ArticleJournal of the American Board of Family Medicine : JABFM2025
Association of Social Needs with Diabetes Outcomes in an Older Population.
Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Examining the association of social needs with dental utilization.Frontiers in oral health · 2026Article
- Current status and factors associated with social frailty in older adults with type 2 diabetes: a cross-sectional study.Frontiers in public health · 2026Article
- Article
- Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFMArticle
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Authors and funding
6 authors.
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Abstract
backgroundIdentifying and addressing social needs is important to improve health for older adults with type 2 diabetes mellitus (T2DM). However, few studies have examined the association between social needs and T2DM-related outcomes among older populations within integrated health care systems. This study examined the association between social needs and DM-related outcomes among older adults with T2DM receiving care at Kaiser Permanente Northwest.
methodsFrom a cohort of 1954 Medicare members ages 65 and older who completed a social needs questionnaire, we examined the association between 5 dichotomous (yes vs no) social needs measures (financial strain, food insecurity, housing instability, social isolation, and transportation needs) and 3 DM-specific outcomes in the 12 months after assessment: 1) good glycemic control (HbA1c < 8%); 2) any DM-specific emergency department (ED) utilization; and 3) any DM-specific hospital admissions.
resultsAbout 40% of the study population reported 1 or more social needs. Financial strain (OR = 0.56, 95% CI = 0.36-0.85), food insecurity (OR = 0.47, 95% CI = 0.28-0.81) and housing instability (OR = 0.50, 95% CI = 0.25-0.99) were associated with lower odds of good glycemic control. All 5 social needs were associated with higher ED utilization (financial strain: OR = 1.65, 95% CI = 1.17-2.33; food insecurity: OR = 1.62, 95% CI = 1.02-2.57; housing instability: OR = 2.14, 95% CI = 1.23-3.75; social isolation: OR = 1.36, 95% CI = 1.06-1.74; transportation needs: OR = 1.83, 95% CI = 1.23-2.71). Financial strain was also associated with higher hospital admissions (OR = 1.77, 95% CI = 1.17-2.68). DISCUSSION: Associations between social needs and DM-specific outcomes demonstrate the need to develop programs to address social needs in the clinical setting and test whether such interventions improve DM-related outcomes.
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