Racial-Ethnic Inequity in Young Adults With Type 1 Diabetes
Abstract Context Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied. Objective To describe racial-ethnic disparities among YA wit...
Saved in:
| Published in: | The journal of clinical endocrinology and metabolism Vol. 105; no. 8; pp. e2960 - e2969 |
|---|---|
| Main Authors: | , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
US
Oxford University Press
01.08.2020
|
| Subjects: | |
| ISSN: | 0021-972X, 1945-7197, 1945-7197 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Abstract
Context
Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied.
Objective
To describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES).
Design
Cross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES.
Setting
Six diabetes centers across the United States.
Participants
A total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% non-Hispanic Black, and 34% Hispanic).
Main Outcome
Racial-ethnic disparity in HbA1c levels.
Results
Non-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between non-Hispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black–White glycemic disparity.
Conclusion
This study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors. |
|---|---|
| AbstractList | Context: Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied. Objective: To describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES). Design: Cross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES. Setting: Six diabetes centers across the United States. Participants: A total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% nonHispanic Black, and 34% Hispanic). Main Outcome: Racial-ethnic disparity in HbA1c levels. Results: Non-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between nonHispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black-White glycemic disparity. Conclusion: This study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors. (J Clin Endocrinol Metab 105: 1-10, 2020) Key Words: type 1 diabetes, young adults, healthcare disparities, inequity, social determinants of health Abstract Context Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied. Objective To describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES). Design Cross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES. Setting Six diabetes centers across the United States. Participants A total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% non-Hispanic Black, and 34% Hispanic). Main Outcome Racial-ethnic disparity in HbA1c levels. Results Non-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between non-Hispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black–White glycemic disparity. Conclusion This study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors. Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied. To describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES). Cross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES. Six diabetes centers across the United States. A total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% non-Hispanic Black, and 34% Hispanic). Racial-ethnic disparity in HbA1c levels. Non-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between non-Hispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black-White glycemic disparity. This study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors. Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied.CONTEXTMinority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers of disparities need to be identified, but are not well-studied.To describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES).OBJECTIVETo describe racial-ethnic disparities among YA with T1D and identify drivers of glycemic disparity other than socioeconomic status (SES).Cross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES.DESIGNCross-sectional multicenter collection of patient and chart-reported variables, including SES, social determinants of health, and diabetes-specific factors, with comparison between non-Hispanic White, non-Hispanic Black, and Hispanic YA and multilevel modeling to identify variables that account for glycemic disparity apart from SES.Six diabetes centers across the United States.SETTINGSix diabetes centers across the United States.A total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% non-Hispanic Black, and 34% Hispanic).PARTICIPANTSA total of 300 YA with T1D (18-28 years: 33% non-Hispanic White, 32% non-Hispanic Black, and 34% Hispanic).Racial-ethnic disparity in HbA1c levels.MAIN OUTCOMERacial-ethnic disparity in HbA1c levels.Non-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between non-Hispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black-White glycemic disparity.RESULTSNon-Hispanic Black and Hispanic YA had lower SES, higher HbA1c levels, and much lower diabetes technology use than non-Hispanic White YA (P < 0.001). Non-Hispanic Black YA differed from Hispanic, reporting higher diabetes distress and lower self-management (P < 0.001). After accounting for SES, differences in HbA1c levels disappeared between non-Hispanic White and Hispanic YA, whereas they remained for non-Hispanic Black YA (+ 2.26% [24 mmol/mol], P < 0.001). Diabetes technology use, diabetes distress, and disease self-management accounted for a significant portion of the remaining non-Hispanic Black-White glycemic disparity.This study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors.CONCLUSIONThis study demonstrated large racial-ethnic inequity in YA with T1D, especially among non-Hispanic Black participants. Our findings reveal key opportunities for clinicians to potentially mitigate glycemic disparity in minority YA by promoting diabetes technology use, connecting with social programs, and tailoring support for disease self-management and diabetes distress to account for social contextual factors. |
