San Diego ERN, West NT, Pichon LC, Jiang Y, Powell TW, Rugless F, Lewis J, Campbell B, McCann L, McNeals S, Harmon BE. Associations Between Sociodemographic Variables, Social Determinants of Health, and Diabetes: Findings From a Congregational Health Needs Assessment.
Am J Health Promot 2024;
38:809-819. [PMID:
38395415 DOI:
10.1177/08901171241234662]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024]
Abstract
PURPOSE
To examine associations between sociodemographic variables, social determinants of health (SDOHs) and diabetes using health needs assessment data.
DESIGN
Cross-sectional study.
SETTING
Faith-based communities in the Mid-South U.S.
SAMPLE
Of the 378 churches, 92 participated in the study (24% response rate); N = 828 church leaders and members completed the survey.
MEASURE
The Mid-South Congregational Health Survey assessed perceived health-related needs of congregations and the communities they serve.
ANALYSIS
Generalized linear mixed modeling examined the associations between sociodemographic variables (age, sex, race/ethnicity, educational level), SDOHs (affordable healthcare, healthy food, employment), and diabetes.
RESULTS
Individuals with less education had lower odds of reporting all SDOHs as health needs compared to individuals with more education (ORrange = .59-.63). Men had lower odds of reporting diabetes as a health need or concern compared to women (OR = .70; 95% CI = .50, .97). African Americans had greater odds of reporting diabetes as a health need compared to individuals in the 'Other' race/ethnicity category (OR = 3.91; 95% CI = 2.20, 6.94). Individuals who reported affordable healthcare (OR = 2.54; 95% CI = 1.73, 3.72), healthy food (OR = 2.24; 95% CI = 1.55, 3.24), and employment (OR = 3.33; 95% CI = 2.29, 4.84) as health needs had greater odds of reporting diabetes as a health need compared to those who did not report these SDOHs as needs.
CONCLUSIONS
Future studies should evaluate strategies to merge healthcare and faith-based organizations' efforts to address SDOHs impacting diabetes.
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