Addressing the impact of structural racism on disparities in children with Type 1 diabetes

January 22, 2021

PHILADELPHIA, PA (January 22, 2021) - Advancements in diabetes technology have improved quality of life and glycemic control in children with type 1 diabetes. However, data show that a subset of children is being left behind. Those from low-income families and non-Hispanic Black (NHB) children are not experiencing benefits associated with technological advances, and are at higher risk for diabetes complications and adverse outcomes through ongoing poor glycemic control.

In an invited commentary to be published in the journal Diabetes Care, researchers describe how socioeconomic disparities and structural racism impact health care for children with diabetes. They illustrate the importance of screening for and addressing social determinants of health and providing community-based interventions. The highest priority is to examine how the diabetes healthcare team is complicit in the process that causes health inequities. They stress the need to align diabetes care with the American Academy of Pediatrics' policy statement that advocates for innovative cross-sector partnerships designed to improve medical, economic, environmental, housing, judicial, and educational equity.

"Aligning diabetes care with this mission is our only hope of eradicating disparities in treatment and outcomes of children with type 1 diabetes," says the article's lead author, Terri H. Lipman, PhD, CRNP, FAAN, the Miriam Stirl Endowed Term Professor of Nutrition, Professor of Nursing of Children, and Assistant Dean for Community Engagement at the University of Pennsylvania School of Nursing.
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The commentary, "Racial and Socioeconomic Disparities in Pediatric Type 1 Diabetes: Time for a Paradigm Shift in Approach," will be available online. The co-author of the article is Colin P. Hawkes of the Perelman School of Medicine, University of Pennsylvania.

About the University of Pennsylvania School of Nursing

The University of Pennsylvania School of Nursing is one of the world's leading schools of nursing. For the fifth year in a row, it is ranked the #1 nursing school in the world by QS University and is consistently ranked highly in the U.S. News & World Report annual list of best graduate schools. Penn Nursing is ranked as one of the top schools of nursing in funding from the National Institutes of Health. Penn Nursing prepares nurse scientists and nurse leaders to meet the health needs of a global society through innovation in research, education, and practice. Follow Penn Nursing on: Facebook, Twitter, LinkedIn, & Instagram.

University of Pennsylvania School of Nursing

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