Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes
Authors' conclusion
These findings suggest that social risk profiles can be identified according to social, psychological, and behavioral risk domains and the health outcome of concern among adults with diabetes. Future work should consider the use of social risk profiles in intervention development and testing.
Study context
- Population
- Adults with T2D at 2 primary care clinics in the Southeastern US, 2013–2014; mean age 61.3 years, 61.6% men
- Participants
- 615 adults
- Exposure
- Social risk profiles vs reference profile
- Outcome
- HbA1c, blood pressure and quality of life by social risk profile
Methodological detailslatent profile analysis, 3-step latent profile analysis, 2 primary care clinics, Data analyzed November–December 2023
- Latent profile analysis
- 3-step latent profile analysis
- 2 primary care clinics
- Data analyzed November–December 2023
Main finding
As reported in the abstract
HbA1c, blood pressure and mental health-related quality of life vs reference profile
β
- Lowest risk · mental health-related quality of life, higher
- 1.11 (95% CI 0.67–1.55)
- Third · blood pressure, higher
- 8.08 (95% CI 2.16–14.01)
- Fourth · hemoglobin A1c (HbA1c), higher
- 0.47 (95% CI 0.01–0.92)
- Fourth · mental health-related quality of life, lower
- −1.83 (95% CI −2.41 to −1.24)
- Highest risk · HbA1c, higher
- 1.07 (95% CI 0.50–1.63)
- Highest risk · mental health-related quality of life, lower
- −2.15 (95% CI −2.87 to −1.42)
- Five latent class profiles were identified
- 5
Observational data: associations, not effects.
Original publication
Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes. JAMA Netw Open. Published 1 August 2024. doi:10.
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