title: Sociodemographic effects on biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes.
abstract: Sociodemographic risk factors place youth with type 1 diabetes at higher risk for immediate and long-term health complications, yet research has still to disentangle the confounding effects of ethnicity, socioeconomic status (SES), and parental marital status. Group-oriented and variable-oriented analyses were conducted to investigate sociodemographic differences in biological, disease care, and diabetes knowledge factors in youth with type 1 diabetes. The sample included 349 youth, age 9-17 years (79.9% Caucasian, 71.3% lived with two biological parents, M SES = 46.24). Group t-tests confirmed commonly reported ethnic differences in HbA1c and disease care behaviors. However, variable-oriented analyses controlling for confounding sociodemographic influences showed most disease care effects attributed to ethnicity were better explained by SES. Results may inform development of diabetes literacy programs that integrate culturally sensitive lifestyle and language components for families of youth at risk of poor metabolic control.
authors.affiliation: Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284-2018, USA.
authors.forename: Priscilla W
authors.initials: PW
authors.lastname: Powell
authors.forename: Rusan
authors.initials: R
authors.lastname: Chen
authors.forename: Anil
authors.initials: A
authors.lastname: Kumar
authors.forename: Randi
authors.initials: R
authors.lastname: Streisand
authors.forename: Clarissa S
authors.initials: CS
authors.lastname: Holmes
mesh_terms: D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000378:metabolism; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012044:Regression Analysis; D012923:Social Class; D011795:Surveys and Questionnaires; D014481:United States