Social Determinants of Health in Diabetes Outcomes

This is a cross-sectional study of six hundred adults with type 2 diabetes, (300 White and
300 African-American) who will be recruited from two primary care sites to determine how
social determinants of health impact diabetes outcomes. The first aim is to investigate the
role of psychosocial factors and SES on diabetes care processes and outcomes. The second aim
is to investigate the influence of community and neighborhood characteristics on diabetes
care processes and outcomes. Finally, we will examine the contribution of social determinants
of health to ethnic differences in diabetes care processes and outcomes. Clinical and
metabolic measures will be abstracted from the electronic medical records. Outcome variables
include hemoglobin A1c, blood pressure, LDL-Cholesterol and quality of life.