Wide-scale adoption of healthy eating habits, sufficient physical activity, screen-time reduction, nonsmoking, stress reduction, and regular medical check-ups could prevent an enormous number of chronic disease–related deaths each year. For this reason, diabetes prevention and self-management education efforts need to target this high-risk population. 13, 14 As a result, many chronic diseases, including type 2 diabetes, are often diagnosed at more advanced stages in African-American populations than in non-Hispanic white populations, 15 and African Americans with type 2 diabetes are more likely to suffer the aforementioned complications. When health care is available (e.g, safety net HCPs), African Americans and other marginalized populations often delay seeking treatment because of the cost, perceived discrimination, and perceived inadequacy of treatment. 10– 12 Additionally, the poverty experienced disproportionately by African Americans is associated with exposure to numerous deleterious health risks, including poor access to adequate health care. 2– 9 This disparity may be, in part, the result of a lack of access to adequate information about how to self-manage diabetes and a reticence among this population to ask questions of their health care providers (HCPs). 1 The burden and prevalence of type 2 diabetes is experienced disproportionately by African Americans in the United States, resulting in more frequent extreme adverse outcomes, including amputation, blindness, and premature death. Rates of chronic diseases such as type 2 diabetes are increasing in the general U.S.
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