611-P: Do Social Needs Impact Quality of Life among Adult Medicaid Beneficiaries with Type 2 Diabetes?

Treatment trials increasingly include quality of life (QoL) measures to compliment clinical outcomes. Most QoL studies focus on clinical correlates. The growing appreciation for social determinants of health warrant examining how they impact QoL. This analysis of a preliminary baseline sample of 296 Medicaid beneficiaries with type 2 diabetes from an ongoing intervention trial examined the influence of social needs on aggregate and subscale T-scores of the SF12v2 QoL measure individually and controlling for covariates. We assessed 12 social needs (e.g., food, housing, utilities) and receipt of 9 resources (e.g., food stamps, WIC) . Participants rated having 22 chronic conditions and their impact (when applicable) on daily activity (1=not at all; 5=a lot) . Participants were female (76.7%) , White (29.1%) , Black (65.9%) , age M=51.8 (SD=9.3) , had M=2.7 social needs (SD=1.7) and M=1.3 (SD=1.2) resources. Including diabetes, participants reported M=7.4 chronic conditions (SD=3.0) with moderate impact M=23.0 (SD=14.4) . Mean QoL T-scores were all below the norm (50) except vitality (M=51.9, SD=11.4) . Sum needs were associated with aggregate mental health (r= -.13, p=.032) and 3 of 4 subscales: vitality (r= .16, p=.007) , role emotional (r= -.18, p=.002) , and social functioning (r= -.23, <.001) . For physical health, social needs were only associated with the pain subscale (r= -.17, p=.004) . Although the influence of social needs remained statistically significant for some subscales when controlling for chronic conditions, needs were most consistently associated with social functioning even when controlling for comorbidity impact, age, race, sex, and resources. We found few strong associations between social needs and SF12 scores, which may be due in part to limitations in how QoL is defined and measured and the distal causal pathway between social needs and functioning. Future analyses will examine changes in QoL over time and differences by treatment group and social needs.