ArticleJournal of the National Medical Association2022
Relationship between social determinants of health and clinical outcomes in adults with type 2 diabetes in Lebanon.
Article in Journal of the National Medical Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Prevention of type 2 diabetes in migrant populations from low- and middle-income countries living in high-income countries.Diabetologia · 2025Review
- Relationship Between Material Needs Security and Quality of Life in Adults With Type 2 Diabetes in Lebanon.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Material needs security and mental health outcomes in adults with type 2 Diabetes in Lebanon: A cross-sectional study.Journal of diabetes and metabolic disorders · 2024Article
- Unveiling the unseen toll: exploring the impact of the Lebanese economic crisis on the health-seeking behaviors in a sample of patients with diabetes and hypertension.BMC public health · 2024Article
- Identifying health research in the era of COVID-19: A scoping review.SAGE open medicine · 2023Article
- A Structural Equation Modeling Analysis to Explore Diabetes Self-Care Factors in a Rural Sample.Healthcare (Basel, Switzerland) · 2022Article
- Material Needs Security and Food Security Among Lebanese Adults with Type 2 Diabetes: A Cross-Sectional Study.Health equityArticle
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5 authors.
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Abstract
backgroundA growing number of ethnic minority populations in the United States are from the Middle East and North Africa (MENA) region, specifically Lebanon. This region is witnessing one of the highest expected increases in diabetes prevalence. However, limited data exists on how social determinants of health impact clinical care for diabetes in this population. The aim of this study was to assess the social determinants of health and their impact on clinical outcomes in Lebanese adults with type 2 diabetes (T2DM).
methodsA convenience sample of Lebanese patients with T2DM was recruited from primary health care centers in Lebanon. Data on demographics and social determinants of health, including socioeconomic status, neighborhood and built environment, as well as psychosocial variables were collected. Clinical outcomes including Hemoglobin A1c (A1C), systolic (SBP) and diastolic blood pressure (DBP) were measured. Unadjusted and adjusted linear regression models were used to test for associations between the independent variables and each of the outcomes.
resultsOut of the 300 adults with T2DM, 52% were men, 73% were married and 64% had an education level below high school. Results from multivariate analyses showed that food insecurity (β = 0.16, p = 0.01), owning an air conditioner (β = -0.64, p = 0.01), and commuting by walking (β = -0.93, p = 0.01) were independently associated with A1C. Predictors of DBP were male gender (β = 3.59, p = 0.03), age (β = -0.19, p = 0.005) and lack of confidence in filling medical forms (β = -4.89, p = 0.007), while male gender was the only predictor of SBP (β = 7.41, p = 0.008).
conclusionsThis is the first study to examine the relationship between social determinants of health and clinical outcomes for diabetes in the MENA region. Our findings suggest that living in an underprivileged neighborhood and built environment was significantly and independently associated with poor clinical outcomes among adults with T2DM in Lebanon. Findings from this study will inform care for immigrant populations with diabetes from the MENA region.
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