ArticleBMJ open diabetes research & care2016
Socioeconomic status and glycemic control in adult patients with type 2 diabetes: a mediation analysis.
Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 5 of them syntheses that pooled it.
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Who cites it
54 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- A systematic review of causal pathways of socioeconomic inequalities in stroke.International journal of stroke : official journal of the International Stroke Society · 2026Pooled it
- Pooled it
- Depression among Bangladeshi diabetic patients: a cross-sectional, systematic review, and meta-analysis study.BMC psychiatry · 2023Pooled it
- The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Prevalence of Glycemic Control and Factors Associated With Poor Glycemic Control: A Systematic Review and Meta-analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Trial
- Predictors of Insulin Initiation in Patients with Type 2 Diabetes: An Analysis of the Look AHEAD Randomized Trial.Journal of general internal medicine · 2018Trial
- Socio-Demographic, Environmental, and Clinical Factors Influencing Diabetes Mellitus Control in Community Pharmacies of Lahore Pakistan.Healthcare (Basel, Switzerland) · 2025Article
- Association of Social Support with Diabetes-Related Outcomes for Adults with and without Food Insecurity at an Urban Federally Qualified Health Center.Journal of hunger & environmental nutrition · 2025Article
- Medical Expenditure Differences Between Income Levels Among US Adults With Diabetes.Preventing chronic disease · 2025Article
- Explaining the Self-Care Behaviors in Type 2 Diabetic Patients Based on Adverse Childhood Experiences, Subjective Socioeconomic Status, and Mindfulness in Isfahan, Iran.Health science reports · 2025Article
- Mechanisms and Pathways Linking Depression and Type 2 Diabetes Outcomes: A Scoping Review.Journal of diabetes research · 2025Article
- Exploring the impact of self-efficacy on glycemic control in Omani type 2 diabetes patients.Frontiers in endocrinology · 2025Article
- The effect of diabetes in the multifaceted relationship between education and cognitive function.BMC public health · 2024Article
- Heterogeneity of glycaemic phenotypes in type 1 diabetes.Diabetologia · 2024Article
- A cross-sectional study on diabetes self-management practice and its association with glycemic control among type 2 Diabetes patients.Journal of family medicine and primary care · 2024Article
- The effect of socioeconomic status, depression, and diabetes symptoms severity on diabetes patient's life satisfaction in India.Scientific reports · 2024Article
- Neighborhood built and food environment in relation to glycemic control in people with type 2 diabetes in the moving to health study.Health & place · 2024Article
- Factors influencing type 2 diabetes self-management practices in rural Bangladesh: a qualitative investigation.Frontiers in public health · 2024Article
- Psychosocial Facilitators and Barriers to Type 2 Diabetes Management in Adults: A Meta-Synthesis.Current diabetes reviews · 2024Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study is to examine the contribution of health behaviors (self-management and coping), quality of care, and individual characteristics (depressive symptoms, self-efficacy, illness representations) as mediators in the relationship between socioeconomic status (SES) and glycemic control.
methodsA sample of 295 adult patients with type 2 diabetes was recruited at the end of a diabetes education course. Glycemic control was evaluated through glycosylated hemoglobin (HbA1c). Living in poverty and education level were used as indicators of SES.
resultsBootstrapping analysis showed that the significant effects of poverty and education level on HbA1c were mediated by avoidance coping and depressive symptoms. The representation that diabetes is unpredictable significantly mediated the relationship between living in poverty and HbA1c, while healthy diet mediated the relationship between education level and HbA1c.
conclusionsTo improve glycemic control among patients with low SES, professionals should regularly screen for depression, offering treatment when needed, and pay attention to patients' illness representations and coping strategies for handling stress related to their chronic disease. They should also support patients in improving their self-management skills for a healthy diet.
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