Examining the Relationship Between Neighborhood Adversity and Glycemic Control Among African American Adolescents with Type 1 Diabetes

Yasir Mehmood, Jamil Gharib, Jessica Worley, Dr. April Carcone, Dr. Malcolm Cutchin, and Dr. Deborah Ellis, Department of Family Medicine and Public Health Sciences, Wayne State University, 3939 Woodward Avenue, Detroit, MI 48201

African American adolescents with Type 1 Diabetes in the U.S. demonstrate poorer glycemic control. This study examined the relationship between neighborhood adversity and glycemic control among African American adolescents. Neighborhood adversity includes stressors like reduced economic and social opportunities. We hypothesized that higher levels of neighborhood adversity were associated with poorer glycemic control in African American adolescents (10-16 years) with Type 1 Diabetes. Baseline data from a longitudinal intervention study were examined. Glycemic control was measured by HbA1c (%), a measure of average blood glucose. A percentage greater than 7.5% indicates poor glycemic control in adolescents. Neighborhood adversity was measured using the Neighborhood Adversity Index (NAI), which includes 9 indicators of adversity derived from U.S. Census block group data. Pearson’s correlation demonstrated a positive relationship (r = 0.310, p < 0.001) between HbA1c and NAI scores. These results suggest that adolescents facing higher rates of neighborhood adversity are likely to also have poor glycemic control. A possible mechanism for this relationship is youths’ internalization or externalization of neighborhood stress resulting in poorer diabetes care behavior. Future studies should implement a causal design to confirm that living in a more adverse neighborhood contributes to elevated HbA1c levels.   



Additional Abstract Information

Presenter: Yasir Mehmood

Institution: Wayne State University

Type: Poster

Subject: Nursing & Public Health

Status: Approved

Time and Location

Session: Poster 9
Date/Time: Wed 12:00pm-1:00pm
Session Number: 6039