ArticleJournal of primary care & community health
Toward Understanding Social Needs Among Primary Care Patients With Uncontrolled Diabetes.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Psycho-social and behavioral trends in Type 2 Diabetes self-management amongst medically underserved patients during the COVID-19 pandemic in an mHealth intervention.medRxiv : the preprint server for health sciences · 2025Article
- Association of Social Needs with Diabetes Outcomes in an Older Population.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Article
- Assessing the impact of social determinants of health on diabetes severity and management.JAMIA open · 2024Article
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Associations between Glyphosate Exposure and Glycemic Disorders: A Focus on the Modifying Effect of Sex Hormones.Toxics · 2024Article
- Identifying individual social needs during intake for diabetes Self-Management education and support services in the Detroit, Michigan area.Preventive medicine reports · 2024Article
- Screening for social determinants of health among populations at risk for MASLD: a scoping review.Frontiers in public health · 2024Article
- Opportunistic detection of type 2 diabetes using deep learning from frontal chest radiographs.Nature communications · 2023Article
- Housing instability and cardiometabolic health in the United States: a narrative review of the literature.BMC public health · 2023Review
- Evaluation of an Integrated Intervention to Address Clinical Care and Social Needs Among Patients with Type 2 Diabetes.Journal of general internal medicine · 2023Article
- Perspective: Acknowledging a Hierarchy of Social Needs in Diabetes Clinical Care and Prevention.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023Article
- ASSOCIATION OF SOCIAL NEEDS WITH UNCONTROLLED VIREMIA IN PEOPLE WITH HIV.AIDS and behavior · 2022Article
- Health Care Worker Burnout and Perceived Capacity to Address Social Needs.Population health management · 2022Article
- Predicting health-related social needs in Medicaid and Medicare populations using machine learning.Scientific reports · 2022Article
- Impacts of the COVID-19 pandemic on unmet social needs, self-care, and outcomes among people with diabetes and poor glycemic control.Primary care diabetes · 2022Article
- Relationship between food insecurity and housing instability on quality of care and quality of life in adults with diabetes.PloS one · 2022Article
- The Associations Between Neighborhood Safety and Address Stability With HbA1c Levels Among Adults With Diabetes.AACE endocrinology and diabetesArticle
- COVID-19 and Changes in Reported Social Risk Factors at a Primary Care Practice in the South Bronx.Journal of primary care & community healthArticle
- Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System.The Journal of ambulatory care managementArticle
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Authors and funding
5 authors.
Funding
Abstract
INTRODUCTION/
objectivesUncontrolled diabetes can lead to major health complications, and significantly contributes to diabetes-related morbidity, mortality, and healthcare costs. Few studies have examined the relationship between unmet social needs and diabetes control among predominantly Black and Hispanic patient populations.
methodsIn a large urban hospital system in the Bronx, NY, 5846 unique patients with diabetes seen at a primary care visit between April 2018 and December 2019 completed a social needs screener. Measures included diabetes control (categorized as Hemoglobin (Hb) A1c <9.0 as controlled and Hb A1C ≥9.0 as uncontrolled), social needs (10-item screen), and demographic covariates, including age, sex, race/ethnicity, insurance status, percentage of block-group poverty, patient's preferred language, and the Elixhauser Comorbidity Index.
resultsTwenty-two percent (22%) of the patient sample had at least 1 unmet social need, and the most prevalent unmet social needs were housing issues (including housing quality and insecurity), food insecurity, and lack of healthcare transportation. Logistic regression analysis showed a significant relationship between social needs and uncontrolled diabetes, with more social needs indicating a greater likelihood of uncontrolled diabetes (Adjusted Odds Ratio (AOR) for ≥3 needs: 1.59, 95% CI: 1.26, 2.00). Of the patients with most frequently occurring unmet social needs, lack of healthcare transportation (AOR: 1.54, 95% CI: 1.22, 1.95) and food insecurity (AOR: 1.50, 95% CI: 1.19, 1.89) had the greatest likelihood of having uncontrolled diabetes, after adjusting for covariates.
conclusionUnmet social needs appear to be linked to a greater likelihood of uncontrolled diabetes. Implications for healthcare systems to screen and address social needs for patients with diabetes are discussed.
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