JPP Student Journal Club Commentary: Predictors of HbA1c Trajectories in Predominantly Black Adolescents With Type 1 Diabetes
Journal of Pediatric Psychology
ISSN or ISBN
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.
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