Evidence map›Paper›PMID 24938493›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

The social determinants of health for people with type 1 diabetes that progress to end-stage renal disease.

Kathleen E Hill, Jonathan M Gleadle, Mariastella Pulvirenti, Darlene A McNaughton

Registry-linked trialAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03793673 (CoYoT1 to California - Telemedicine to Engage Young Adults With Diabetes), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03793673 nacompletednot on this mapstarted 2019, after this paper: background citation

CoYoT1 to California - Telemedicine to Engage Young Adults With Diabetes

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2019 to 2022Enrolled82ConditionsType 1 Diabetes MellitusArmsCoYoT1 Care, Standard Care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  15. The Social Determinants of Chronic Disease.American journal of preventive medicine · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kathleen E HillRenal Unit, Flinders Medical Centre, Bedford Park, SA, Australia.
Jonathan M GleadleFlinders Medical Centre, Flinders University, Adelaide, SA, Australia.
Mariastella PulvirentiDiscipline of Public Health, School of Medicine, Flinders University, Adelaide, SA, Australia.
Darlene A McNaughtonDiscipline of Public Health, School of Medicine, Flinders University, Adelaide, SA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSelf-management of type 1 diabetes over a lifetime is complex and challenging even in the best of circumstances, and the social environment can be a powerful determinant of health behaviours and outcomes. The aim of this study was to identify how social determinants of health can impact on the capacity of young people to manage their glycaemic control.

methodsThe findings emerged from a constructivist grounded theory approach through an in-depth examination of life course events that were recounted through qualitative interviews. The rich descriptive detail obtained from this enquiry locates common experiences and the context in which concordance with therapies occurs and health behaviours develop.

resultsThis qualitative study of young people with type 1 diabetes who have developed end-stage renal disease demonstrates that there are many factors beyond individual control that can contribute to health outcomes. The social determinants of childhood environment, education, socio-economic status, gender and the culture of public health can contribute to disengagement from treatment regimens and the health-care system and to the development of microvascular complications at a comparatively young age.

conclusionThese findings challenge the assumptions of health-care practitioners about individual responsibility and highlight the importance of considering how social determinants can shape lives, behaviours and health.

Indexed as

Health BehaviorSocial Determinants of HealthDiabetes Mellitus, Type 1Disease ProgressionFemaleGrounded TheoryHumansKidney Failure, ChronicMaleQualitative ResearchQuality of LifeSelf CareSocial ClassSocial Supportend-stage renal diseasesocial determinanttype 1 diabetes mellitus

Identifiers

PMID24938493
PMCPMC5810664

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.