Among youth with type 1 diabetes (T1D) in the United States, race, a social construct that often reflects the consequences of living within a society that allows for the inequitable distribution of resources and unequal treatment within systems (ie, education, criminal justice, and health care) because of an individual’s appearance, is strongly associated with glycemic control. Although individual-level educational interventions are a common approach used to improve glycemic outcomes, they are often insufficient because of their inability to address the important role of patients’ social environments, a factor especially critical for individuals racialized as Black. As demonstrated by Ellis et al1 in this issue of Pediatrics, one form of structural racism, racial residential segregation (RRS), adversely affects glycemic outcomes for Black children with T1D. Structural racism is a fundamental cause of health inequities.1,2 Ellis et al1 provide evidence that suggests that RRS, independent of...
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April 25 2023
Multidimensional Approaches to Understanding Structural Racism’s Impact on Type 1 Diabetes
J’Mag Karbeah, PhD, MPH;
aDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota
bCenter for Antiracism Research for Health Equity, University of Minnesota, Minneapolis, Minnesota
Address correspondence to J’Mag Karbeah, PhD, MPH, University of Minnesota, 420 Delaware St Southeast, Minneapolis, MN 55455. E-mail: karbe001@umn.edu
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Megan O. Bensignor, MD, MSHP;
Megan O. Bensignor, MD, MSHP
cDivision of Pediatric Endocrinology and Diabetes
dCenter for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, Minneapolis
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Mary Ellen Vajravelu, MD, MSHP
Mary Ellen Vajravelu, MD, MSHP
eCenter for Pediatric Research in Obesity and Metabolism, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania
fDivision of Pediatric Endocrinology, Diabetes, and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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Address correspondence to J’Mag Karbeah, PhD, MPH, University of Minnesota, 420 Delaware St Southeast, Minneapolis, MN 55455. E-mail: karbe001@umn.edu
Pediatrics (2023) 151 (5): e2022060800.
Article history
Accepted:
February 17 2023
Connected Content
This is a commentary to:
Racial Residential Segregation and the Health of Black Youth With Type 1 Diabetes
Citation
J’Mag Karbeah, Megan O. Bensignor, Mary Ellen Vajravelu; Multidimensional Approaches to Understanding Structural Racism’s Impact on Type 1 Diabetes. Pediatrics May 2023; 151 (5): e2022060800. 10.1542/peds.2022-060800
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