Disparities in Diabetes Distress and Nutrition Management Among Black and Hispanic Adults: A Mixed Methods Exploration of Social Determinants
High rates of diabetes-related distress and low rates of nutrition management were identified in Black and Hispanic adults in a safety-net setting. Qualitative interviews demonstrated a relationship between adverse SDOH and lack of nutrition education with diabetes distress and challenges to self-management, potentially contributing to disparities in outcomes. Findings suggest that increased uptake of nutrition therapy and self-management education and support may be critical for improving diabetes outcomes and promoting health equity.
Authors
- Allan J. Walkey (ORCID: https://orcid.org/0000-0003-4685-6894)
- Kristen P. Kremer (ORCID: https://orcid.org/0000-0002-1154-0200)
- Emily Kim (ORCID: https://orcid.org/0000-0003-0483-3037)
- Mari‐Lynn Drainoni (ORCID: https://orcid.org/0000-0001-7214-8037)
- Kathryn L. Fantasia (ORCID: https://orcid.org/0000-0002-2949-9568)
- Santana Silver (ORCID: https://orcid.org/0000-0001-7066-6703)
- Kayla C. Jones
- Sophia Thornton
- Stephanie Khaw-Marchetta
Institutions
- Boston University (US)
- Boston Medical Center (US)
- University of Massachusetts Chan Medical School (US)
Publication Details
- Journal
- The Science of Diabetes Self-Management and Care
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1177/26350106241311085
- Citations
- 2
- Primary Topic
- Diabetes Management and Education
- Type
- article
- Field-Weighted Citation Impact
- 2.59
Funders
- National Institute of Diabetes and Digestive and Kidney Diseases