The Role of Socioeconomic Status in a Community-Based Study of Diabetes Secondary Prevention Among African Americans.
The Role of Socioeconomic Status in a Community-Based Study of Diabetes Secondary Prevention Among African Americans.
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DOI：
10.1080/14635240.2020.1866999
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发表时间：
2022
影响因子：
1
通讯作者：
James, Sherman A.
中科院分区：
文献类型：
--
作者：
Silberberg, Mina;Muhlbaier, Lawrence H.;Hart-Brothers, Elaine;Weaver, Sarah M.;James, Sherman A.
非裔美国人的社会经济多样性对健康干预的影响尚未得到充分研究。我们的单臂社区参与式研究旨在通过为期六个月的干预，结合同伴支持小组和专业的个人指导，改善患有2型糖尿病的非裔美国人的血糖，研究参与者是从2009-2012年通过教堂和其他社区网站招募的。在干预开始和结束时测量临床状态并进行调查。在完成六个月的测量后，保留开始运作。分类变量之间的双变量相关性采用Pearson卡方检验进行评估，分类变量和连续变量之间的双变量相关性采用独立均值t检验进行评估。对HbA 1c的保留进行了多元逻辑回归，对HbA 1c的变化进行了多元线性回归（p<0.05）。我们招募了大量社会经济多样化的非裔美国人（n=380），保留率很高（85%）。然而，那些离开研究的人比那些保留的人更有可能没有保险（52.4%对28.7%），并且不太可能接受高中以上的教育（45.3%对63.3%）;他们的人均家庭收入较低（10，942美元对20，731美元）。多变量分析表明，社会经济地位和保留之间的这种关联是由较高的基线血糖和糖尿病负担介导的那些较低的社会经济地位。更高的基线血糖，而不是SES，与糖尿病控制的更大改善相关。这些研究结果表明，解决种族群体内的社会经济地位作为健康干预的参与和结果的决定因素的分析的重要性。
The implications for health interventions of socioeconomic diversity among African Americans is not well-studied.Our one-arm community-based participatory research study was designed to improve blood sugar among African Americans with Type 2 diabetes through a six-month intervention combining peer support groups and professional individual coaching in a small Southern county with large, socioeconomically diverse African American population.Study participants were recruited through churches and other community sites from 2009-2012. Clinical status was measured and surveys administered at intervention beginning and end. Retention was operationalized as completion of six-month measurement. Bivariate associations between categorical variables were assessed using Pearson’s chi-square and between categorical and continuous variables using independent t-tests of means. Multiple logistic regression was conducted for retention and multiple linear regression for change in HbA1c (p<.05).We enrolled a large, socioeconomically diverse African- American population (n=380) and, retention was high (85%). However, those who left the study were more likely than those retained to be uninsured (52.4% vs. 28.7%) and less likely to have education beyond high school (45.3% vs. 63.3%); their average household income per person was lower ($10,942 vs. $20,731). Multivariate analysis showed that this association between socioeconomic status and retention was mediated by higher baseline blood sugar and diabetes burden among those of lower socioeconomic status. Higher baseline blood sugar, but not SES, was associated with greater improvements in diabetes control.These findings indicate the importance of analyses that address socioeconomic status within racial groups as a determinant of participation in and outcomes from health interventions.
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影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
DOI：
10.1037/hea0000242
发表时间：
2016-04
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
Williams DR;Priest N;Anderson NB
通讯作者：
Anderson NB
DOI：
10.1017/s1742058x11000087
发表时间：
2011
期刊：
Du Bois review : social science research on race
影响因子：
--
作者：
Sternthal MJ;Slopen N;Williams DR
通讯作者：
Williams DR
DOI：
10.1590/0102-311x00104416
发表时间：
2017-01-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
James, Sherman A.
通讯作者：
James, Sherman A.
影响因子：
2.9
作者：
Fitzgerald, JT;Davis, WK;Hiss, RG
通讯作者：
Hiss, RG