Objective: Novel Interventions in Children’s Healthcare (NICH) , a program for youth with T1D who experience high rates of avoidable health problems (e.g., DKA) , has been newly implemented in a second region. This study examines how youth with T1D referred for combined health problems and social risk compare to similarly referred youth in another region.
Methods: Participants (Oregon=51; Bay Area=24) were referred by medical providers due to avoidable ED visits, hospitalizations and/or chronically elevated A1C values. Caregivers reported on 15 social risks (e.g., housing insecurity, domestic violence) .
Results: Social risk prevalence was high at both sites, with an average of 7.6 in Oregon and 5.6 risks endorsed in the Bay Area. Oregon youth and their parents were significantly (p<.05) more likely to have a mental health diagnosis and domestic violence exposure, while Bay Area youth were significantly more likely to identify as Black or Hispanic, and to have experienced parental incarceration.
Conclusions: While there are some differences in social risk distribution across sites, the rate of risk is extremely high across sites, highlighting the importance of interventions specifically designed to target social factors for this population. Likewise, rethinking standard diabetes care for this subgroup is warranted given the impact of social factors on diabetes outcomes.
D.V.Wagner: None. C.Cruz: None. M.A.Harris: None. J.C.Wong: Consultant; Provention Bio, Inc., Research Support; Dexcom, Inc., Tandem Diabetes Care, Inc. A.Reed: None. L.Yglecias: None. A.Bonilla ospina: None. D.Naranjo: None. C.E.Noya: None. J.Viana: None. C.Jenisch: None.
The Leona M. and Harry B. Helmsley Charitable Trust
