Social Determinants of Health and Diabetes: A Scientific Review
By F. Hill-Briggs, Nancy E. Adler, Seth A. Berkowitz, Marshall H. Chin, T. Gary-Webb, A. Navas-Acien, Pamela L. Thornton, D. Haire-Joshu. Diabetes Care, 2020
1,393 citations recorded by the source corpus.
Decades of research have demonstrated that diabetes affects racial and ethnic minority and low-income adult populations in the U.S. disproportionately, with relatively intractable patterns seen in these populations’ higher risk of diabetes and rates of diabetes complications and mortality (1). With a health care shift toward greater emphasis on population health outcomes and value-based care, social determinants of health (SDOH) have risen to the forefront as essential intervention targets to achieve health equity (2–4). Most recently, the COVID-19 pandemic has highlighted unequal vulnerabilities borne by racial and ethnic minority groups and by disadvantaged communities. In the wake of concurrent pandemic and racial injustice events in the U.S., the American College of Physicians, American Academy of Pediatrics, Society of General Internal Medicine, National Academy of Medicine, and other professional organizations have published statements on SDOH (5–8), and calls to action focus on amelioration of these determinants at individual, organizational, and policy levels (9–11). In diabetes, understanding andmitigating the impact of SDOH are priorities due to disease prevalence, economic costs, and disproportionate population burden (12–14). In 2013, the American Diabetes Association (ADA) published a scientific statement on socioecological determinants of prediabetes and type 2 diabetes (15). Toward the goal of understanding and advancing opportunities for health improvement among the population with diabetes through addressing SDOH, ADA convened the current SDOH and diabetes writing committee, prepandemic, to review the literature on 1) associations of SDOH withdiabetes risk andoutcomes and2) impact of interventions targeting amelioration of SDOHon diabetes outcomes. This article begins with an overview of key definitions and SDOH frameworks. The literature review focuses primarily on U.S.-based studies of adults with diabetes and on five SDOH: socioeconomic status (education, income, occupation); neighborhood and physical environment (housing, built environment, toxic environmental exposures); food environment (food insecurity, food access); health care (access, affordability, quality); and social context (social cohesion, social capital, social support). This review concludes with recommendations for linkages across health care and community sectors from national advisory committees, recommendations for diabetes research, and recommendations for research to inform practice.
Subfields: General Health Professions, Health, Pharmacy
View Paper: https://www.semanticscholar.org/paper/114f890eeb26610ab051e08cdcf2377f87f60310
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Citations in the corpus
- A Synopsis of the Evidence for the Science and Clinical Management of Cardiovascular-Kidney-Metabolic (CKM) Syndrome: A Scientific Statement From the American Heart Association (2023, background): “48,49 SDOH can be conceptualized within a socioecological framework in which societal factors, community, and interpersonal relationships affect each other and strongly influence individual health behaviors (Figure 2).”
- Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). (2022, background): “Social determinants of health must be assessed and addressed (47) to achieve health equity in diabetes.”
- Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) (2022, positive): “More granularity on social determinants of health as they pertain to diabetes is provided in a recent ADA review [47], with a particular focus on the issues faced in the African American population provided in a subsequent report [48].”
- Real-Time Type 1 Diabetes Self-Management Decision-Making in Adolescents: Protocol for a Longitudinal Mixed Methods Study Using Text Messaging and Continuous Glucose Monitoring (2026, positive): “Elevated glycemic levels in adolescence result from the complex interplay of physical, emotional, and cognitive development in addition to social and structural determinants of health (eg, access to medical care and health care costs) [3,10-12].”
- The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) (2021, background): “In a review of social determinants of health and diabetes [198], the importance of the following domains is discussed: (1) neighbourhood and physical environment (e.”
- Cardiovascular-Kidney-Metabolic Health: A Presidential Advisory From the American Heart Association (2023, background): “23 CKM syndrome is also linked to high health care expenditures: Overweight/obesity and downstream comorbid conditions are associated with almost half a trillion dollars in annual direct health care costs and an additional $1.2 trillion in annual indirect costs related to lost economic productivity.”