Sociodemographic effects on biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes.
Sociodemographic risk factors place youth with type 1 diabetes at higher risk for immediate and long-term health complications, yet research has still to disentangle the confounding effects of ethnicity, socioeconomic status (SES), and parental marital status. Group-oriented and variable-oriented analyses were conducted to investigate sociodemographic differences in biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes. The sample included 349 youth, age 9-17 years (79.9% Caucasian, 71.3% lived with two biological parents, M SES = 46.24). Group t-tests confirmed commonly reported ethnic differences in HbA1c and disease care behaviors. However, variable-oriented analyses controlling for confounding sociodemographic influences showed most disease care effects attributed to ethnicity were better explained by SES. Results may inform development of diabetes literacy programs that integrate culturally sensitive lifestyle and language components for families of youth at risk of poor metabolic control.
['Powell|Priscilla W|PW|', 'Chen|Rusan|R|', 'Kumar|Anil|A|', 'Streisand|Randi|R|', 'Holmes|Clarissa S|CS|']
D000293:Adolescent D002648:Child D003922:Diabetes Mellitus, Type 1 D005260:Female D015438:Health Behavior D007722:Health Knowledge, Attitudes, Practice D006801:Humans D008297:Male D012044:Regression Analysis D012923:Social Class D011795:Surveys and Questionnaires D014481:United States
diabetes ethnicity Adherence adolescent inequalities in health