The Impact of Neighborhood Deprivation on Glycemic Control for Patients with Type 2 Diabetes During Pregnancy

Zahedi-Spung, Leilah; Polnaszek, Brock; Duckham, Hillary E.; Zhang, Fan; Stout, Molly J.; Herrick, Cynthia; Paul, Rachel; Carter, Ebony B.

doi:10.1089/jwh.2021.0273

Cited by 6 publications

(9 citation statements)

References 33 publications

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“…Nine included studies (20%) demonstrate that economic stability significantly impacts glycemic target achievement, attributed to factors such as low income (Hu et al, 2022; Levy et al, 2022; Venkatraman et al, 2022; Wilson, 2021; Zahedi-Spung et al, 2022), food insecurity (Hu et al, 2022; Smalls et al, 2015; Tabaei et al, 2018; Zhang et al, 2017), and socioeconomic disadvantage (Tabaei et al, 2018). These factors hinder adults with T2D from reaching glycemic targets.…”

Section: Resultsmentioning

confidence: 99%

“…Nine included studies (20%) have reported on the influence of healthcare access and quality on glycemic target achievement in adults with T2D (Brown et al, 2021; Campbell et al, 2021; Carpio & Stewart, 2016; Hu et al, 2022; Levy et al, 2022; Smalls et al, 2015; Venkatraman et al, 2022; Wilson, 2021; Zahedi-Spung et al, 2022). Among them, difficulty accessing healthcare was associated with higher glycemic levels in four studies (Brown et al, 2021; Levy et al, 2022; Wilson, 2021; Zahedi-Spung et al, 2022). However, healthcare access and the quality of healthcare were not significantly associated with glycemic targets in five studies (Campbell et al, 2021; Carpio & Stewart, 2016; Hu et al, 2022; Smalls et al, 2015; Venkatraman et al, 2022).…”

Section: Resultsmentioning

confidence: 99%

“…The association between neighborhood and the built environment and glycemic target achievement has been addressed in nine included studies (20%) (Campbell et al, 2021; Carpio & Stewart, 2016; Egede et al, 2022; Hu et al, 2022; Levy et al, 2022; Smalls et al, 2015; Tabaei et al, 2018; Walker et al, 2015; Zahedi-Spung et al, 2022). The results indicate that various factors in deprived neighborhoods were associated with not achieving glycemic targets.…”

Section: Resultsmentioning

confidence: 99%

“…HbA1C of less than 7 (Bin Rakhis et al, 2022; Gomez-Peralta et al, 2022; Umpierrez & Kovatchev, 2018) has been used for evaluating glycemic status over the past 2 to 4 months in individuals with diabetes (American Diabetes Association Professional Practice Committee, 2021). Several individual SDoH (e.g., economic stability, low education, low income) factors have been shown to negatively influence the achievement of glycemic targets among adults with T2D (Levy et al, 2022; Venkatraman et al, 2022; Wilson, 2021; Zahedi-Spung et al, 2022). However, individual SDoHs do not capture the collective well-being of social groups.…”

Section: Introductionmentioning

confidence: 99%

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An Integrative Review of Social Determinants of Glycemic Targets Achievement in Adults with Type 2 Diabetes in the United States

