Faculty Articles
JPP Student Journal Club Commentary: Predictors of HbA1c Trajectories in Predominantly Black Adolescents With Type 1 Diabetes
Document Type
Article
Publication Title
Journal of Pediatric Psychology
ISSN
1465-735X
Publication Date
4-2021
Abstract
Type 1 diabetes (T1D) is a common pediatric chronic disease that requires complex, lifelong management. Prevalence of T1D increases by 3% annually (Borchers et al., 2010) with the most marked increase (220% increase in incidence between 1985 and 2009) in Black children under age 5 (Lipman et al., 2013). Black youth with T1D have worse glycemic control (Lawrence et al., 2009), greater odds of diabetic ketoacidosis and hypoglycemic events (Willi et al., 2015), a higher mortality rate (Bosnyak et al., 2005), and increased prevalence of nephropathy and retinopathy compared with non-Hispanic White youth (Lado & Lipman, 2016). Keenan et al. (this issue) found, consistent with well-documented disparities in T1D, that Black adolescents had higher average hemoglobin A1c (HbA1c) and were more likely to have undetectably highHbA1c levels (>14%) than White youths in their sample. These dramatic disparities in the health outcomes of youth with T1D are longstanding but have yet to be adequately addressed in practice.
DOI
10.1093/jpepsy/jsab024
Volume
46
Issue
3
NSUWorks Citation
Dimentstein, K.,
Valenzuela, J. M.
(2021). JPP Student Journal Club Commentary: Predictors of HbA1c Trajectories in Predominantly Black Adolescents With Type 1 Diabetes. Journal of Pediatric Psychology, 46(3).
Available at: https://nsuworks.nova.edu/cps_facarticles/2000
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