ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2022
Association Between Social Determinants of Health and Glycemic Control Among African American People with Type 2 diabetes: The Jackson Heart Study.
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 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Self-management program and Black women with hypertension: Randomized controlled trial substudy.Research in nursing & health · 2023Trial
- Leveraging Machine Learning to Assess Post-COVID-19 Glycemic Control in Diabetic Patients.International journal of environmental research and public health · 2026Article
- The association of beliefs about medicines with medication adherence and glycemic control among patients with type 2 diabetes: a cross-sectional survey.Frontiers in endocrinology · 2026Article
- The association between social drivers of health, HIV status and physical activity with perceived stress in U.S. women with or without HIV.BMC public health · 2025Article
- Assessing the impact of social determinants of health on diabetes severity and management.JAMIA open · 2024Article
- Exploring the association of social connections and food security among adults with uncontrolled type 2 diabetes: a population-based study.Journal of health, population, and nutrition · 2024Article
- Impact of Social Vulnerability on Diabetes-Related Cardiovascular Mortality in the United States.Journal of the American Heart Association · 2023Article
- The association between early maladaptive schemas and glycaemic control in patients with type 2 diabetes mellitus: A cross-sectional study.Endocrinology, diabetes & metabolism · 2023Article
- Structural Racism as an Upstream Social Determinant of Diabetes Outcomes: A Scoping Review.Diabetes care · 2023Article
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Authors and funding
12 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundSocial determinants of health have a significant impact on health outcomes. However, the complexity and interaction of multiple factors influencing glycemic control remain understudied. PURPOSE: This study examined associations of socioeconomic position (income, education, and occupation), environmental (physical activity facilities, neighborhood social cohesion, neighborhood problem, and violence), behavioral (physical activity, nutrition, and smoking), and psychological factors (depressive symptoms, stress, and discrimination) with glycemic control (hemoglobin A1c [A1c]) using the World Health Organization Social Determinants of Health framework in African American adults with type 2 diabetes.
methodsA secondary data analysis was conducted using a longitudinal cohort of 1,240 African American adults with type 2 diabetes who participated in the community-based Jackson Heart Study. Socioeconomic position, environmental, behavioral, and psychological factors were measured using validated instruments in the Jackson Heart Study. Longitudinal structural equation modeling was used with glycemic control (A1c) collected over time (Exams 1-3) as the study outcome.
resultsOur study presents the complex interplay of socioeconomic determinants of health and glycemic control over time. Higher socioeconomic position (higher income, higher level of education, and professional occupation) was directly associated with improvement in glycemic control over time. An association of socioeconomic position on glycemic control mediated through health behavior factors was also observed.
conclusionsIn this analysis, socioeconomic position components were determinants of glycemic control in African American adults with type 2 diabetes. Future studies aimed at reducing health disparities and achieving equality of outcomes in this population will benefit from embedding socioeconomic position components into their design.
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