Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes
Rebekah J Walker1, Joni S Williams2,3, Sebastian Linde4
1Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
JAMA Network Open
|August 29, 2024
Summary
Identifying social risk profiles in adults with diabetes reveals distinct groups associated with varied health outcomes. These profiles can inform targeted interventions for better diabetes management and quality of life.
Area of Science:
- Social determinants of health
- Clinical outcomes research
- Diabetes management
Background:
- Effective social risk screening and intervention development lack a clear categorization process.
- Understanding social risk profiles is crucial for tailoring healthcare strategies.
Purpose of the Study:
- To identify social risk profiles in adults with diabetes.
- To examine associations between these profiles and clinical outcomes like HbA1c, blood pressure, and quality of life.
Main Methods:
- Cross-sectional study using latent profile analysis (LPA) on data from 615 adults with type 2 diabetes.
- Assessed 26 social risk factors across socioeconomic, neighborhood, education, food, and social/community domains, plus psychological and behavioral risks.
- Regressed identified profiles on hemoglobin A1c (HbA1c), blood pressure, and quality of life outcomes.
Main Results:
- Five distinct social risk profiles were identified among adults with diabetes.
- Higher socioeconomic and neighborhood risks were associated with elevated blood pressure.
- High psychological and behavioral risks correlated with higher HbA1c and lower mental health-related quality of life.
Conclusions:
- Social risk profiles, encompassing social, psychological, and behavioral domains, are identifiable in adults with diabetes.
- These profiles demonstrate significant associations with key health outcomes.
- Future interventions for diabetes should leverage identified social risk profiles for enhanced effectiveness.
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