Evidence map›Paper›PMID 27079342›Full record

ReviewThe American journal of the medical sciences2016

Influence of Race, Ethnicity and Social Determinants of Health on Diabetes Outcomes.

Rebekah J Walker, Joni Strom Williams, Leonard E Egede

3 registry-linked trialsAbstract readReview
In one paragraph

Review in The American journal of the medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 219 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
219citing papers in PubMed, 3 pooled it
–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.

NCT04872647 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Pilot of Virtual Health Coaching Utilizing Lifestyle for Under-Resourced Patients With Type II Diabetes

TypeinterventionalSponsorBeacon Health SystemRan2020 to 2021Enrolled45ConditionsType2 DiabetesArmsPhone-Based Health Coaching Utilizing Lifestyle Action Plans
NCT05222373 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

Community-based Cognitive Behavioral Lifestyle Therapy to Improve Diabetes-Related Health Outcomes in an Underserved Latino Population

TypeinterventionalSponsorWashington University School of MedicineRan2023 to 2024Enrolled0ConditionsType 2 Diabetes, Mental Health Issue, Quality of Life, Weight LossArmsCBT-based lifestyle intervention
NCT06887049 narecruitingnot on this mapstarted 2026, after this paper: background citation

ARISE: Achieving Routine Intervention and Screening for Emotional Health: Randomized Controlled Trial

TypeinterventionalSponsorUniversity of ChicagoRan2026 to 2028Enrolled1,250ConditionsType 2 Diabetes Mellitus (T2DM), Diabetes DistressArmsARISE Learning Community Diabetes Distress Screening and Intervention, ARISE Enhanced Care brief training
3 · Its place in the literature

Who cites it

219 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Glycemia Reduction in Type 2 Diabetes - Glycemic Outcomes.The New England journal of medicine · 2022 · on this map
    Trial
  8. Trial
  9. Trial
  10. Distress and Type 2 Diabetes Self-Care: Putting the Pieces Together.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
    Trial
  11. Article
  12. Article
  13. Article
  14. Reporting of race and ethnicity in studies of artificial intelligence in pediatric urology A secondary analysis of the AI-PEDURO online repository.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Review
  15. Article
  16. Leveraging Machine Learning to Assess Post-COVID-19 Glycemic Control in Diabetic Patients.International journal of environmental research and public health · 2026
    Article
  17. Article
  18. Observational
  19. Article
  20. Article

159 more citing papers are in PubMed but not listed here.

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

3 authors.

Rebekah J WalkerDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, South Carolina; Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina; Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina.
Joni Strom WilliamsDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, South Carolina; Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Leonard E EgedeDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, South Carolina; Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina; Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina. Electronic address: egedel@musc.edu.

Funding

Technology-Intensified Diabetes Education/Skills Intervention in AAs with DM-2R01DK098529 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGEDE, LEONARD E. · 2013 to 2016
$2.7M
Technology Intensified Diabetes Education Study in AA with T2DM (TIDES)K24DK093699 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGEDE, LEONARD E. · 2011 to 2020
$1.5M
Charleston Health Equity and Rural Outreach Innovation Center (HEROIC)I50HX001229 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI EGEDE, LEONARD E. · 2015 to 2015
–
HSRD VA I50 HX001229NIDDK NIH HHS K24 DK093699NIDDK NIH HHS R01 DK098529
6 · The paper itself

Abstract

backgroundThere is strong evidence that race, ethnicity and social determinants of health significantly influence outcomes for patients with diabetes. A better understanding of the mechanisms of these relationships or associations would improve development of cost-effective, culturally tailored programs for patients with diabetes.

methodsThis article reviews the current state of the literature on the influence of race and ethnicity and social determinants of health on process of care, quality of care and outcomes for diabetes, with particular emphasis on the rural South to give an overview of the state of the literature.

resultsThe literature review shows that racial or ethnic differences in the clinical outcomes for diabetes, including glycemic, blood pressure (BP) and lipid control, continue to persist. In addition, the literature review shows that the role of social determinants of health on outcomes, and the possible role these determinants play in disparities have largely been ignored. Psychosocial factors, such as self-efficacy, depression, social support and perceived stress, show consistent associations with self-care, quality of life and glycemic control. Neighborhood factors, such as food insecurity, social cohesion and neighborhood esthetics have been associated with glycemic control. Perceived discrimination has also been associated with self-care and the psychological component of quality of life.

conclusionHealthcare professionals need to be skilled in assessing social determinants of health and taking them into consideration in clinical care. In addition, more research is needed to identify the separate and combined influence of race and ethnicity and social determinants of health on process of care, quality of care and outcomes in diabetes, especially in the South, where the burden of disease is particularly high.

Indexed as

Diabetes MellitusEthnicityHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHumansRacial GroupsSocial Determinants of HealthTreatment OutcomeDiabetesHealth disparitiesNeighborhood factorsPsychosocial factorsSocial determinants of health

Identifiers

PMID27079342
PMCPMC4834895

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.