Evidence map›Paper›PMID 37096459›Full record

ArticlePediatrics2023

Racial Residential Segregation and the Health of Black Youth With Type 1 Diabetes.

Deborah A Ellis, Malcolm P Cutchin, April Idalski Carcone, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Biological and Social Risk Factors for Predicting Type 2 Diabetes in Youth with Prediabetes: Review of Existing Prediction Models.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Deborah A EllisWayne State University, Detroit, Michigan.
Malcolm P CutchinPacific Northwest University of Health Sciences, Yakima, Washington.
April Idalski CarconeWayne State University, Detroit, Michigan.
Meredyth EvansAnn and Robert H. Lurie Children's Hospital and Northwestern Feinberg School of Medicine, Chicago, Illinois.
Jill Weissberg-BenchellAnn and Robert H. Lurie Children's Hospital and Northwestern Feinberg School of Medicine, Chicago, Illinois.
Colleen Buggs-SaxtonWayne State University, Detroit, Michigan.
Claudia Boucher-BerryUniversity of Illinois at Chicago, Chicago, Illinois.
Jennifer L MillerAnn and Robert H. Lurie Children's Hospital and Northwestern Feinberg School of Medicine, Chicago, Illinois.
Tina DrossosUniversity of Chicago, Chicago, Illinois.
M Bassem DekelbabBeaumont Health Care, Royal Oak, Michigan.
Jessica WorleyWayne State University, Detroit, Michigan.
Wayne State University · USLurie Children's Hospital · USBeaumont Health · USPacific Northwest University of Health Sciences · USUniversity of Chicago · USUniversity of Illinois Chicago · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Effects of COVID-19 Related Stressors on an Effectiveness Trial of an E-Health Intervention: Administrative SupplementR01DK110075 · NIDDK · WAYNE STATE UNIVERSITY · PI ELLIS, DEBORAH A. · 2017 to 2022
$3.4M
NIDDK NIH HHS P30 DK092949NIDDK NIH HHS R01 DK110075
6 · The paper itself

Abstract

objectivesBlack youth with type 1 diabetes (T1D) are at heightened risk for suboptimal glycemic control. Studies of neighborhood effects on the health of youth with T1D are limited. The current study investigated the effects of racial residential segregation on the diabetes health of young Black adolescents with T1D.

methodsA total of 148 participants were recruited from 7 pediatric diabetes clinics in 2 US cities. Racial residential segregation (RRS) was calculated at the census block group level based on US Census data. Diabetes management was measured via self-report questionnaire. Hemoglobin A1c (HbA1c) information was gathered from participants during home-based data collection. Hierarchical linear regression was used to test the effects of RRS while controlling for family income, youth age, insulin delivery method (insulin pump versus syringe therapy), and neighborhood adversity.

resultsHbA1c was significantly associated with RRS in bivariate analyses, whereas youth-reported diabetes management was not. In hierarchical regression analyses, whereas family income, age, and insulin delivery method were all significantly associated with HbA1c in model 1, only RRS, age, and insulin delivery method were significantly associated with HbA1c in model 2. Model 2 explained 25% of the variance in HbA1c (P = .001).

conclusionsRRS was associated with glycemic control in a sample of Black youth with T1D and accounted for variance in HbA1c even after controlling for adverse neighborhood conditions. Policies to reduce residential segregation, along with improved screening for neighborhood-level risk, hold the potential to improve the health of a vulnerable population of youth.

Indexed as

Diabetes Mellitus, Type 1InsulinsAdolescentBlack or African AmericanChildGlycated HemoglobinHumansResidential SegregationGlycated HemoglobinInsulins

Identifiers

PMID37096459
PMCPMC10263024
OpenAlexW4366990990

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.