The abstract is read at the publisher; the summary is JClub's.
In 164 young adults with type 1 diabetes in four Kenyan clinics, mean HbA1c was 11.5% and only 4.9% achieved <7%, while 28.0% had elevated UACR.
- Why it matters: Even with better insulin access, evidence is limited on how social determinants and mental health relate to glycaemic control and early complication markers in sub-Saharan Africa.
- What they did: A multicentre cross-sectional analysis used multivariable ordinal and binary logistic regression (adjusted for age, sex, and diabetes duration) to test links between six SDOH domains, PAID/PHQ-9/GAD-7, HbA1c, UACR, and lipid measures.
- The result: SDOH domains were positively but non-significantly associated with HbA1c, while diabetes distress related to economic instability (aOR 1.42, 95% CI 1.17–1.72) and elevated UACR was linked to economic instability (aOR 1.40, 95% CI 1.05–1.85).
The findingWhy it mattersWhat they didThe result
AI summary of the abstract · may contain errors · not medical advice · read the paper.