Evidence map›Paper›PMID 34570884›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2022

Inequalities in Glycemic Control in Youth with Type 1 Diabetes Over Time: Intersectionality Between Socioeconomic Position and Race and Ethnicity.

Angela D Liese, Beth A Reboussin, Anna R Kahkoska, Edward A Frongillo, Faisal S Malik, Giuseppina Imperatore, Sharon Saydah, Anna Bellatorre, Jean M Lawrence, Dana Dabelea and 1 more

Open access · greenAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

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  11. Diversity, Equity, and Inclusion within Pediatric Adherence Science.Journal of clinical psychology in medical settings · 2023
    Article
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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

11 authors at 7 institutions in 1 country.

Angela D LieseDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.ORCID 0000-0002-7022-0178
Beth A ReboussinDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Anna R KahkoskaDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Faisal S MalikDepartment of Pediatrics, University of Washington, Seattle, WA, USA.
Giuseppina ImperatoreDivision of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA.
Sharon SaydahDivision of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA.
Anna BellatorreDepartment of Epidemiology and LEAD Center, Colorado School of Public Health, Aurora, CO, USA.
Jean M LawrenceDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Dana DabeleaDepartment of Epidemiology and LEAD Center, Colorado School of Public Health, Aurora, CO, USA.ORCID 0000-0001-9514-8929
Jason A MendozaFred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's Research Institute, Seattle, WA, USA.
Colorado School of Public Health · USNational Center for Chronic Disease Prevention and Health Promotion · USUniversity of South Carolina · USUniversity of Washington · USKaiser Permanente · USUniversity of North Carolina at Chapel Hill · USWake Forest University · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Limited Competition for the Continuation of the SEARCH for Diabetes in Youth Cohort Study (UC4)SEARCH for Diabetes in Youth Cohort StudyUC4DK108173 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAGOSTINO, RALPH B. · 2015 to 2016
$14.8M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Impact of Disparities in Food Security on Glycemic Control and Health CareUtilization Among Youth and Young Adults with DiabetesR01DK117461 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI ANGELA D LIESE, Jason A Mendoza · 2018 to 2026
$6.1M
SEARCH for Diabetes in Youth Coordinating CenterU01DP000250 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BELL, RONNY A · 2005 to 2009
$4.8M
Population-based Diabetes Youth RegistryU18DP006131 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WAGENKNECHT, LYNNE E · 2015 to 2019
$3.8M
SEARCH for Diabetes in Youth, Phase 3: Registry Study - Colorado CenterU18DP003256 · DP · UNIVERSITY OF COLORADO DENVER · PI DABELEA, DANA · 2010 to 2014
$3.6M
SEARCH For Diabetes in Youth, Phase 3: Cohort Study-Carolina CenterU18DP002708 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2010 to 2014
$3.6M
SEARCH for Diabetes in Youth 2: Colorado CenterU01DP000247 · DP · UNIVERSITY OF COLORADO DENVER · PI DABELEA, DANA · 2005 to 2009
$3.6M
CDC HHS DP-15-002Cincinnati Children's Hospital Medical Center U48/CCU519239Cincinnati's Children's Hospital Medical Center U48/CCU519239HSRD VA HIR 10-001Kaiser Permanente U48/CCU919219Kaiser Permanente Southern California U48/CCU919219NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR001425NCCDPHP CDC HHS U01 DP000244NCCDPHP CDC HHS U01 DP000246NCCDPHP CDC HHS U01 DP000247NCCDPHP CDC HHS U01 DP000248NCCDPHP CDC HHS U01 DP000250NCCDPHP CDC HHS U01 DP000254NCCDPHP CDC HHS U18 DP002708NCCDPHP CDC HHS U18 DP002709NCCDPHP CDC HHS U18 DP002710NCCDPHP CDC HHS U18 DP002714NCCDPHP CDC HHS U18 DP003256NCCDPHP CDC HHS U18 DP006133NCCDPHP CDC HHS U18 DP006134NCCDPHP CDC HHS U18 DP006136NCCDPHP CDC HHS U18 DP006138NCCDPHP CDC HHS U18 DP006139NIDDK NIH HHS F30 DK113728NIDDK NIH HHS F30DK113728NIDDK NIH HHS K23 DK119465NIDDK NIH HHS P30 DK057516NIDDK NIH HHS R01 DK117461NIDDK NIH HHS R01 DK127208NIDDK NIH HHS UC4 DK108173Seattle Children's Hospital U58/CCU019235-4Seattle Children's Hospital and the University of Washington UL1 TR00423University of Colorado P30 DK57516University of Colorado Denver U48/CCU819241-3University of North Carolina at Chapel Hill U48/CCU419249Wake Forest School of Medicine U48/CCU919219Wake Forest University School of Medicine U48/CCU919219
6 · The paper itself

Abstract

backgroundRacial/ethnic health inequities have been well-documented among youth and young adults with type 1 diabetes (T1D), yet little is known about how socioeconomic position (SEP) intersects with the risk marker of race/ethnicity to predict inequities in longitudinal glycemic control. PURPOSE: To identify patterns of SEP, race/ethnicity, and clinical characteristics that differentiate hemoglobin A1c (HbA1c) trajectories among youth and young adults after T1D diagnosis.

methodsThe SEARCH for Diabetes in Youth cohort includes youth with diabetes diagnosed from 2002 to 2006 and 2008 who were followed through 2015. We analyzed data from 1,313 youth and young adults with T1D with ≥3 HbA1c measures. Classification tree analysis identified patterns of baseline demographic, SEP, and clinical characteristic that best predicted HbA1c trajectories over an average of 8.3 years using group-based trajectory modeling.

resultsTwo HbA1c trajectories were identified: Trajectory 1 (77%) with lower baseline HbA1c and mild increases (from mean 7.4% to 8.4%) and Trajectory 2 (23%) with higher baseline HbA1c and major increases (from 8.5% to 11.2%). Race/ethnicity intersected with different SEP characteristics among non-Hispanic white (NHW) than in non-whites. Public health insurance predicted high-risk Trajectory 2 membership in non-whites, whereas parental education, household structure, diagnosis age and glucose checking frequency predicted membership for NHW youth and young adults. Two characteristics, race/ethnicity and parental education alone identified 80% of the Trajectory 2 members.

conclusionsRace/ethnicity intersects with multiple SEP and clinical characteristics among youth and young adults with T1D, which is associated with particularly high risk of poor long-term glycemic control.

Indexed as

Diabetes Mellitus, Type 1AdolescentBlood GlucoseEthnicityGlycated HemoglobinGlycemic ControlHumansIntersectional FrameworkSocioeconomic FactorsYoung AdultBlood GlucoseGlycated HemoglobinEthnicityHealth inequitiesIntersectionalityRaceSocioeconomic positionType 1 diabetes

Identifiers

PMID34570884
PMCPMC9116580
OpenAlexW3201679625

What OpenQuestion holds

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Registered trials

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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.