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Disparities in Care Delivery and Outcomes in Young Adults With Diabetes

  • Psychosocial Aspects (SS Jaser, Section Editor)
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Abstract

Purpose of Review

This review summarizes the literature on care and outcome disparities in young adults (YA) with type 1 and type 2 diabetes, and outlines remaining needs and suggestions to reduce disparities and improve care.

Recent Findings

Despite well-documented disparities and data from large national and international diabetes populations, the role that social determinants of health play in disease management is largely unstudied. Further, mechanisms of how these risk factors interact with the unique developmental needs of racial-ethnic minority and economically vulnerable young adults with diabetes remain unknown. Little intervention research has focused on improving outcomes in this vulnerable population.

Summary

More research needs to focus on identifying and addressing risk factors in racial-ethnic minority and economically vulnerable young adults with diabetes. Interventions need to be adapted and developed to meet the unique needs of this high-risk population. Clinicians and healthcare systems must recognize the inequity in care and outcomes for this group and structure clinical programs and policies to promote their optimal care.

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Authors and Affiliations

  1. Endocrinology, Diabetes, and Metabolism, University of Pennsylvania, Smilow Translational Research Center Room 12-142 3400 Civic Center Blvd., Philadelphia, PA, USA

    Shivani Agarwal

  2. Baylor College of Medicine and Texas Children’s Hospital, Feigin Tower 1102 Bates Ave., Suite 940, Houston, TX, 77030, USA

    Marisa Hilliard & Ashley Butler

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  1. Shivani Agarwal
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  2. Marisa Hilliard
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  3. Ashley Butler
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Correspondence to Shivani Agarwal.

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Shivani Agarwal, Marisa Hilliard, and Ashley Butler declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

We have included studies by each of the authors Shivani Agarwal, Marisa Hilliard, and Ashley Butler which include human subjects. Informed consent was obtained for all human subjects included in these studies.

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Agarwal, S., Hilliard, M. & Butler, A. Disparities in Care Delivery and Outcomes in Young Adults With Diabetes. Curr Diab Rep 18, 65 (2018). https://doi.org/10.1007/s11892-018-1037-x

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