Neighborhood disorder and glycemic control in late adolescents with Type 1 diabetes

Tara L. Queen, Katherine J.W. Baucom, Ashley C. Baker, Daniel Mello, Cynthia A. Berg, Deborah J. Wiebe

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective To evaluate the contribution of neighborhood characteristics to treatment adherence and glycemic control in late adolescents with Type 1 diabetes. Research design and methods As part of a larger study, 220 late adolescents with Type 1 diabetes (aged 17.8 ± 0.4 years, 59.6% female, diabetes duration 7.3 ± 3.9 years) were recruited from outpatient pediatric clinics during their senior year of high school. Adolescents completed self-report measures of adherence behaviors and subjective social status, and their HbA1c values were collected during a lab assessment. Their mothers reported on their own educational achievement. These data were linked with neighborhood characteristics obtained from 2010 American Community Survey data using participants’ home addresses. Based on previous work (Dulin-Keita et al., 2012), a neighborhood disorder composite score was computed from Census-tract-level variables, including percent of the population achieving less than a high school education, under 18 who lived in poverty, unemployed, receiving public assistance, and percent of households that were vacant. Results – Adolescents with Type 1 diabetes who lived in more disordered neighborhoods were at higher risk for poorer glycemic control (p < .001), but did not report poorer adherence behaviors. The association between neighborhood disorder and HbA1c was significant after accounting for family socioeconomic status (maternal education), but not subjective social status. Conclusions – Results highlight the importance of neighborhood disorder for adolescents’ glycemic control. The nonsignificant association between neighborhood disorder and adherence behaviors suggests physiological rather than behavioral mechanisms may be driving neighborhood SES-health outcome links.

Original languageEnglish (US)
Pages (from-to)126-129
Number of pages4
JournalSocial Science and Medicine
Volume183
DOIs
StatePublished - Jun 1 2017

Fingerprint

Type 1 Diabetes Mellitus
chronic illness
adolescent
social status
Public Assistance
Mothers
Education
Educational Status
outpatient clinic
Diabetes
school education
Censuses
Poverty
Ambulatory Care Facilities
Social Class
Adherence
Self Report
research planning
research method
census

Keywords

  • Adolescents
  • Neighborhood disorder
  • Subjective social status
  • Type 1 diabetes

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

Cite this

Queen, T. L., Baucom, K. J. W., Baker, A. C., Mello, D., Berg, C. A., & Wiebe, D. J. (2017). Neighborhood disorder and glycemic control in late adolescents with Type 1 diabetes. Social Science and Medicine, 183, 126-129. https://doi.org/10.1016/j.socscimed.2017.04.052

Neighborhood disorder and glycemic control in late adolescents with Type 1 diabetes. / Queen, Tara L.; Baucom, Katherine J.W.; Baker, Ashley C.; Mello, Daniel; Berg, Cynthia A.; Wiebe, Deborah J.

In: Social Science and Medicine, Vol. 183, 01.06.2017, p. 126-129.

Research output: Contribution to journalArticle

Queen, Tara L. ; Baucom, Katherine J.W. ; Baker, Ashley C. ; Mello, Daniel ; Berg, Cynthia A. ; Wiebe, Deborah J. / Neighborhood disorder and glycemic control in late adolescents with Type 1 diabetes. In: Social Science and Medicine. 2017 ; Vol. 183. pp. 126-129.
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