Masoumeh Sohrabi, Manoochehr Karami, Razieh Sadat Mirmoeini, Zahra Cheraghi
The Relationship between Health Literacy and Hypertension Control: A Cross-Sectional Study
The journal of Tehran Heart Center
aim analysis create parsimonious tool screen high social risk using item response theory discriminate across social risk factors adults type 2 diabetes crosssectional data 615 adults diabetes recruited two primary care clinics used participants completed assessments including validated scales economic instability financial hardship neighborhood built environment crime violence neighborhood rating education highest education health literacy food environment food insecurity social community context social isolation psychological risk factors perceived stress depression serious psychological distress diabetes distress item response theory irt models used understand association participants underlying level particular social risk factor probability response twoparameter logistic irt model used 12 social determinant factors added separate parameter model higher values item discrimination indicate better ability specific social risk factor differentiating participants rate crime reported neighborhood discrimination 313 se 050 item difficulty 068 se 007 neighborhood rating discrimination 402 se 087 item difficulty 104 se 008 highest discrimination based findings crime neighborhood rating discriminate best individuals type 2 diabetes high social risk low social risk two questions used parsimonious social risk screening tool identify high social risk