Social Determinants of Health as Explanatory Factors for Ethnic Disparities in Diabetes Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus, Type 2
- Sponsor
- Medical University of South Carolina
- Enrollment
- 650
- Locations
- 2
- Primary Endpoint
- HbA1C
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This is a cross-sectional study of six hundred adults with type 2 diabetes, (300 White and 300 African-American) who will be recruited from two primary care sites to determine how social determinants of health impact diabetes outcomes. The first aim is to investigate the role of psychosocial factors and SES on diabetes care processes and outcomes. The second aim is to investigate the influence of community and neighborhood characteristics on diabetes care processes and outcomes. Finally, we will examine the contribution of social determinants of health to ethnic differences in diabetes care processes and outcomes. Clinical and metabolic measures will be abstracted from the electronic medical records. Outcome variables include hemoglobin A1c, blood pressure, LDL-Cholesterol and quality of life.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of type 2 diabetes
- •Able to communicate in English
Exclusion Criteria
- •Mental confusion on interview suggesting significant dementia
- •Alcohol or drug abuse/dependency
- •Active psychosis or acute mental disorder
Outcomes
Primary Outcomes
HbA1C
Time Frame: Within 3 months prior to the assessment
Quality of life
Time Frame: Within a month of completely the assessment
Secondary Outcomes
- Low density lipoprotein (LDL) Cholesterol(Most recent to assessment date)
- Blood pressure(Most recent to assessment date)