Evidence map›Paper›PMID 40617391›Full record

ArticleEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists2025

The Experience of Discrimination Impacts Technology Readiness and Psychosocial States of Minoritized Families Living With Type 1 Diabetes: Findings From the BEAD-T1D Pilot Study.

Ananta Addala, Ricardo Medina Peñaranda, Lauren E Figg, Sarah Hanes, Daniel Garfias Silva, Hector I Ortega, Diana Peña, Gary M Shaw, Lisa J Chamberlain, Diana Naranjo and 3 more

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Article in Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Ananta AddalaDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California; Stanford Diabetes Research Center, Stanford University, Stanford, California. Electronic address: aaddala@stanford.edu.
Ricardo Medina PeñarandaDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Lauren E FiggDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Sarah HanesDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Daniel Garfias SilvaDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Hector I OrtegaDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Diana PeñaDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Lisa J ChamberlainDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Diana NaranjoDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California.
Jennifer K RaymondDepartment of Pediatrics, Division of Pediatric Endocrinology, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, California.
David M MaahsDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California; Stanford Diabetes Research Center, Stanford University, Stanford, California.
Korey K HoodDepartment of Pediatrics, Division of Pediatric Endocrinology, Stanford University, Stanford, California; Stanford Diabetes Research Center, Stanford University, Stanford, California.

Funding

Reducing Disparities in Pediatric Diabetes: Building the Evidence Base to Inform Effective Diabetes Technology Interventions in Underrepresented MinoritiesK23DK131342 · NIDDK · STANFORD UNIVERSITY · PI ADDALA, ANANTA · 2022 to 2025
$970k
NIDDK NIH HHS K23 DK131342
6 · The paper itself

Abstract

objectivesThis study aims to understand the association of perceived discrimination with diabetes technology utilization and psychosocial states in minoritized families with public insurance and pediatric type 1 diabetes.

methodsThe Building the Evidence to Address Disparities in Type 1 Diabetes Pilot (BEAD-Pilot) study engaged parents/guardians of children aged<12 years with type 1 diabetes and public insurance. Parents/guardians were invited to participate in surveys, focus groups, and/or advisory groups. Surveys included validated measures assessing perceived discrimination, psychosocial factors, and diabetes technology acceptance. Data were analyzed via descriptive statistics, group comparisons, and regressions. Through semi-structured interviews, we explored barriers to diabetes technology use and data were coded inductively by a 5-member bilingual group.

resultsDiscrimination correlated with lower diabetes technology acceptance (r = -0.38, P = .05). Higher perceived discrimination was significantly associated with increased depression (β = 0.45, P < .001) and decreased global health (β = -0.27, P = .011). Qualitative data revealed that parents experienced discrimination based on race, ethnicity, and insurance status, often leading to mistrust and reluctance to engage in care.

conclusionsPerceived discrimination appears to be an underexplored but meaningful barrier to diabetes technology utilization. Addressing discrimination in health care and community settings, in addition to access, is essential for closing disparities in diabetes technology utilization.

Indexed as

Diabetes Mellitus, Type 1AdultChildChild, PreschoolFemaleHumansMaleMiddle AgedParentsPilot Projectsdiabetes technologydisparitieshealth equitypediatric diabetesperceived discriminationtype 1 diabetes

Identifiers

PMID40617391
PMCPMC13552641

What OpenQuestion holds

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Registered trials

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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.