Associations between social determinants of health and diabetes self-care behaviors among insured adult patients
Authors' conclusion
SDOH can adversely affect diabetes self-care behaviors, providers should assist vulnerable patients by connecting them with community resources and providing individualized care.
Study context
- Population
- US adults with health insurance and diagnosed diabetesrepresenting >25.58 million adults
- Participants
- 57,206 adults
- Exposure
- Presence vs absence of social determinants of health (SDOH)
- Outcome
- Associations of SDOH with diabetes self-care behaviors
Methodological details2017 Behavioral Risk Factor Surveillance System, logistic regression
- 2017 Behavioral Risk Factor Surveillance System
- Logistic regression
Main finding
As reported in the abstract
- Not feeling safe and never checking blood sugar, OR
- 1.77 (1.04, 3.01) (95% CI)
- Frequent stress and exercise, OR (95% CI)
- .77 (0.60, 0.999)
- Frequent stress and checking blood sugar at least once a day, OR
- 0.73 (0.54, 0.99) (95% CI)
- Food insecurity and vegetable consumption, OR
- 0.63 (0.47, 0.85) (95% CI)
- Food insecurity and checking blood sugar, OR
- 1.80 (1.26, 2.57) (95% CI)
- Low income and exercise, OR
- 0.72 (0.64, 0.80) (95% CI)
- Low income and eating vegetables, OR
- 0.83 (0.75, 0.93) (95% CI)
- Low income and checking feet, OR
- 1.19 (1.04, 1.35) (95% CI)
- Low income and checking blood sugar at least once per day, OR
- 1.15 (1.01, 1.31) (95% CI)
- Renting home and checking blood sugar, OR
- 1.22 (1.07, 1.37) (95% CI)
- Renting home and eating vegetables in last week, OR
- 0.87 (0.78, 0.97) (95% CI)
- Rural residence and provider visit in last year, OR
- 1.21 (1.00, 1.47) (95% CI)
Observational data: associations, not effects.
Further findings
Self-care behaviors overall
- Most respondents exercised, ate vegetables, saw a provider for diabetes care in the last year, and reported daily foot checks and blood sugar testing
Original publication
Associations between social determinants of health and diabetes self-care behaviors among insured adult patients. Diabetes Res Clin Pract. Published 7 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →