Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review

Curr Diab Rep. 2021 Nov 7;21(11):46. doi: 10.1007/s11892-021-01414-3.

Abstract

Purpose of review: This scoping literature review seeks to answer the question "What is known in the existing literature about multi-level diabetes prevention and treatment interventions for Native people living in the United States and Canada?"

Recent findings: Multi-level interventions to prevent and/or treat chronic diseases, such as diabetes, promise to help individuals who experience health disparities related to social determinants of health. As described by the socio-ecological model, such interventions mobilize support through a combination of individual, interpersonal, organizational, community, and policy levels of activity. This review revealed little literature about multi-level diabetes prevention and/or treatment programs for US and Canada-based Native peoples. Ten interventions were identified; all focused on diabetes prevention; eight were specific to youth. Multi-level intervention design elements were largely individual-, school-, and community-based. Only three interventions included environmental or policy-level components.

Keywords: Alaska Native; American Indian; Diabetes prevention; Diabetes treatment; First Nations; Multi-level intervention.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Canada
  • Chronic Disease
  • Diabetes Mellitus* / epidemiology
  • Diabetes Mellitus* / prevention & control
  • Humans
  • Indigenous Peoples*
  • Population Groups
  • United States / epidemiology