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AADE position statement. Cultural sensitivity and diabetes education: recommendations for diabetes educators.

Diabetes in the United States is a serious public health problem that disproportionately affects African Americans, Hispanics, Asians and Pacific Islanders, American Indians, and Alaskan Natives. People from such culturally diverse populations comprise more than 50% of the US population. This increasingly diverse population has heightened challenges facing health care providers who strive to provide optimal diabetes care to these vulnerable groups. Reasons postulated to explain this disproportionate burden of diabetes include genetic predisposition, family history, improper diet, limited physical activity, and the complex interaction between ethnicity, socioeconomic position, gender, access to quality health care, and overall health status. Furthermore, the role of the environment—both physical (eg, restaurants serving healthy foods, walking trails, safe neighborhoods) and social (eg, families, workplaces, social support)—contributes to cultural norms, views, and perspectives that establish rules for living that extend to cultural meaning of disease and its management.