Evidence map›Paper›PMID 36222807›Full record

ArticleJMIR formative research2022

Social Determinants of Health and Diabetes-Related Distress in Patients With Insulin-Dependent Type 2 Diabetes: Cross-sectional, Mixed Methods Approach.

Natalie K Levy, Agnes Park, Daniela Solis, Lu Hu, Aisha T Langford, Binhuan Wang, Erin S Rogers

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05965869 (Creating Healthy Communities Through a Church-based, Community Health Worker-led Initiative), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 9% 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.

NCT05965869 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Creating Healthy Communities Through a Church-based, Community Health Worker-led Initiative

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2023 to 2028Enrolled400ConditionsDiabetes Mellitus, Type 2, Diabetes Mellitus RiskArmsdiabetes program
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Natalie K LevyDepartment of Medicine, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0003-2956-5876
Agnes ParkDepartment of Medicine, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0003-2870-3624
Daniela SolisDepartment of Medicine, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-5687-6533
Lu HuDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-2386-064X
Aisha T LangfordDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0003-1758-691X
Binhuan WangDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-3435-3424
Erin S RogersDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United States.ORCID https://orcid.org/0000-0002-3207-7956
New York University · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

backgroundSocial determinants of health (SDOH) refer to the social, economic, and psychosocial conditions that influence health. Lower levels of SDOH factors including income, education, and employment are associated with a higher prevalence of diabetes, poorer glycemic control, and increased diabetes-related mortality. Few studies have conducted a comprehensive evaluation of multiple SDOH factors in a population with type 2 diabetes mellitus (T2DM).

objectiveThis study aimed to identify the range of SDOH challenges-including diabetes-related distress-that impact patients with insulin-dependent diabetes at an urban safety-net clinic using the 5-domain SDOH framework developed by the Healthy People 2020 initiative.

methodsThe pilot study used a cross-sectional, mixed methods approach. Participants were recruited from 3 programs within a general internal medicine clinic that provides ambulatory care for patients with uncontrolled T2DM. We administered an investigator-developed SDOH survey based on the Healthy People 2020 framework and the validated Diabetes Distress Scale (DDS), which assesses 4 domains of diabetes-related distress. One-on-one interviews were conducted to gain in-depth information about challenges.

resultsIn total, 57 participants had an average hemoglobin A

conclusionsWe found high levels of SDOH barriers across all 5 domains of the Center for Disease Control and Prevention's Healthy People 2020 framework, including significant levels of diabetes-related distress. Future programs to address SDOH barriers in patients with uncontrolled insulin-dependent diabetes should consider screening for and focusing on a wide range of challenges.

Indexed as

ambulatory carebarriercross sectionaldiabetesdiabetes-related distressdiabeticdistressepidemiologyHbA1chealth carehealthcareincomeinsulinsocial determinants of healthsocioeconomicT2DMtype 2 diabetes

Identifiers

PMID36222807
PMCPMC9607916
OpenAlexW4302410658

What OpenQuestion holds

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Registered trials

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.