| Audience | Academic |
| Author | Gonzalez, Jeffrey Gal, Robin L Walker, Ashby Kanapka, Lauren G Gerard-Gonzalez, Andrea Kruger, Davida Shah, Viral N Verdejo, Alandra S Agarwal, Shivani Redondo, Maria J Long, Judith A Rickels, Michael R Raymond, Jennifer K Willi, Steven Butler, Ashley |
| AuthorAffiliation | 2 Jaeb Center for Health Research , Tampa, FL 3 Children’s Hospital Los Angeles , Los Angeles, CA 6 Henry Ford Medical Center , Detroit, MI 7 Baylor College of Medicine, Texas Children’s Hospital , Houston, TX 8 Institute for Diabetes, Obesity & Metabolism, University of Pennsylvania Perelman School of Medicine , Philadelphia, PA 9 Ferkauf Graduate School of Psychology, Yeshiva University , Bronx, NY 5 Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus , Aurora, CO 1 Fleischer Institute for Diabetes and Metabolism, New York-Regional Center for Diabetes Translational Research, Division of Endocrinology, Albert Einstein College of Medicine , Bronx, NY 10 Children’s Hospital of Philadelphia , Philadelphia, PA 4 University of Florida , Gainesville, FL 11 Corporal Michael J. Crescenz VA Medical Center , Philadelphia, PA |
| AuthorAffiliation_xml | – name: 3 Children’s Hospital Los Angeles , Los Angeles, CA – name: 6 Henry Ford Medical Center , Detroit, MI – name: 8 Institute for Diabetes, Obesity & Metabolism, University of Pennsylvania Perelman School of Medicine , Philadelphia, PA – name: 11 Corporal Michael J. Crescenz VA Medical Center , Philadelphia, PA – name: 1 Fleischer Institute for Diabetes and Metabolism, New York-Regional Center for Diabetes Translational Research, Division of Endocrinology, Albert Einstein College of Medicine , Bronx, NY – name: 2 Jaeb Center for Health Research , Tampa, FL – name: 5 Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus , Aurora, CO – name: 4 University of Florida , Gainesville, FL – name: 10 Children’s Hospital of Philadelphia , Philadelphia, PA – name: 7 Baylor College of Medicine, Texas Children’s Hospital , Houston, TX – name: 9 Ferkauf Graduate School of Psychology, Yeshiva University , Bronx, NY |
| Author_xml | – sequence: 1 givenname: Shivani orcidid: 0000-0003-4506-3702 surname: Agarwal fullname: Agarwal, Shivani email: Shivani.Agarwal@einsteinmed.org organization: Fleischer Institute for Diabetes and Metabolism, New York-Regional Center for Diabetes Translational Research, Division of Endocrinology, Albert Einstein College of Medicine, Bronx, NY – sequence: 2 givenname: Lauren G surname: Kanapka fullname: Kanapka, Lauren G organization: Jaeb Center for Health Research, Tampa, FL – sequence: 3 givenname: Jennifer K surname: Raymond fullname: Raymond, Jennifer K organization: Children’s Hospital Los Angeles, Los Angeles, CA – sequence: 4 givenname: Ashby surname: Walker fullname: Walker, Ashby organization: University of Florida, Gainesville, FL – sequence: 5 givenname: Andrea surname: Gerard-Gonzalez fullname: Gerard-Gonzalez, Andrea organization: Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO – sequence: 6 givenname: Davida surname: Kruger fullname: Kruger, Davida organization: Henry Ford Medical Center, Detroit, MI – sequence: 7 givenname: Maria J surname: Redondo fullname: Redondo, Maria J organization: Baylor College of Medicine, Texas Children’s Hospital, Houston, TX – sequence: 8 givenname: Michael R surname: Rickels fullname: Rickels, Michael R organization: Institute for Diabetes, Obesity & Metabolism, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA – sequence: 9 givenname: Viral N surname: Shah fullname: Shah, Viral N organization: Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO – sequence: 10 givenname: Ashley surname: Butler fullname: Butler, Ashley organization: Baylor College of Medicine, Texas Children’s Hospital, Houston, TX – sequence: 11 givenname: Jeffrey surname: Gonzalez fullname: Gonzalez, Jeffrey organization: Fleischer Institute for Diabetes and Metabolism, New York-Regional Center for Diabetes Translational Research, Division of Endocrinology, Albert Einstein College of Medicine, Bronx, NY – sequence: 12 givenname: Alandra S surname: Verdejo fullname: Verdejo, Alandra S organization: Jaeb Center for Health Research, Tampa, FL – sequence: 13 givenname: Robin L surname: Gal fullname: Gal, Robin L organization: Jaeb Center for Health Research, Tampa, FL – sequence: 14 givenname: Steven surname: Willi fullname: