Shivani Agarwal|Lauren Kanapka|Jennifer Raymond|Ashby F. Walker|Andrea Gerard?Gonzalez|Davida F. Kruger|María J. Redondo|Michael R. Rickels|Viral N. Shah|Ashley M. Butler|Jeffrey S. Gonzalez|Alandra Verdejo|Robin L. Gal|Steven M. Willi|Judith A. Long
Racial-Ethnic Inequity in Young Adults With Type 1 Diabetes
Albert Einstein College of Medicine|Jaeb Center for Health Research|Children's Hospital of Los Angeles|University of Florida|University of Colorado Anschutz Medical Campus|Henry Ford Hospital|Texas Children's Hospital|Baylor College of Medicine|University of Pennsylvania|University of Colorado Anschutz Medical Campus|Texas Children's Hospital|Baylor College of Medicine|Albert Einstein College of Medicine|Yeshiva University|Jaeb Center for Health Research|Jaeb Center for Health Research|Children's Hospital of Philadelphia|University of Pennsylvania|Philadelphia VA Medical Center
minority young adults ya currently represent largest growing population type 1 diabetes t1d experience poor outcomes modifiable drivers disparities need identified wellstudiedto describe racialethnic disparities among ya t1d identify drivers glycemic disparity socioeconomic status sescrosssectional multicenter collection patient chartreported variables including ses social determinants health diabetesspecific factors comparison nonhispanic white nonhispanic black hispanic ya multilevel modeling identify variables account glycemic disparity apart sessix diabetes centers across united statesa total 300 ya t1d 1828 years 33 nonhispanic white 32 nonhispanic black 34 hispanicracialethnic disparity hba1c levelsnonhispanic black hispanic ya lower ses higher hba1c levels much lower diabetes technology use nonhispanic white ya p 0001 nonhispanic black ya differed hispanic reporting higher diabetes distress lower selfmanagement p 0001 accounting ses differences hba1c levels disappeared nonhispanic white hispanic ya whereas remained nonhispanic black ya 226 24 mmolmol p 0001 diabetes technology use diabetes distress disease selfmanagement accounted significant portion remaining nonhispanic blackwhite glycemic disparitythis study demonstrated large racialethnic inequity ya t1d especially among nonhispanic black participants findings reveal key opportunities clinicians potentially mitigate glycemic disparity minority ya promoting diabetes technology use connecting social programs tailoring support disease selfmanagement diabetes distress account social contextual factors