The Influence of Social Vulnerability and Race on Diabetes Control
Authors' conclusion
Increasing SV was associated with worsening control across all racial groups. SVI did not fully mitigate the influence of race on diabetes control, highlighting the clinical importance and additive impact of both race and SV.
Study context
- Population
- Patients with diabetes, 48 practices across 7 counties in western New York
- Participants
- 22,912 patients
- Exposure
- Black vs White patients, and by social vulnerability
- Outcome
- Diabetes control (HbA1c <8%, Healthcare Effectiveness Data and Information Set standards)
Methodological detailsmulticentre, Multivariate logistic regression adjusted for age, sex, ethnicity, marital status and metropolitan status
- Multicentre
- Multivariate logistic regression adjusted for age, sex, ethnicity, marital status and metropolitan status
Main finding
HbA1c <8%
AOR of uncontrolled diabetes
1.29
95% CI 1.18–1.41
By group
As reported in the abstract
- Overall HbA1c <8%
- 73.6%
Observational data: associations, not effects.
Further findings
Diabetes control by patient-reported unmet social needs (with vs without)
- Food insecurity vs none
- 67.7% vs 79.8%
- Housing insecurity vs none
- 66.0% vs 80.1%
- Unmet transportation needs vs none
- 67.7% vs 79.2%
- Lower control with unmet needs
Original publication
The Influence of Social Vulnerability and Race on Diabetes Control. J Clin Endocrinol Metab. Published 6 September 2025. doi:10.
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