Abstract：
Prior literature suggests that the social gradient in health is racialised such that Black individuals receive fewer health benefits from socioeconomic status than White individuals, yet scarce research studies examine whether this relationship persists in the context of Type 1 diabetes (T1D). Further, most research studies on racial health disparities in T1D outcomes focus on health during early life. We used data from the 2017-2018 wave of the T1D Exchange Registry (N = 11,963) and examined the relationship between household income, race and HbA1c in an age diverse sample of people with T1D. Results revealed that the inverse association between income and HbA1c is stronger for Black T1Ds compared to White T1Ds. Despite this, Black T1Ds with an income of $100,000 or more had higher HbA1c values compared to White individuals with an income of less than $25,000. Further, Black adolescents with T1D had particularly high HbA1c values. There is an urgent need for more research on the interpersonal and structural barriers associated with suboptimal glycaemic control among Black individuals.
摘要：
先前的文献表明，健康的社会梯度是种族化的，因此黑人从社会经济地位中获得的健康益处比白人少。然而，很少有研究调查这种关系在1型糖尿病（T1D）的背景下是否持续存在。Further,大多数关于T1D结局中种族健康差异的研究集中在生命早期的健康。我们使用了2017-2018年T1D交易所登记处浪潮的数据(N=11,963)，并检查了家庭收入之间的关系，种族和HbA1c在不同年龄的T1D患者样本中。结果显示，与白色T1D相比，黑色T1D的收入与HbA1c之间的负相关更强。尽管如此,与收入低于25,000美元的白人相比，收入在100,000美元或更高的黑人T1D的HbA1c值更高。Further,患有T1D的黑人青少年HbA1c值特别高。迫切需要对黑人个体中与血糖控制欠佳相关的人际和结构障碍进行更多研究。