Willi, Steven organization: Children’s Hospital of Philadelphia, Philadelphia, PA – sequence: 15 givenname: Judith A surname: Long fullname: Long, Judith A organization: Institute for Diabetes, Obesity & Metabolism, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32382736$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFkc9LHDEYhoNYdLVeeywDvbSH0fzODEJhsbYKgiCW1lPIJJndSCZZJ5nC_vedZVatoJQcAsnzPnwf7wHYDTFYAD4geIwwgifau2C7E7NQChO-A2aopqwUqBa7YAYhRmUt8O99cJDSPYSIUkb2wD7BpMKC8Bk4vVHaKV-e52VwurgM9mFweV24UNzFISyKuRl8TsUvl5fF7XplC1R8c6qx2ab34F2rfLJH2_sQ_Px-fnt2UV5d_7g8m1-VmjKUS4MxpUiQtsYENQZWTdU2FDKMFeHCEIqYrhsCKWOEM9RyaLiCFW2VoJwbTA7B18m7GprOGm1D7pWXq951ql_LqJx8-RPcUi7iHykoEzUno-DzVtDHh8GmLDuXtPVeBRuHJDGFkFGORD2inyZ0obyVLrRxNOoNLucCorqqMBMjdfwKNR5jO6fHhlo3vr8IfPx3hafZH4sYAToBuo8p9baV2mWVXdxs5LxEUG76llPfctv38yBPsUfzm4EvUyAOq_-xfwGLqbrS |
| CitedBy_id | crossref_primary_10_2337_dc22_1055 crossref_primary_10_2337_ds22_0013 crossref_primary_10_1177_20420188241236289 crossref_primary_10_1186_s13034_023_00691_y crossref_primary_10_1002_dmrr_3744 crossref_primary_10_2147_PGPM_S374663 crossref_primary_10_1177_19322968211050649 crossref_primary_10_2337_dsi21_0036 crossref_primary_10_3389_fendo_2023_1191138 crossref_primary_10_1111_pedi_13289 crossref_primary_10_1210_endrev_bnac022 crossref_primary_10_12788_jhm_3664 crossref_primary_10_18553_jmcp_2024_30_1_a_s1 crossref_primary_10_1089_dia_2022_0347 crossref_primary_10_1016_j_jped_2024_11_012 crossref_primary_10_2337_ds22_ps02 crossref_primary_10_1016_j_jcte_2024_100337 crossref_primary_10_1016_j_jcf_2024_07_018 crossref_primary_10_20517_mtod_2025_30 crossref_primary_10_2196_54223 crossref_primary_10_1016_j_diabres_2025_112415 crossref_primary_10_1016_j_diabres_2024_111666 crossref_primary_10_1111_dom_15774 crossref_primary_10_1177_19322968231164151 crossref_primary_10_2337_dc20_2753 crossref_primary_10_1001_jamanetworkopen_2023_8881 crossref_primary_10_1210_clinem_dgad046 crossref_primary_10_1093_jpepsy_jsae085 crossref_primary_10_1177_10436596241271301 crossref_primary_10_1002_edm2_252 crossref_primary_10_1111_1753_0407_70111 crossref_primary_10_1093_abm_kaae028 crossref_primary_10_3389_fendo_2022_1066521 crossref_primary_10_1097_JCN_0000000000000935 crossref_primary_10_1177_19322968211021386 crossref_primary_10_2337_dc23_1564 crossref_primary_10_1089_dia_2024_0612 crossref_primary_10_1007_s00125_025_06494_4 crossref_primary_10_1016_j_deman_2025_100274 crossref_primary_10_1089_dia_2024_2512 crossref_primary_10_1089_dia_2022_0042 crossref_primary_10_1089_dia_2025_0148 crossref_primary_10_1089_dia_2021_0075 crossref_primary_10_2337_dc20_1978 crossref_primary_10_2337_dc24_2100 crossref_primary_10_1177_26350106241306058 crossref_primary_10_1016_j_japhpi_2025_100045 crossref_primary_10_1093_jpepsy_jsad018 crossref_primary_10_1155_2023_6621706 crossref_primary_10_1016_S2213_8587_24_00239_0 crossref_primary_10_1371_journal_pdig_0000918 crossref_primary_10_2337_dc22_0152 crossref_primary_10_1016_j_cct_2023_107386 crossref_primary_10_1111_1467_9566_13814 crossref_primary_10_1177_26350106211072203 crossref_primary_10_3389_fendo_2024_1400240 crossref_primary_10_1177_19322968251332956 crossref_primary_10_3390_children12070882 crossref_primary_10_1016_j_amepre_2024_12_002 crossref_primary_10_1093_jpepsy_jsaf038 crossref_primary_10_2337_dc22_1478 crossref_primary_10_1016_j_jdiacomp_2023_108514 crossref_primary_10_1093_jpepsy_jsaf009 crossref_primary_10_1111_pedi_13408 crossref_primary_10_1089_dia_2021_0413 crossref_primary_10_1210_clinem_dgab077 crossref_primary_10_1210_clinem_dgaf397 crossref_primary_10_3389_fendo_2023_1270517 crossref_primary_10_1177_19322968221088267 crossref_primary_10_1089_dia_2021_0496 crossref_primary_10_1097_MED_0000000000000600 crossref_primary_10_1016_j_molmet_2024_101973 crossref_primary_10_2147_DMSO_S416192 crossref_primary_10_1093_jpepsy_jsae033 crossref_primary_10_2337_dsi23_0003 crossref_primary_10_1016_j_pedn_2024_07_023 crossref_primary_10_1007_s10880_025_10095_z crossref_primary_10_2337_dc22_0555 crossref_primary_10_1177_19322968221144052 crossref_primary_10_1177_26350106221102863 crossref_primary_10_1111_dme_14575 crossref_primary_10_1007_s11892_024_01566_y crossref_primary_10_1016_S0140_6736_23_00914_5 crossref_primary_10_1210_clinem_dgab229 crossref_primary_10_2337_dsi22_0003 crossref_primary_10_1111_dom_16426 crossref_primary_10_1210_clinem_dgad124 crossref_primary_10_2337_dsi22_0006 crossref_primary_10_2337_dsi22_0005 crossref_primary_10_2337_dsi22_0004 crossref_primary_10_1016_j_pedn_2021_11_016 crossref_primary_10_1089_dia_2022_0377 crossref_primary_10_1136_bmjph_2024_002202 crossref_primary_10_1016_j_eprac_2025_06_023 crossref_primary_10_1016_j_jdiacomp_2024_108835 crossref_primary_10_1136_bmjdrc_2024_004229 crossref_primary_10_1111_1753_0407_13401 crossref_primary_10_1111_dme_15254 crossref_primary_10_1089_dia_2020_0622 crossref_primary_10_1177_1049732320984740 crossref_primary_10_1210_clinem_dgab896 crossref_primary_10_1542_peds_2022_058856 crossref_primary_10_1016_S0140_6736_23_00909_1 crossref_primary_10_2337_dsi21_0010 crossref_primary_10_2337_dsi21_0011 crossref_primary_10_2337_dci23_0057 