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Author Notes:

Cherlie Magny-Normilus, magny-normilus@bc.edu. Tel.: +1-617-552-8814

Conceptualization, C.M.-N. and S.H.; methodology, C.M.-N.; software, J.S. and C.L.; validation, C.M.-N., S.H., J.S., C.S.L. and C.Y.J.; formal analysis, C.M.-N., C.L., J.S., C.S.L. and C.Y.J.; investigation, C.M.-N., J.S. and C.L.; resources, C.M.-N.; writing—original draft preparation, C.M.-N.; writing—C.L., S.H., J.S., C.L. and C.Y.J. review and editing, C.M.-N., S.H., C.L., J.S., C.S.L. and C.Y.J.; funding acquisition, C.M.-N. All authors have read and agreed to the published version of the manuscript.

The authors would like to acknowledge Alessandra Masone, Margaret Halverson, and Jason Luu.

The authors declare no conflict of interest.



  • Science & Technology
  • Life Sciences & Biomedicine
  • Biochemistry & Molecular Biology
  • Medicine, Research & Experimental
  • Pharmacology & Pharmacy
  • Research & Experimental Medicine
  • mental health
  • self-management
  • chronic illness
  • noncommunicable disease
  • diabetes
  • hypertension
  • cardiovascular conditions
  • African Caribbean
  • Caribbean
  • African descent
  • Haitians
  • RISK

Implications for Self-Management among African Caribbean Adults with Noncommunicable Diseases and Mental Health Disorders: A Systematic Review


Journal Title:



Volume 10, Number 11


Type of Work:

Article | Final Publisher PDF


Mental health problems are common among individuals suffering from chronic noncommunicable diseases (NCDs) such as type 2 diabetes mellitus and hypertension. Self-management is essential in preventing NCD progression. Mental health problems can impede the ability to self-manage one’s NCDs. The African Caribbean population in the United States suffers from a high burden of NCDs and has unique societal factors that alter disease management. This systematic review aimed to better understand the burden of mental health problems among African Caribbean adults with one or more NCDs and explore the association between mental health disorders and the level of control of NCDs. A literature search was conducted for original research documenting the prevalence of mental illnesses in individuals with NCDs. Data were descriptively summarized. Fourteen studies met inclusion criteria. Three themes emerged: (1) prevalence of comorbid mental health problems and chronic NCDs; (2) factors that mitigate or mediate the association between mental health problems and chronic NCDs—(a) factors influencing self-management; (b) association between mental health and NCD outcome studies focused on (b1) risk factors and (b2) protective factors; and (3) varied results. Chronic disease self-management and disease outcomes are influenced by mental problems and the association is mitigated by complex factors in the African Caribbean population.

Copyright information:

© 2022 by the authors.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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