Social Determinants of Health Screening in Type 1 Diabetes Management

Nana-Hawa Yayah Jones; India Cole; Kelsey J Hart; Sarah Corathers; Shivani Agarwal; Ori Odugbesan; Osagie Ebekozien; Manmohan K Kamboj; Michael A Harris; Kathryn L Fantasia; Mona Mansour

doi:10.1016/j.ecl.2023.09.006

Social Determinants of Health Screening in Type 1 Diabetes Management

Endocrinol Metab Clin North Am. 2024 Mar;53(1):93-106. doi: 10.1016/j.ecl.2023.09.006. Epub 2023 Oct 17.

Authors

Affiliations

¹ Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 7012, Cincinnati, OH 45229-3039, USA. Electronic address: [email protected].
² James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 15018, Cincinnati, OH 45229-3039, USA.
³ Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 7012, Cincinnati, OH 45229-3039, USA.
⁴ Fleischer Institute for Diabetes and Metabolism, New York Regional Center for Diabetes Translation Research, Albert Einstein College of Medicine, 1180 Morris Park Avenue, Bronx, NY 10467, USA.
⁵ T1D Exchange, QI & Population Health Department, 101 Federal Street Suite 440, Boston, MA 02110, USA.
⁶ The Ohio State University College of Medicine, Section of Endocrinology, Quality Improvement for Endocrinology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
⁷ Oregon Health & Science University, Harold Schnitzer Diabetes Health Center, 707 SW Gaines Street, Portland, OR 97239, USA.
⁸ Section of Endocrinology, Diabetes, and Nutrition, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, 72 E Concord, C3, Boston, MA 02118, USA.
⁹ Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 7012, Cincinnati, OH 45229-3039, USA; University of Cincinnati College of Medicine, Department of Pediatrics, Population Health- CCHMC, Division of General and Community Pediatrics, Community Engagement- HealthVine, CCHMC Coordinated School Strategy, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 15018, Cincinnati, OH 45229-3039, USA.

PMID: 38272601
DOI: 10.1016/j.ecl.2023.09.006

Abstract

Type 1 diabetes management is intricately influenced by social determinants of health. Economic status impacts access to vital resources like insulin and diabetes technology. Racism, social injustice, and implicit biases affect equitable delivery of care. Education levels affect understanding of self-care, leading to disparities in glycemic outcomes. Geographic location can limit access to health care facilities. Stressors from discrimination or financial strain can disrupt disease management. Addressing these social factors is crucial for equitable diabetes care, emphasizing the need for comprehensive strategies that go beyond medical interventions to ensure optimal health outcomes for all individuals with type 1 diabetes.

Keywords: Disparities; Health equity; Screening; Social determinants of health; Type 1 diabetes.

Publication types

Review

MeSH terms

Diabetes Mellitus, Type 1* / diagnosis
Diabetes Mellitus, Type 1* / therapy
Humans
Social Determinants of Health
Social Factors