crossref_primary_10_1007_s00125_025_06450_2 crossref_primary_10_1093_jpepsy_jsac070 crossref_primary_10_1111_dme_15382 crossref_primary_10_1016_j_ejim_2024_03_030 crossref_primary_10_1159_000541774 crossref_primary_10_1007_s11892_024_01561_3 crossref_primary_10_2337_dc25_0077 crossref_primary_10_1089_dia_2023_0057 crossref_primary_10_1177_13591053241289189 crossref_primary_10_2337_dc22_1287 crossref_primary_10_1210_clinem_dgab522 crossref_primary_10_1155_jdr_1970247 crossref_primary_10_1210_jendso_bvae115 crossref_primary_10_1080_02739615_2024_2317325 crossref_primary_10_1016_j_eprac_2021_05_001 crossref_primary_10_1186_s40900_024_00602_1 crossref_primary_10_1016_j_diabres_2022_110113 crossref_primary_10_1089_dia_2021_0265 crossref_primary_10_2337_dc21_2396 crossref_primary_10_1016_j_eprac_2023_10_001 crossref_primary_10_1007_s11892_021_01389_1 crossref_primary_10_1089_dia_2021_0268 crossref_primary_10_2196_76387 crossref_primary_10_2337_dc24_1346 crossref_primary_10_1136_bmjdrc_2024_004369 crossref_primary_10_1177_19322968241288917 |
| Cites_doi | 10.1001/jama.2014.3201 10.7326/M16-2596 10.1016/j.genhosppsych.2016.12.004 10.2337/dc16-2688 10.1001/jama.2017.0686 10.1111/pedi.12769 10.2105/AJPH.89.8.1231 10.2337/dc16-1625 10.1177/0898264311421961 10.1016/j.amjcard.2015.02.052 10.2337/diacare.26.4.1052 10.1136/bmjopen-2019-033500 10.1056/NEJMoa1907863 10.1007/s11892-012-0314-3 10.1542/peds.2012-1450 10.2337/diacare.24.9.1536 10.1007/s11892-018-1037-x 10.1016/j.ajem.2010.02.023 10.1177/0886260516681880 10.2337/dc08-1307 10.1037/0003-066X.55.5.469 10.2337/diacare.28.6.1346 10.1016/S0140-6736(15)60945-X 10.1046/j.1464-5491.2002.00757.x 10.1111/j.1464-5491.2011.03542.x 10.2307/2648049 10.1542/peds.2015-3497 10.1111/pedi.12295 10.1001/jama.2014.16425 10.1111/pedi.12907 10.2337/dc15-1775 10.1542/peds.2014-1774 10.2337/dc16-1729 10.2337/dc15-0078 10.1186/1471-2296-7-21 10.1007/s10903-018-0737-2 10.1007/s10900-019-00650-9 10.1177/0095798411414570 10.1007/s11892-016-0740-8 10.2337/db18-2227-PUB 10.1001/jamanetworkopen.2018.1851 10.2105/AJPH.94.10.1807 10.1016/S0749-3797(98)00017-8 |
| ContentType | Journal Article |
| Copyright | Endocrine Society 2020. 2020 Endocrine Society 2020. COPYRIGHT 2020 Oxford University Press |
| Copyright_xml | – notice: Endocrine Society 2020. 2020 – notice: Endocrine Society 2020. – notice: COPYRIGHT 2020 Oxford University Press |
| DBID | TOX AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 5PM |
| DOI | 10.1210/clinem/dgaa236 |
| DatabaseName | Oxford Journals Open Access Collection CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: TOX name: Oxford Journals Open Access Collection url: https://academic.oup.com/journals/ sourceTypes: Publisher – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1945-7197 |
| EndPage | e2969 |
| ExternalDocumentID | PMC7457963 A701988257 32382736 10_1210_clinem_dgaa236 10.1210/clinem/dgaa236 |
| Genre | Multicenter Study Comparative Study Research Support, Non-U.S. Gov't Journal Article Observational Study Research Support, N.I.H., Extramural |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GrantInformation_xml | – fundername: NIDDK NIH HHS grantid: P30 DK111022 – fundername: NIDDK NIH HHS grantid: K23 DK115896 – fundername: ; – fundername: ; grantid: 1K23DK115896-01A1 – fundername: ; grantid: 5P30DK111022-03 |
| GroupedDBID | --- -~X .55 .GJ .XZ 08P 0R~ 18M 1TH 29K 2WC 34G 354 39C 3O- 3V. 4.4 48X 53G 5GY 5RS 5YH 8F7 AABZA AACZT AAIMJ AAJQQ AAKAS AAPGJ AAPQZ AAPXW AAQQT AARHZ AAUAY AAUQX AAVAP AAWDT AAWTL AAYJJ ABBLC ABJNI ABLJU ABMNT ABNHQ ABOCM ABPMR ABPPZ ABPQP ABPTD ABQNK ABSAR ABWST ABXVV ACFRR ACGFO ACGFS ACPRK ACUTJ ACYHN ACZBC ADBBV ADGKP ADGZP ADHKW ADQBN ADRTK ADVEK ADZCM AELWJ AEMDU AENEX AENZO AERZD AETBJ AEWNT AFCHL AFFNX AFFZL AFGWE AFOFC AFRAH AFXAL AFYAG AGINJ AGKRT AGMDO AGQXC AGUTN AHMBA AI. AJEEA ALMA_UNASSIGNED_HOLDINGS APIBT APJGH AQDSO AQKUS ARIXL ASPBG ATGXG AVNTJ AVWKF AZFZN BAWUL BAYMD BCRHZ BENPR BEYMZ BPHCQ BSWAC BTRTY BVXVI C45 CDBKE CS3 D-I DAKXR DIK E3Z EBS EIHJH EJD EMOBN ENERS F5P FECEO FEDTE FHSFR FLUFQ FOEOM FOTVD FQBLK G8K GAUVT GJXCC GX1 H13 HVGLF HZ~ H~9 IAO IHR INH J5H KBUDW KOP KQ8 KSI KSN L7B M5~ MBLQV MHKGH MJL N4W N9A NLBLG NOMLY NOYVH NVLIB O9- OAUYM OBH OCB ODMLO OFXIZ OGEVE OHH OJZSN OK1 OPAEJ OVD OVIDX P2P P6G PQQKQ PROAC REU ROX ROZ TEORI TJX TLC TMA TOX TR2 TWZ VH1 VVN W8F WHG WOQ X52 X7M YBU YFH YHG YOC YSK ZGI ZXP ZY1 ~02 ~H1 7X7 88E 8FI 8FJ AAYXX ABDFA ABEJV ABGNP ABUWG ABVGC ABXZS ADNBA AEHZK AEMQT AEOTA AFFHD AFKRA AHGBF AHMMS AJBYB ALXQX CCPQU CITATION FYUFA HMCUK ITC M1P NU- PHGZM PHGZT PJZUB PPXIY PSQYO UKHRP AGORE CGR CUY CVF ECM EIF NPM 7X8 PUEGO 5PM |
| ID | FETCH-LOGICAL-c451t-d2244173f9231bd08b8fb40522a367d3415c9b304553651f60d6a084fa7466d23 |
| ISICitedReferencesCount | 128 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000565927300027&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0021-972X 1945-7197 |
| IngestDate | Tue Nov 04 01:58:19 EST 2025 Thu Oct 02 08:25:32 EDT 2025 Tue Nov 11 10:22:35 EST 2025 Tue Nov 04 17:38:42 EST 2025 Mon Jul 21 06:02:05 EDT 2025 Sat Nov 29 02:29:23 EST 2025 Tue Nov 18 22:07:45 EST 2025 Wed Aug 28 03:18:44 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 8 |
