Type 1 diabetes

Health-related social needs and self-Reported health among adults with type 1 diabetes in the 2022 Behavioral Risk Factor Surveillance System

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

This is the first examination of HRSN and self-rated health in T1D. Screening for HRSNs should be integrated into diabetes care to identify and serve high-risk patients.

Study context

Population
Adults with T1D in the U.S., 2022 Behavioral Risk Factor Surveillance System; mostly white (75 %), male (54 %), over 50 years old (52 %)
Participants
476 adults
Outcome
Association of health-related social needs (HRSNs) with self-reported health (excellent to poor), days of mental health not good and days of physical health not good
Follow-up
Past 30 days
Methodological detailsFactor analysis of the 10 federal HRSN items produced three factors: Psychosocial, Financial, Employment
  • Factor analysis of the 10 federal HRSN items produced three factors: Psychosocial, Financial, Employment

Main finding

As reported in the abstract

Self-reported health indicators by HRSN factor (Psychosocial, Financial, Employment)
  • Higher Psychosocial and Financial HRSN scores associated with lower self-reported health, more days of mental health not good and more days of physical health not good
  • Employment HRSN not associated with any measure of self-reported health
  • Adjusted for age, sex, race/ethnicity, insurance, healthcare access, smoking, binge drinking and comorbidities

Observational data: associations, not effects.

Original publication

Health-related social needs and self-Reported health among adults with type 1 diabetes in the 2022 Behavioral Risk Factor Surveillance System. Diabetes Res Clin Pract. Published 30 December 2025. doi:10.1016/j.diabres.2025.113077

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