ReviewJournal of racial and ethnic health disparities2026
Cultural and Immigration-Related Factors Influencing Diabetes Distress and Mental Health Among Hispanic Adults: A Scoping Review.
Review in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionHispanic adults in the United States experience disproportionately high rates of type 2 diabetes mellitus (T2DM) and related mental health conditions, frequently intensified by immigration stress, acculturation challenges, and minority stress.
methodsThis scoping review synthesized evidence on how immigration-related factors, acculturation, and minority stress influence diabetes distress and co-occurring mental health symptoms among Hispanic adults with T2DM. Searches of PubMed, CINAHL Complete, MEDLINE (OVID), and ScienceDirect (2001-2025) yielded 37 eligible studies comprising approximately 22,000 participants.
resultsThree themes emerged: (1) immigration stress and cultural adaptation challenges, (2) difficulties navigating healthcare systems and support resources, and (3) structural barriers and discrimination. These factors were consistently linked to increased diabetes distress, depression, anxiety, and poorer glycemic outcomes. DISCUSSION: Findings highlight the need for culturally responsive, integrated care models addressing both mental and physical health while reducing structural barriers that exacerbate disparities among Hispanic adults with T2DM.
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