

    Type 2 diabetes (T2D) is well established as an important risk factor for cardiovascular disease. The global burden of T2D is increasing rapidly, in particular, in low- and middle-income countries. Ethnic Minority groups in Europe are up to four times more likely to be affected by T2D compared to Europeans and are also disproportionally affected compared to their compatriots in their countries of origin. The reasons for this disproportionate burden are unclear but are believed to be an interplay between genetic and environmental factors. The underlying pathophysiology of T2D seems to differ between Ethnic groups, with most Ethnic Minority groups having higher insulin resistance compared to Europeans even in a normoglycaemic state. Furthermore, while obesity is an important determinant of T2D across Ethnic groups, higher levels of obesity in Ethnic Minority groups only explain part of their higher T2D burden. Health-related behaviours such as diet and physical activity can contribute to T2D among Ethnic Minority groups either mediated via obesity or directly. Few genetic factors have been identified that may predispose Ethnic Minority groups to T2D, but more diversity in genetics research is needed to get a better picture of genetic predispositions for T2D among Ethnic Minority groups. In the meantime, adaptation of population-based lifestyle interventions to Ethnic Minority groups, and evaluation of these interventions, is crucial to curb the rise of T2D among Ethnic Minority groups. Early detection is essential for prevention of micro- and macrovascular complications contributing to cardiovascular disease.

  • disparities in type 2 diabetes prevalence among Ethnic Minority groups resident in europe a systematic review and meta analysis
    Internal and Emergency Medicine, 2016
    Co-Authors: Karlijn Meeks, Deivisson Freitasdasilva, Adebowale Adeyemo, Erik Beune, Pietro Amedeo Modesti, Karien Stronks, Mohammad H Zafarmand, Charles Agyemang
    Abstract:

    Many Ethnic minorities in Europe have a higher type 2 diabetes (T2D) prevalence than their host European populations. The risk size differs between Ethnic groups, but the extent of the differences in the various Ethnic Minority groups has not yet been systematically quantified. We conducted a meta-analysis of published data on T2D in various Ethnic Minority populations resident in Europe compared to their host European populations. We systematically searched MEDLINE (using PUBMED) and EMBASE for papers on T2D prevalence in Ethnic minorities in Europe published between 1994 and 2014. The Ethnic Minority groups were classified into five population groups by geographical origin: South Asian (SA), Sub-Saharan African (SSA), Middle Eastern and North African (MENA), South and Central American (SCA), and Western Pacific (WP). Pooled odds ratios with corresponding 95 % confidence interval (CI) were calculated using Review Manager 5.3. Twenty articles were included in the analysis. Compared with the host populations, SA origin populations had the highest odds for T2D (3.7, 95 % CI 2.7-5.1), followed by MENA (2.7, 95 % CI 1.8-3.9), SSA (2.6, 95 % CI 2.0-3.5), WP (2.3, 95 % CI 1.2-4.1), and lastly SCA (1.3, 95 % CI 1.1-1.6). Odds ratios were in all Ethnic Minority populations higher for women than for men except for SCA. Among SA subgroups, compared with Europeans, Bangladeshi had the highest odds ratio of 6.2 (95 % CI 3.9-9.8), followed by Pakistani (5.4, 95 % CI 3.2-9.3) and Indians (4.1, 95 % CI 3.0-5.7). The risk of T2D among Ethnic Minority groups living in Europe compared to Europeans varies by geographical origin of the group: three to five times higher among SA, two to four times higher among MENA, and two to three times higher among SSA origin. Future research and policy initiatives on T2D among Ethnic Minority groups should take the interEthnic differences into account.

Karlijn Meeks - One of the best experts on this subject based on the ideXlab platform.

  • Type 2 Diabetes in Ethnic Minority Groups in Europe
    Updates in Hypertension and Cardiovascular Protection, 2018
    Co-Authors: Karlijn Meeks, Charles Agyemang
    Abstract:

    Type 2 diabetes (T2D) is well established as an important risk factor for cardiovascular disease. The global burden of T2D is increasing rapidly, in particular, in low- and middle-income countries. Ethnic Minority groups in Europe are up to four times more likely to be affected by T2D compared to Europeans and are also disproportionally affected compared to their compatriots in their countries of origin. The reasons for this disproportionate burden are unclear but are believed to be an interplay between genetic and environmental factors. The underlying pathophysiology of T2D seems to differ between Ethnic groups, with most Ethnic Minority groups having higher insulin resistance compared to Europeans even in a normoglycaemic state. Furthermore, while obesity is an important determinant of T2D across Ethnic groups, higher levels of obesity in Ethnic Minority groups only explain part of their higher T2D burden. Health-related behaviours such as diet and physical activity can contribute to T2D among Ethnic Minority groups either mediated via obesity or directly. Few genetic factors have been identified that may predispose Ethnic Minority groups to T2D, but more diversity in genetics research is needed to get a better picture of genetic predispositions for T2D among Ethnic Minority groups. In the meantime, adaptation of population-based lifestyle interventions to Ethnic Minority groups, and evaluation of these interventions, is crucial to curb the rise of T2D among Ethnic Minority groups. Early detection is essential for prevention of micro- and macrovascular complications contributing to cardiovascular disease.

