Related Experiment Video
Updated: Aug 6, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Cultural and Immigration-Related Factors Influencing Diabetes Distress and Mental Health Among Hispanic Adults: A
1College of Nursing, Texas Woman's University, Houston, TX, USA. rnguyen8@twu.edu.
Introduction:
Hispanic 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.
Methods:
This 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.
Results:
Three 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.
Related Concept Videos
Ethnic Identity within a Larger Culture
Psychoneuroimmunology: Diabetes and Cancer
Stress and Mental Health
Individuals with depression often experience challenges in both their personal and professional...
Psychological and Sociocultural Causes of Schizophrenia
Dimensions of Health and Illness
Diabetes: Symptoms, Diagnosis, and Complications