J Korean Diabetes.  2022 Jun;23(2):138-143. 10.4093/jkd.2022.23.2.138.

Social Determinants of Health in Diabetes Patient Care

Affiliations
  • 1Department of Social Work, Kyung Hee University Hospital at Gangdong, Seoul, Korea

Abstract

Diabetic patients must exert continuous self-management in areas such as diet, exercise, and medications to control blood sugar. However, such habits are greatly influenced by lifestyle; socioeconomic, cultural, and environmental conditions; as well as individual will. In vulnerable groups, the prevalence of diabetes is higher than in non-vulnerable groups, and difficulties in diabetes management are more common. Health is impacted by age; gender; genetics; lifestyle; social and community networks; living and working conditions; and socioeconomic, cultural, and environmental conditions. Among these various factors, five ‘social determinants of health’ highly affect the health management of diabetic patients: socioeconomic status, physical environment (housing environment, transportation), food insecurity, family and social support, and health literacy. It is important address these social determinants of health, starting with identification of individualized social needs of patients. Efforts should be made to improve quality of life through use of community resources and to further contribute to alleviating health inequality.

Keyword

Diabetes mellitus; Social determinants of health; Social worker

Cited by  1 articles

Diabetes Self-Management in Vulnerable Populations
Soo Mi Jang
J Korean Diabetes. 2023;24(2):102-106.    doi: 10.4093/jkd.2023.24.2.102.


Reference

1.International Diabetes Federation. IDF diabetes atlas 2021. 10th ed.Brussels: International Diabetes Federation;2021.
2.Buelo AK., Kirk A., Lindsay RS., Jepson RG. Exploring the effectiveness of physical activity interventions in women with previous gestational diabetes: a systematic review of quantitative and qualitative studies. Prev Med Rep. 2019. 14:100877.
Article
3.Glazier RH., Bajcar J., Kennie NR., Willson K. A systematic review of interventions to improve diabetes care in socially disadvantaged populations. Diabetes Care. 2006. 29:1675–88.
Article
4.Lakerveld J., Palmeira AL., van Duinkerken E., Whitelock V., Peyrot M., Nouwen A. Motivation: key to a healthy lifestyle in people with diabetes? Current and emerging knowledge and applications. Diabet Med. 2020. 37:464–72.
Article
5.Dahlgren G., Whitehead M. Policies and strategies to pro-mote social equity in health. Stockholm: Stockholm Insti-tute for Futures Studies;1991.
6.Hill JO., Galloway JM., Goley A., Marrero DG., Minners R., Montgomery B. Scientific statement: socioecological determinants of prediabetes and type 2 diabetes. Diabetes Care. 2013. 36:2430–9.
Article
7.National Cancer Center. Medical social welfare guidebook for discharge planning for cancer patients applying social determinants of health. Ilsan: National Cancer Center;2021.
8.Hill-Briggs F., Adler NE., Berkowitz SA., Chin MH., Gary-Webb TL., Navas-Acien A. Social determinants of health and diabetes: a scientific review. Diabetes Care. 2020. 44:258–79.
Article
9.American Psychological Association, Task Force on Socioeconomic Status. Report of the APA Task Force on Socioeconomic Status. Washington, DC: American Psychological Association;2007.
10.Adler NE., Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002. 21:60–76.
Article
11.Gim DY. A study on the effects of socioeconomic status on health level and medical service use. Inst Humanit Soc Sci. 2015. 16:329–69.
Article
12.Agardh E., Allebeck P., Hallqvist J., Moradi T., Sidorchuk A. Type 2 diabetes incidence and socioeconomic position: a systematic review and meta-analysis. Int J Epidemiol. 2011. 40:804–18.
Article
13.American Hospital Association. Social determinants of health series: transportation and the role of hospitals. Chi-cago: American Hospital Association;2017.
14.National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association. Data collection techniques: empathic inquiry. Portland: National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association;2018. Chapter 5, Workflow implementation. p. 50–5.
15.Kim KR., Kim MK. Development and validation of food security measure. Korean J Nutr. 2009. 42:374–85.
Article
16.Lim SC., Rhee CW. Parent-child communication and self-management of adolescents with type 1 diabetes: the mediating effect of diabetes-related family support. Korean J Fam Soc Work. 2011. 32:235–60.
17.Wright KB., Sparks L., O'Hair D. Health communication in the 21st century. Malden: Blackwell Publishing;2008.
18.Park CN. Social support for diabetes patients. J Korean Diabetes. 2016. 17:46–50.
Article
19.Nutbeam D. Health promotion glossary. Health Promot Int. 1998. 13:349–64.
Article
20.Davis TC., Wolf MS., Bass PF 3rd., Middlebrooks M., Kennen E., Baker DW. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006. 21:847–51.
Article
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