| Keywords | type 1 diabetes social determinants of health healthcare disparities inequity young adults |
| Language | English |
| License | This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 Endocrine Society 2020. |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c451t-d2244173f9231bd08b8fb40522a367d3415c9b304553651f60d6a084fa7466d23 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Undefined-3 |
| ORCID | 0000-0003-4506-3702 |
| OpenAccessLink | https://pubmed.ncbi.nlm.nih.gov/PMC7457963 |
| PMID | 32382736 |
| PQID | 2400546179 |
| PQPubID | 23479 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_7457963 proquest_miscellaneous_2400546179 gale_infotracmisc_A701988257 gale_infotracacademiconefile_A701988257 pubmed_primary_32382736 crossref_citationtrail_10_1210_clinem_dgaa236 crossref_primary_10_1210_clinem_dgaa236 oup_primary_10_1210_clinem_dgaa236 |
| PublicationCentury | 2000 |
| PublicationDate | 2020-08-01 |
| PublicationDateYYYYMMDD | 2020-08-01 |
| PublicationDate_xml | – month: 08 year: 2020 text: 2020-08-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | US |
| PublicationPlace_xml | – name: US – name: United States |
| PublicationTitle | The journal of clinical endocrinology and metabolism |
| PublicationTitleAlternate | J Clin Endocrinol Metab |
| PublicationYear | 2020 |
| Publisher | Oxford University Press |
| Publisher_xml | – name: Oxford University Press |
| References | Eschbach (2021122109212717600_CIT0049) 2004; 94 Karatekin (2021122109212717600_CIT0042) 2020; 35 Centers for Disease Control and Prevention (2021122109212717600_CIT0003) Garvey (2021122109212717600_CIT0015) 2016; 39 Livingstone (2021122109212717600_CIT0008) 2015; 313 Mills (2021122109212717600_CIT0039) 2011; 29 McDonald (2021122109212717600_CIT0055) 2019; 21 Schwandt (2021122109212717600_CIT0005) 2017; 40 Hirschman (2021122109212717600_CIT0024) 2000; 37 Weinger (2021122109212717600_CIT0032) 2005; 28 Barajas (2021122109212717600_CIT0048) 2019; 44 Commission on Social Determinants of Health (2021122109212717600_CIT0019) Bryden (2021122109212717600_CIT0014) 2001; 24 Polonsky (2021122109212717600_CIT0031) 1995 Hilliard (2021122109212717600_CIT0052) 2017; 40 Hilliard (2021122109212717600_CIT0053) 2012; 12 Huffhines (2021122109212717600_CIT0030) 2016; 16 Rhodes (2021122109212717600_CIT0009) 2012; 29 Agarwal (2021122109212717600_CIT0023) 2020 Kahkoska (2021122109212717600_CIT0006) 2018; 1 Lawton (2021122109212717600_CIT0047) 2020 Centers for D (2021122109212717600_CIT0020) Center (2021122109212717600_CIT0025) 2017 The United States Census Bureau (2021122109212717600_CIT0026) Dabelea (2021122109212717600_CIT0001) 2014; 311 Huizinga (2021122109212717600_CIT0033) 2008; 9 Willi (2021122109212717600_CIT0036) 2015; 135 Crossen (2021122109212717600_CIT0011) 2016; 137 Blumberg (2021122109212717600_CIT0028) 1999; 89 Huang (2021122109212717600_CIT0044) 2009; 32 U.S. Department of Health and Human, Food and Drug Administration, Center for Drug Evaluation and Research (CDER) (2021122109212717600_CIT0035) 2008 Bryden (2021122109212717600_CIT0013) 2003; 26 Ruelas (2021122109212717600_CIT0043) 2018; 67 Johansen (2021122109212717600_CIT0038) 2015; 115 Morris (2021122109212717600_CIT0034) 2006; 7 Garvey (2021122109212717600_CIT0016) 2017; 40 Hollingshead (2021122109212717600_CIT0027) 1975 (2021122109212717600_CIT0051) 2015; 385 Lukács (2021122109212717600_CIT0054) 2018; 19 Clements (2021122109212717600_CIT0004) 2016; 17 Felitti (2021122109212717600_CIT0029) 1998; 14 Cook (2021122109212717600_CIT0040) 2017; 45 Brown (2021122109212717600_CIT0045) 2019; 381 Kipps (2021122109212717600_CIT0012) 2002; 19 Agarwal (2021122109212717600_CIT0022) 2018; 18 Arnett (2021122109212717600_CIT0010) 2000; 55 Boughton (2021122109212717600_CIT0046) 2020; 10 Aranda (2021122109212717600_CIT0050) 2011; 23 Lotstein (2021122109212717600_CIT0017) 2013; 131 World Health Organization (2021122109212717600_CIT0021) Dabelea (2021122109212717600_CIT0002) 2017; 317 Clements (2021122109212717600_CIT0037) 2019; 20 Miller (2021122109212717600_CIT0007) 2015; 38 Bergenstal (2021122109212717600_CIT0018) 2017; 167 Brittian (2021122109212717600_CIT0041) 2012; 38 |
| References_xml | – volume-title: Social Determinants of Health: Know What Affects Health ident: 2021122109212717600_CIT0020 – volume: 311 start-page: 1778 issue: 17 year: 2014 ident: 2021122109212717600_CIT0001 article-title: Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009 publication-title: JAMA doi: 10.1001/jama.2014.3201 – volume: 167 start-page: 95- issue: 2 year: 2017 ident: 2021122109212717600_CIT0018 article-title: Racial differences in the relationship of glucose concentrations and hemoglobin A1c Levels publication-title: Ann Intern Med doi: 10.7326/M16-2596 – ident: 2021122109212717600_CIT0026 – volume: 45 start-page: 32 year: 2017 ident: 2021122109212717600_CIT0040 article-title: Examining psychotropic medication use among youth in the U.S. by race/ethnicity and psychological impairment publication-title: Gen Hosp Psychiatry. doi: 