Rebekah J. Walker|Joni S. Williams|Leonard E. Egede
Influence of Race, Ethnicity and Social Determinants of Health on Diabetes Outcomes
Medical University of South Carolina|Ralph H. Johnson VA Medical Center|Medical University of South Carolina|Medical University of South Carolina|Ralph H. Johnson VA Medical Center
strong evidence race ethnicity social determinants health significantly influence outcomes patients diabetes better understanding mechanisms relationships associations would improve development costeffective culturally tailored programs patients diabetesthis article reviews current state literature influence race ethnicity social determinants health process care quality care outcomes diabetes particular emphasis rural south give overview state literaturethe literature review shows racial ethnic differences clinical outcomes diabetes including glycemic blood pressure bp lipid control continue persist addition literature review shows role social determinants health outcomes possible role determinants play disparities largely ignored psychosocial factors selfefficacy depression social support perceived stress show consistent associations selfcare quality life glycemic control neighborhood factors food insecurity social cohesion neighborhood esthetics associated glycemic control perceived discrimination also associated selfcare psychological component quality lifehealthcare professionals need skilled assessing social determinants health taking consideration clinical care addition research needed identify separate combined influence race ethnicity social determinants health process care quality care outcomes diabetes especially south burden disease particularly high