Ahmed,

Voss,

Schiltz

et al. 2024

Clin Nurs Res

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Several individual social determinants of health have been identified as significant factors contributing to achieving glycemic targets (glycated hemoglobin < 7). However, it remains unclear how these social variables individually or collectively contribute to glycemic targets among adults with type 2 diabetes (T2D) in the United States (U.S.) The purpose of the current integrative review (IR) was to describe and synthesize findings from studies on social determinants of glycemic target achievement in adults with T2D in the U.S. and integrate them into the United States Department of Health and Human Services Conceptual Framework. The databases searched included PubMed, CINAHL Plus with Full Text, Medline with Full Text [EBSCO], Google Scholar, bibliography, and hand searching. A total of 948 records were identified. After excluding duplicates and irrelevant studies based on inclusion and exclusion criteria through title, abstract, and full-text screening, 13 studies were finally included in this IR. The results revealed that race/ethnicity, economic access and stability, educational access and quality, healthcare access and quality, neighborhood and built environment, and social and community context contribute to glycemic target achievement among adult patients with T2D in the U.S. Integrating findings from key studies on social determinants of glycemic health may contribute to developing interventions aimed at reducing and eventually eradicating health disparities for individuals with and at risk for T2D in the U.S.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An Integrative Review of Social Determinants of Glycemic Targets Achievement in Adults with Type 2 Diabetes in the United States

Ahmed,

Voss,

Schiltz

et al. 2024

Clin Nurs Res

View full text Add to dashboard Cite

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“…The Area Deprivation Index (ADI) is one measure used in other pregnancy studies that has been associated with APOs and severe maternal morbidity. [26][27][28] The ADI uses the Neighborhood Atlas to include theoretical domains of income, education, employment, and housing quality in the index. 29 However, the ADI does not include health domains as the COI does.…”

Section: Discussionmentioning

confidence: 99%

The Childhood Opportunity Index's Association with Adverse Pregnancy and Newborn Outcomes in Nulliparous Persons

Abraham,

Jampa,

Quinney

et al. 2023

Am J Perinatol

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Objective: The objective of the study was to determine if using a novel measure of social determinants of health, the Childhood Opportunity Index (COI), at the time of delivery was associated with development of adverse pregnancy outcomes (APO) in nulliparous pregnant persons. Study Design: Data were extracted from the 779 participants from a single nuMoM2b study site, a prospective cohort study designed to identify contributors to APOs. Residential address information at delivery was linked to the location’s COI. The overall composite and component scores in education, health and environmental, and socioeconomic indices were recorded. APOs of interest included preterm birth, hypertensive disorders of pregnancy, small for gestational age at birth, stillbirth, and gestational diabetes. Participant characteristics were compared by COI category and the association of COI with APOs was analyzed by logistic regression, controlling for age and self-reported race/ethnicity. Results: The overall COI distribution was: very low (45%); low (17%), moderate (10%), high (15%), and very high (13%). 329 (43.5%) participants experienced at least one APO. Overall COI was associated with developing an APO (p=0.02). Each component score was also associated with developing APOs and with race/ethnicity (p<0.05). Compared to higher COI categories, an overall low or very low categorized location was independently associated with developing an APO (odds ratio 1.636, 95% confidence interval 1.16-2.31). Adjusting for gestational age at birth, those in lower COI areas had newborns with lower birthweight, birth length, and head circumference (estimate (95% confidence interval)- birthweight: -0.0005g (-0.0008 to -0.0001); length: -0.065cm (-0.124 to -0.0091); head circumference: -0.123cm (-0.208 to -0.045). COI was not associated with other newborn outcomes. Conclusion: COI, a marker for social determinants of health, is independently associated with APOs. The COI may be a tool for risk stratification for pregnant people to help with APO-reducing strategies.

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The association between neighborhood deprivation and engagement in mental healthcare after implementation of the perinatal collaborative care model

Polnaszek,

Mwenda,

Nelson

et al. 2024

American Journal of Obstetrics and Gynecology

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The Impact of Neighborhood Deprivation on Glycemic Control for Patients with Type 2 Diabetes During Pregnancy

Cited by 6 publications

References 33 publications

An Integrative Review of Social Determinants of Glycemic Targets Achievement in Adults with Type 2 Diabetes in the United States

An Integrative Review of Social Determinants of Glycemic Targets Achievement in Adults with Type 2 Diabetes in the United States

The Childhood Opportunity Index's Association with Adverse Pregnancy and Newborn Outcomes in Nulliparous Persons

The association between neighborhood deprivation and engagement in mental healthcare after implementation of the perinatal collaborative care model

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