10.1016/j.genhosppsych.2016.12.004 – volume: 40 start-page: 849 issue: 7 year: 2017 ident: 2021122109212717600_CIT0052 article-title: Strengths, risk factors, and resilient outcomes in adolescents with type 1 diabetes: results from diabetes MILES Youth-Australia publication-title: Diabetes Care. doi: 10.2337/dc16-2688 – volume: 317 start-page: 825 issue: 8 year: 2017 ident: 2021122109212717600_CIT0002 article-title: Association of type 1 diabetes vs type 2 diabetes diagnosed during childhood and adolescence with complications during teenage years and young adulthood publication-title: JAMA doi: 10.1001/jama.2017.0686 – volume: 9 issue: 96 year: 2008 ident: 2021122109212717600_CIT0033 article-title: Development and validation of the Diabetes Numeracy Test (DNT) publication-title: BMC Health Serv Res – volume: 19 start-page: 1481 issue: 8 year: 2018 ident: 2021122109212717600_CIT0054 article-title: Health-related quality of life of adolescents with type 1 diabetes in the context of resilience publication-title: Pediatr Diabetes. doi: 10.1111/pedi.12769 – volume: 89 start-page: 1231 issue: 8 year: 1999 ident: 2021122109212717600_CIT0028 article-title: The effectiveness of a short form of the Household Food Security Scale publication-title: Am J Public Health. doi: 10.2105/AJPH.89.8.1231 – volume: 40 start-page: 309 issue: 3 year: 2017 ident: 2021122109212717600_CIT0005 article-title: Longitudinal trajectories of metabolic control from childhood to young adulthood in type 1 diabetes from a large German/Austrian registry: a group-based modeling approach publication-title: Diabetes Care. doi: 10.2337/dc16-1625 – volume: 23 start-page: 1189 issue: 7 year: 2011 ident: 2021122109212717600_CIT0050 article-title: The protective effect of neighborhood composition on increasing frailty among older Mexican Americans: a barrio advantage? publication-title: J Aging Health. doi: 10.1177/0898264311421961 – volume: 115 start-page: 1507 issue: 11 year: 2015 ident: 2021122109212717600_CIT0038 article-title: Antiplatelet and statin use in US patients with coronary artery disease categorized by race/ethnicity and gender, 2003 to 2012 publication-title: Am J Cardiol. doi: 10.1016/j.amjcard.2015.02.052 – volume: 26 start-page: 1052 issue: 4 year: 2003 ident: 2021122109212717600_CIT0013 article-title: Poor prognosis of young adults with type 1 diabetes: a longitudinal study publication-title: Diabetes Care. doi: 10.2337/diacare.26.4.1052 – volume: 10 start-page: e033500 issue: 3 year: 2020 ident: 2021122109212717600_CIT0046 article-title: Assessing the effect of closed-loop insulin delivery from onset of type 1 diabetes in youth on residual beta-cell function compared to standard insulin therapy (CLOuD study): a randomised parallel study protocol publication-title: BMJ Open. doi: 10.1136/bmjopen-2019-033500 – volume: 381 start-page: 1707 issue: 18 year: 2019 ident: 2021122109212717600_CIT0045 article-title: Six-month randomized, multicenter trial of closed-loop control in type 1 diabetes publication-title: N Engl J Med. doi: 10.1056/NEJMoa1907863 – volume: 12 start-page: 739 issue: 6 year: 2012 ident: 2021122109212717600_CIT0053 article-title: Diabetes resilience: a model of risk and protection in type 1 diabetes publication-title: Curr Diab Rep. doi: 10.1007/s11892-012-0314-3 – volume: 131 start-page: e1062 issue: 4 year: 2013 ident: 2021122109212717600_CIT0017 article-title: Transition from pediatric to adult care for youth diagnosed with type 1 diabetes in adolescence publication-title: Pediatrics. doi: 10.1542/peds.2012-1450 – volume: 24 start-page: 1536 issue: 9 year: 2001 ident: 2021122109212717600_CIT0014 article-title: Clinical and psychological course of diabetes from adolescence to young adulthood: a longitudinal cohort study publication-title: Diabetes Care. doi: 10.2337/diacare.24.9.1536 – volume: 18 start-page: 65 issue: 9 year: 2018 ident: 2021122109212717600_CIT0022 article-title: Disparities in care delivery and outcomes in young adults with diabetes publication-title: Curr Diab Rep. doi: 10.1007/s11892-018-1037-x – volume: 29 start-page: 752 issue: 7 year: 2011 ident: 2021122109212717600_CIT0039 article-title: Racial disparity in analgesic treatment for ED patients with abdominal or back pain publication-title: Am J Emerg Med. doi: 10.1016/j.ajem.2010.02.023 – volume: 35 start-page: 150 issue: 1-2 year: 2020 ident: 2021122109212717600_CIT0042 article-title: Effects of adverse childhood experiences, stress, and social support on the health of college students publication-title: J Interpers Violence. doi: 10.1177/0886260516681880 – volume: 32 start-page: 311 issue: 2 year: 2009 ident: 2021122109212717600_CIT0044 article-title: Racial/ethnic differences in concerns about current and future medications among patients with type 2 diabetes publication-title: Diabetes Care. doi: 10.2337/dc08-1307 – volume: 55 start-page: 469 issue: 5 year: 2000 ident: 2021122109212717600_CIT0010 article-title: Emerging adulthood. A theory of development from the late teens through the twenties publication-title: Am Psychol. doi: 10.1037/0003-066X.55.5.469 – volume: 28 start-page: 1346 issue: 