ArticleDiabetes research and clinical practice2025
Effects of individual, health system and neighborhood risks on diabetes health outcomes among emerging adults with type 1 diabetes.
Article in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04066959 (Improving Diabetes Health in Emerging Adulthood Through an Autonomy Supportive Intervention), which is not on this map. Not yet cited in PubMed.
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Improving Diabetes Health in Emerging Adulthood Through an Autonomy Supportive Intervention
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5 authors.
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Abstract
aimsTo test associations between individual, health system and neighborhood-level risk and protective factors, and health outcomes in a diverse sample of emerging adults (EAs) with type 1 diabetes (T1D).
methodsData were drawn from the baseline data collection of a clinical trial. One hundred and thirteen EAs [47.8 % White/non-Hispanic; mean age = 20.9 years; mean HbA1c = 9.5 % (IFCC = 81 mmol/mol)] completed self-report questionnaires on diabetes-self efficacy, diabetes distress, communication with diabetes health care provider, neighborhood crime and diabetes management. Structural equation modelling estimated the direct and indirect effects of individual, health care provider, and neighborhood factors on diabetes management and glycemic control.
resultsIn the final model, self-efficacy for diabetes care was the only significant predictor of diabetes management (β = 0.32, p < 0.001). Neighborhood crime (β = 0.17, p < 0.05) and diabetes management (β = -0.28, p < 0.05) had significant direct effects on glycemic control, while diabetes self-efficacy had a significant indirect effect though diabetes management (β = -0.090; p < 0.01).
conclusionsIndividual factors such as higher self-efficacy for diabetes management and neighborhood factors such as lower crime rates have protective effects on the diabetes health of EAs with T1D.
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