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Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study.

Publication ,  Journal Article
Hu, J; Kline, DM; Tan, A; Zhao, S; Brock, G; Mion, LC; Efird, JT; Wang, D; Sims, M; Wu, B; Mongraw-Chaffin, M; Joseph, JJ
Published in: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
November 2022

Social determinants of health have a significant impact on health outcomes. However, the complexity and interaction of multiple factors influencing glycemic control remain understudied.This study examined associations of socioeconomic position (income, education, and occupation), environmental (physical activity facilities, neighborhood social cohesion, neighborhood problem, and violence), behavioral (physical activity, nutrition, and smoking), and psychological factors (depressive symptoms, stress, and discrimination) with glycemic control (hemoglobin A1c [A1c]) using the World Health Organization Social Determinants of Health framework in African American adults with type 2 diabetes.A secondary data analysis was conducted using a longitudinal cohort of 1,240 African American adults with type 2 diabetes who participated in the community-based Jackson Heart Study. Socioeconomic position, environmental, behavioral, and psychological factors were measured using validated instruments in the Jackson Heart Study. Longitudinal structural equation modeling was used with glycemic control (A1c) collected over time (Exams 1-3) as the study outcome.Our study presents the complex interplay of socioeconomic determinants of health and glycemic control over time. Higher socioeconomic position (higher income, higher level of education, and professional occupation) was directly associated with improvement in glycemic control over time. An association of socioeconomic position on glycemic control mediated through health behavior factors was also observed.In this analysis, socioeconomic position components were determinants of glycemic control in African American adults with type 2 diabetes. Future studies aimed at reducing health disparities and achieving equality of outcomes in this population will benefit from embedding socioeconomic position components into their design.

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Published In

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

DOI

EISSN

1532-4796

ISSN

0883-6612

Publication Date

November 2022

Volume

56

Issue

12

Start / End Page

1300 / 1311

Related Subject Headings

  • Social Determinants of Health
  • Public Health
  • Longitudinal Studies
  • Humans
  • Glycemic Control
  • Glycated Hemoglobin
  • Diabetes Mellitus, Type 2
  • Black or African American
  • Adult
  • 52 Psychology
 

Citation

APA
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MLA
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Hu, J., Kline, D. M., Tan, A., Zhao, S., Brock, G., Mion, L. C., … Joseph, J. J. (2022). Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, 56(12), 1300–1311. https://doi.org/10.1093/abm/kaac026
Hu, Jie, David M. Kline, Alai Tan, Songzhu Zhao, Guy Brock, Lorraine C. Mion, Jimmy T. Efird, et al. “Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study.Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine 56, no. 12 (November 2022): 1300–1311. https://doi.org/10.1093/abm/kaac026.
Hu J, Kline DM, Tan A, Zhao S, Brock G, Mion LC, et al. Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2022 Nov;56(12):1300–11.
Hu, Jie, et al. “Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study.Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, vol. 56, no. 12, Nov. 2022, pp. 1300–11. Epmc, doi:10.1093/abm/kaac026.
Hu J, Kline DM, Tan A, Zhao S, Brock G, Mion LC, Efird JT, Wang D, Sims M, Wu B, Mongraw-Chaffin M, Joseph JJ. Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2022 Nov;56(12):1300–1311.
Journal cover image

Published In

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

DOI

EISSN

1532-4796

ISSN

0883-6612

Publication Date

November 2022

Volume

56

Issue

12

Start / End Page

1300 / 1311

Related Subject Headings

  • Social Determinants of Health
  • Public Health
  • Longitudinal Studies
  • Humans
  • Glycemic Control
  • Glycated Hemoglobin
  • Diabetes Mellitus, Type 2
  • Black or African American
  • Adult
  • 52 Psychology