6 year: 2005 ident: 2021122109212717600_CIT0032 article-title: Measuring diabetes self-care: a psychometric analysis of the self-care inventory-revised with adults publication-title: Diabetes Care. doi: 10.2337/diacare.28.6.1346 – volume: 385 start-page: 1918 issue: 9981 year: 2015 ident: 2021122109212717600_CIT0051 article-title: The Lancet Editorial Board. The Hispanic paradox publication-title: Lancet doi: 10.1016/S0140-6736(15)60945-X – year: 2008 ident: 2021122109212717600_CIT0035 – start-page: 1 year: 2020 ident: 2021122109212717600_CIT0047 article-title: Health professionals’ views about who would benefit from using a closed-loop system: a qualitative study publication-title: Diabet Med – volume: 19 start-page: 649 issue: 8 year: 2002 ident: 2021122109212717600_CIT0012 article-title: Current methods of transfer of young people with Type 1 diabetes to adult services publication-title: Diabet Med. doi: 10.1046/j.1464-5491.2002.00757.x – volume: 29 start-page: 453 issue: 4 year: 2012 ident: 2021122109212717600_CIT0009 article-title: Estimated morbidity and mortality in adolescents and young adults diagnosed with type 2 diabetes mellitus publication-title: Diabet Med. doi: 10.1111/j.1464-5491.2011.03542.x – volume: 37 start-page: 381 issue: 3 year: 2000 ident: 2021122109212717600_CIT0024 article-title: The meaning and measurement of race in the U.S. census: glimpses into the future publication-title: Demography. doi: 10.2307/2648049 – volume: 137 issue: 6 year: 2016 ident: 2021122109212717600_CIT0011 article-title: Outpatient care preceding hospitalization for diabetic ketoacidosis publication-title: Pediatrics doi: 10.1542/peds.2015-3497 – volume: 17 start-page: 327 issue: 5 year: 2016 ident: 2021122109212717600_CIT0004 article-title: Hemoglobin A1c (HbA1c) changes over time among adolescent and young adult participants in the T1D exchange clinic registry publication-title: Pediatr Diabetes. doi: 10.1111/pedi.12295 – volume: 313 start-page: 37 issue: 1 year: 2015 ident: 2021122109212717600_CIT0008 article-title: Estimated life expectancy in a Scottish cohort with type 1 diabetes, 2008–2010 publication-title: JAMA doi: 10.1001/jama.2014.16425 – volume: 20 start-page: 920 issue: 7 year: 2019 ident: 2021122109212717600_CIT0037 article-title: Five heterogeneous HbA1c trajectories from childhood to adulthood in youth with type 1 diabetes from three different continents – a group-based modeling approach publication-title: Pediatr Diabetes doi: 10.1111/pedi.12907 – volume: 39 start-page: 190 issue: 2 year: 2016 ident: 2021122109212717600_CIT0015 article-title: Health care transition in young adults with type 1 diabetes: perspectives of adult endocrinologists in the U.S publication-title: Diabetes Care. doi: 10.2337/dc15-1775 – volume: 135 start-page: 424 issue: 3 year: 2015 ident: 2021122109212717600_CIT0036 article-title: Racial-ethnic disparities in management and outcomes among children with type 1 diabetes publication-title: Pediatrics. doi: 10.1542/peds.2014-1774 – volume-title: Closing the gap in a generation: Health equity through action on the social determinants of health ident: 2021122109212717600_CIT0019 – year: 2017 ident: 2021122109212717600_CIT0025 – ident: 2021122109212717600_CIT0021 – volume-title: National Diabetes Statistics Report ident: 2021122109212717600_CIT0003 – volume: 40 start-page: 317 issue: 3 year: 2017 ident: 2021122109212717600_CIT0016 article-title: Health care transition preparation and experiences in a U.S. national sample of young adults with type 1 diabetes publication-title: Diabetes Care. doi: 10.2337/dc16-1729 – volume: 38 start-page: 971 issue: 6 year: 2015 ident: 2021122109212717600_CIT0007 article-title: Current state of type 1 diabetes treatment in the U.S.: updated data from the T1D Exchange clinic registry publication-title: Diabetes Care. doi: 10.2337/dc15-0078 – volume: 7 start-page: 21 year: 2006 ident: 2021122109212717600_CIT0034 article-title: The Single Item Literacy Screener: evaluation of a brief instrument to identify limited reading ability publication-title: BMC Fam Pract. doi: 10.1186/1471-2296-7-21 – volume: 21 start-page: 237 issue: 2 year: 2019 ident: 2021122109212717600_CIT0055 article-title: Parsing the paradox: hispanic mortality in the US by detailed cause of death publication-title: J Immigr Minor Health. doi: 10.1007/s10903-018-0737-2 – volume: 44 start-page: 954 issue: 5 year: 2019 ident: 2021122109212717600_CIT0048 article-title: Coping, discrimination, and physical health conditions among predominantly poor, urban African Americans: implications for community-level health services publication-title: J Community Health. doi: 10.1007/s10900-019-00650-9 – volume-title: Four-Factor Index of Social Status. year: 1975 ident: 2021122109212717600_CIT0027 – start-page: 754 volume-title: Diabetes Care. year: 1995 ident: 2021122109212717600_CIT0031 article-title: Assessment of diabetes-related distress – volume: 38 start-page: 172 issue: 2 year: 2012 ident: 2021122109212717600_CIT0041 article-title: Understanding African American adolescents’ identity development: a relational developmental systems