Health markers, depressive symptoms, and community deprivation in a type 2 diabetes multidisciplinary care clinic for youth

• Published in: Clinical diabetes and endocrinology 2024-07, Vol.10 (1), p.21-9, Article 21
• Main Authors: Bejarano, Carolina M, Ley, Sanita, Krishnan, Nisha, Orkin, Sarah, Crimmins, Nancy A, Schaaf, Lisa, Shah, Amy S
• Format: Article
• Language: English
• Subjects: Body mass index; Censuses; Community deprivation; Depression, Mental; Depressive symptoms; Diabetes; Diabetes therapy; Electronic health records; Enzymes; Ethnicity; Glycosylated hemoglobin; Health care access; Health disparities; Hemoglobin; High density lipoprotein; Hispanic Americans; Liver; Medical records; Metabolism; Multidisciplinary care; Neighborhoods; Patients; Pediatrics; Risk factors; Teenagers; Triglycerides; Type 2 diabetes; Urine; Youth
• ISSN: 2055-8260; 2055-8260
• DOI: 10.1186/s40842-024-00180-x

Type 2 diabetes disproportionately affects non-Hispanic/Latino Black and Hispanic/Latino youth. The purpose of this study was to examine whether differences in metabolic risk factors and depressive symptoms exist by race/ethnicity and socioeconomic deprivation and whether these impact clinic attendance and health markers over 1 year in a multidisciplinary type 2 diabetes clinic for youth. This study was a retrospective chart review of 54 youth with type 2 diabetes who had both an initial and follow-up visit. Demographic information, metabolic health markers [body mass index (BMI), hemoglobin A1C, liver enzymes, lipid panel, and urine microalbumin], depressive symptoms, and clinic attendance data were obtained from the medical record. Patient address was geocoded to the census tract level to calculate community socioeconomic deprivation. Liver enzymes (ALT and AST) were significantly higher in patients identifying as Hispanic/Latino (ALT M = 97.0 ± 40.6, AST M = 53.6 ± 21.4) and lowest in patients identifying as non-Hispanic/Latino Black (ALT M = 23.1 ± 11.3, F = 10.6 p