  • disparities in type 2 diabetes prevalence among Ethnic Minority groups resident in europe a systematic review and meta analysis
    Internal and Emergency Medicine, 2016
    Co-Authors: Karlijn Meeks, Deivisson Freitasdasilva, Adebowale Adeyemo, Erik Beune, Pietro Amedeo Modesti, Karien Stronks, Mohammad H Zafarmand, Charles Agyemang
    Abstract:

    Many Ethnic minorities in Europe have a higher type 2 diabetes (T2D) prevalence than their host European populations. The risk size differs between Ethnic groups, but the extent of the differences in the various Ethnic Minority groups has not yet been systematically quantified. We conducted a meta-analysis of published data on T2D in various Ethnic Minority populations resident in Europe compared to their host European populations. We systematically searched MEDLINE (using PUBMED) and EMBASE for papers on T2D prevalence in Ethnic minorities in Europe published between 1994 and 2014. The Ethnic Minority groups were classified into five population groups by geographical origin: South Asian (SA), Sub-Saharan African (SSA), Middle Eastern and North African (MENA), South and Central American (SCA), and Western Pacific (WP). Pooled odds ratios with corresponding 95 % confidence interval (CI) were calculated using Review Manager 5.3. Twenty articles were included in the analysis. Compared with the host populations, SA origin populations had the highest odds for T2D (3.7, 95 % CI 2.7-5.1), followed by MENA (2.7, 95 % CI 1.8-3.9), SSA (2.6, 95 % CI 2.0-3.5), WP (2.3, 95 % CI 1.2-4.1), and lastly SCA (1.3, 95 % CI 1.1-1.6). Odds ratios were in all Ethnic Minority populations higher for women than for men except for SCA. Among SA subgroups, compared with Europeans, Bangladeshi had the highest odds ratio of 6.2 (95 % CI 3.9-9.8), followed by Pakistani (5.4, 95 % CI 3.2-9.3) and Indians (4.1, 95 % CI 3.0-5.7). The risk of T2D among Ethnic Minority groups living in Europe compared to Europeans varies by geographical origin of the group: three to five times higher among SA, two to four times higher among MENA, and two to three times higher among SSA origin. Future research and policy initiatives on T2D among Ethnic Minority groups should take the interEthnic differences into account.

Antonio J Polo - One of the best experts on this subject based on the ideXlab platform.

  • evidence based psychosocial treatments for Ethnic Minority youth
    Journal of Clinical Child and Adolescent Psychology, 2008
    Co-Authors: Stanley J Huey, Antonio J Polo
    Abstract:

    This article reviews research on evidence-based treatments (EBTs) for Ethnic Minority youth using criteria from Chambless et al. (1998), Chambless et al. (1996), and Chambless and Hollon (1998). Although no well-established treatments were identified, probably efficacious or possibly efficacious treatments were found for Ethnic Minority youth with anxiety-related problems, attention-deficit/hyperactivity disorder, depression, conduct problems, substance use problems, trauma-related syndromes, and other clinical problems. In addition, all studies met either Nathan and Gorman's (2002) Type 1 or Type 2 methodological criteria. A brief meta-analysis showed overall treatment effects of medium magnitude (d = .44). Effects were larger when EBTs were compared to no treatment (d = .58) or psychological placebos (d = .51) versus treatment as usual (d = .22). Youth Ethnicity (African American, Latino, mixed/other Minority), problem type, clinical severity, diagnostic status, and culture-responsive treatment status d...

Stanley J Huey - One of the best experts on this subject based on the ideXlab platform.

  • evidence based psychosocial treatments for Ethnic Minority youth
    Journal of Clinical Child and Adolescent Psychology, 2008
    Co-Authors: Stanley J Huey, Antonio J Polo
    Abstract:

    This article reviews research on evidence-based treatments (EBTs) for Ethnic Minority youth using criteria from Chambless et al. (1998), Chambless et al. (1996), and Chambless and Hollon (1998). Although no well-established treatments were identified, probably efficacious or possibly efficacious treatments were found for Ethnic Minority youth with anxiety-related problems, attention-deficit/hyperactivity disorder, depression, conduct problems, substance use problems, trauma-related syndromes, and other clinical problems. In addition, all studies met either Nathan and Gorman's (2002) Type 1 or Type 2 methodological criteria. A brief meta-analysis showed overall treatment effects of medium magnitude (d = .44). Effects were larger when EBTs were compared to no treatment (d = .58) or psychological placebos (d = .51) versus treatment as usual (d = .22). Youth Ethnicity (African American, Latino, mixed/other Minority), problem type, clinical severity, diagnostic status, and culture-responsive treatment status d...

Frieda Saeys - One of the best experts on this subject based on the ideXlab platform.

  • digital citizenship among Ethnic Minority youths in the netherlands and flanders
    New Media & Society, 2007
    Co-Authors: Leen Dhaenens, Joyce Koeman, Frieda Saeys
    Abstract:

    This article deals with ICT availability among Ethnic Minority groups in the Netherlands and Flanders. The rapid spread of ICT applications has affected various aspects of digital citizenship. The study results suggest that the world of Ethnic Minority youths in the Netherlands and Flanders, as with other western countries, is being digitized gradually. This is an irreversible evolution with tangible effects in new trends in communication and consumption. Ethnic Minority youths orient themselves to the country where they live (bridging between cultures) as well as to their parents' country of origin (bonding of social capital). This article examines whether differences in information and communication technology access and use can be explained by culture-specific characteristics such as ethnocultural position, religion and language proficiency, apart from the usual sociodemographic characteristics (age, sex and socio-economic status). Examining the online activities of Ethnic Minority