Butler Ashley M, Eddington Angelica
Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Department of Endocrine and Diabetes, Children's National Hospital, Washington, DC 20010, USA.
Endocrinol Metab Clin North Am. 2025 Jun;54(2):225-232. doi: 10.1016/j.ecl.2025.02.019. Epub 2025 Mar 29.
Youth from socioeconomically and racially/ethnically marginalized backgrounds have inequities in youth-onset type 2 diabetes (T2D). Low socioeconomic status is associated with adverse structural (eg, housing policies) and intermediary (eg, neighborhood conditions) social determinant of health (SDOH). Structural racism is an SDOH that impacts T2D among racial/ethnic minority youth. Research has demonstrated associations of diabetes outcomes with neighborhood conditions, household food insecurity, family and youth stress, and social support. Practice guidelines recommend diabetes care providers screen for SDOH among families of youth with T2D. Comprehensive approaches to mitigating the impact of structural SDOH on inequities in youth-onset T2D are also needed.
来自社会经济和种族/民族边缘化背景的青少年在青少年期2型糖尿病（T2D）方面存在不平等。社会经济地位低下与不良的结构性（如住房政策）和中介性（如邻里环境）健康社会决定因素（SDOH）相关。结构性种族主义是一种影响种族/民族少数族裔青少年T2D的健康社会决定因素。研究表明糖尿病结局与邻里环境、家庭粮食不安全、家庭和青少年压力以及社会支持之间存在关联。实践指南建议糖尿病护理提供者对患有T2D的青少年家庭进行健康社会决定因素筛查。还需要采取综合方法来减轻结构性健康社会决定因素对青少年期T2D不平等现象的影响。
