Social Disorder in Adults with Type 2 Diabetes: Building on Race, Place, and Poverty.
The recent resurgence of social and civic disquiet in the USA has contributed to increasing recognition that social conditions are meaningfully connected to disease and death. As a "lifestyle disease," control of diabetes requires modifications to daily activities, including healthy dietary practices, regular physical activity, and adherence to treatment regimens. One's ability to develop the healthy practices necessary to prevent or control type 2 diabetes may be influenced by a context of social disorder, the disruptive social and economic conditions that influence daily activity and, consequently, health status. In this paper, we report on our narrative review of the literature that explores the associations between social disorder and diabetes-related health outcomes within vulnerable communities. We also propose a multilevel ecosocial model for conceptualizing social disorder, specifically focusing on its role in racial disparities and its pathways to mediating diabetes outcomes.
Department of Behavioral and Social Health Sciences, School of Public Health, Brown University, Providence, RI, USA.
Shantell L
SL
Steve
Section of General Internal Medicine, Chicago Center of Diabetes Translation Research, University of Chicago, Chicago, IL, USA. eliztung@uchicago.edu.
Elizabeth L
EL
Tung
Department of Sociology, DePaul University, Chicago, IL, USA.
John J
JJ
Schlichtman
Section of General Internal Medicine, Chicago Center of Diabetes Translation Research, MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL, USA.
Monica E
ME
Peek
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000191:economics* / Q000208:ethnology*; D054624:Health Status Disparities; D006801:Humans; D011203:Poverty; D044469:Racial Groups; D012111:Residence Characteristics; D012931:Social Environment; D012959:Socioeconomic Factors
Diabetes; Disparities; Neighborhood environment; Poverty; Race; Racial disparities; Social determinants; Social disorder; Social environment; Socioeconomic determinants