perspective publication-title: J Black Psychol. doi: 10.1177/0095798411414570 – volume: 16 start-page: 54 issue: 6 year: 2016 ident: 2021122109212717600_CIT0030 article-title: The link between adverse childhood experiences and diabetes publication-title: Curr Diab Rep. doi: 10.1007/s11892-016-0740-8 – volume: 67 year: 2018 ident: 2021122109212717600_CIT0043 article-title: The STEPP-UP Project—designing low literacy teaching tools for use of devices in a minority population publication-title: Diabetes doi: 10.2337/db18-2227-PUB – volume: 1 start-page: e181851 issue: 5 year: 2018 ident: 2021122109212717600_CIT0006 article-title: Association of race and ethnicity with glycemic control and hemoglobin A 1c levels in youth with type 1 diabetes publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2018.1851 – volume: 94 start-page: 1807 issue: 10 year: 2004 ident: 2021122109212717600_CIT0049 article-title: Neighborhood context and mortality among older Mexican Americans: is there a barrio advantage? publication-title: Am J Public Health. doi: 10.2105/AJPH.94.10.1807 – volume: 14 start-page: 245 issue: 4 year: 1998 ident: 2021122109212717600_CIT0029 article-title: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults publication-title: Am J Prev Med doi: 10.1016/S0749-3797(98)00017-8 – year: 2020 ident: 2021122109212717600_CIT0023 article-title: Supplemental tables for “Racial-Ethnic Inequity in Young Adults With Type 1 Diabetes.” publication-title: Dryad |
| SSID | ssj0014453 |
| Score | 2.6300685 |
| Snippet | Abstract
Context
Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes.... Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable drivers... Context: Minority young adults (YA) currently represent the largest growing population with type 1 diabetes (T1D) and experience very poor outcomes. Modifiable... |
| SourceID | pubmedcentral proquest gale pubmed crossref oup |
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | e2960 |
| SubjectTerms | Analysis Blood Glucose Self-Monitoring - instrumentation Blood Glucose Self-Monitoring - statistics & numerical data Continental Population Groups - statistics & numerical data Cross-Sectional Studies Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - diagnosis Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - therapy Discrimination in medical care Ethnic Groups - statistics & numerical data Female Glycated Hemoglobin A - analysis Glycosylated hemoglobin Health care disparities Health Status Disparities Humans Male Minority Groups - statistics & numerical data Online Only Patient Compliance - statistics & numerical data Self-care, Health Self-Management - statistics & numerical data Social Class Social Determinants of Health - statistics & numerical data Teenagers Type 1 diabetes United States Young Adult Youth |
| Title | Racial-Ethnic Inequity in Young Adults With Type 1 Diabetes |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/32382736 https://www.proquest.com/docview/2400546179 https://pubmed.ncbi.nlm.nih.gov/PMC7457963 |
| Volume | 105 |
| WOSCitedRecordID | wos000565927300027&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1945-7197 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0014453 issn: 0021-972X databaseCode: 7X7 dateStart: 20170101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1945-7197 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0014453 issn: 0021-972X databaseCode: BENPR dateStart: 20170101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3Nb9MwFLe6DSEuiM9RGFNASByiiMSO40ScCuoEB6qpDNFb5CTOWtG5pU3H9o_x9_Fe4qTJxGAcuERt4rip38_P7-e8D0JeCQ-0fs6Am3A3c_ycMicMFLAUmotcAqFIWFoWmxCjUTiZRMe93s86FuZ8LrQOLy6i5X8VNZwDYWPo7D-Iu-kUTsBnEDocQexwvJHgxxJ3wZ1hMcXaNh-1-r5BS3um7XJm2wPMuIFur8XURhZqe7Zxi1m3LVXETyutRBNBqXS2AE2jt7mbzlQBSJrXuQgRPady9aOsJGB_nuKrplmj16WWy2-yjshWelvbaywvz0yN49rlZrsH-1XOjfvHYD1NLtt7FXTrKVf8KQayrZ_RYUSUBdZhdapUcuRzR3iVF2-js13eAmfY0sCKRlWBArOc4_fot2sFkF2QJQ6fgql3lJ1KSdmVtNyGJ13XeIfsUcEj0KZ774aj43Hz_sr3Tf5T839MulCMl6r6eGN66JhDxijoRFq2CM9Vv92WIXRyj9w1DMYaVMi7T3pKPyC3PxkfjYfkbQeAVg1Aa6atEoBWBUALAWghAC3PqgH4iHw5Gp68_-CYEh1O6nOvcDKwAH1PsBx5QpK5YRLmCXAASiULRAYmEk9hugNv4CzgXh64WSDd0M-l8IMgo-wx2dULrZ4Qy01EzmmYqIQyXyV5wpmifuameSQSLmWfOPVIxanJX49lVOYx8lgY2bga2diMbJ-8btovq8wt17fEgY8RHdBjKk1kCjwXJkeLB1iyAJgoF31y0GkJqjjtXH4Jovvrr72oJRvj_ejkqNVis47RnZv7QCmiPtmvJN30xcC0BqYBd4sOBpoGmCa-e0XPpmW6eOFjvDl7epOHe0bubOftAdktVhv1nNxKz4vZenVIdsRElMfw0CD-F-ra4C8 |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Racial-Ethnic+Inequity+in+Young+Adults+With+Type+1+Diabetes&rft.jtitle=The+journal+of+clinical+endocrinology+and+metabolism&rft.au=Agarwal%2C+Shivani&rft.au=Kanapka%2C+Lauren+G&rft.au=Raymond%2C+Jennifer+K&rft.au=Walker%2C+Ashby&rft.date=2020-08-01&rft.pub=Oxford+University+Press&rft.issn=0021-972X&rft.eissn=1945-7197&rft.volume=105&rft.issue=8&rft.spage=e2960&rft.epage=e2969&rft_id=info:doi/10.1210%2Fclinem%2Fdgaa236&rft.externalDocID=10.1210%2Fclinem%2Fdgaa236 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0021-972X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0021-972X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0021-972X&client=summon |