Effects of individual, health system and neighborhood risks on diabetes health outcomes among emerging adults with type 1 diabetes
Authors' conclusion
Individual factors such as higher self-efficacy for diabetes management and neighborhood factors such as lower crime rates have protective effects on the diabetes health of EAs with T1D.
Study context
- Population
- Diverse sample of emerging adults with T1D; 47.8 % White/non-Hispanic; mean age 20.9 years; mean HbA1c 9.5 % (IFCC = 81 mmol/mol)
- Participants
- 113 participants
- Outcome
- Associations of individual, health system and neighborhood-level risk and protective factors with diabetes management and glycemic control
Methodological detailsbaseline data of a clinical trial, structural equation modelling
- Baseline data of a clinical trial
- Structural equation modelling
Main finding
As reported in the abstract
Direct and indirect effects on diabetes management and glycemic control (final structural equation model)
Self-efficacy for diabetes care → diabetes management (only significant predictor)
β = 0.32
p < 0.001
Neighborhood crime → glycemic control (direct effect)
β = 0.17
p < 0.05
Diabetes management → glycemic control (direct effect)
β = −0.28
p < 0.05
Diabetes self-efficacy → glycemic control, indirect effect through diabetes management
β = −0.090
p < 0.01
Observational data: associations, not effects.
Original publication
Effects of individual, health system and neighborhood risks on diabetes health outcomes among emerging adults with type 1 diabetes. Diabetes Res Clin Pract. Published 7 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →