Health Disparities in Adolescent Diabetes Management.

My work also examines how race/ethnicity, culture, and socio-economic status (SES) interface with family diabetes management during adolescence. We have found that lower SES can undermine social relationships necessary to support diabetes management, that the role of parental involvement in diabetes management differs in Latinos where family roles are central cultural features, and that both race/ethnicity and neighborhood context contribute to how adolescents manage their diabetes. A surprising finding is that both Black and Latino youth have more rapid deterioration of HbA1c across the adolescent years if they live in wealthier versus poorer neighborhoods. This may reflect that wealthier neighborhoods are less diverse, and may increase the experience of acculturation stress and perceived discrimination in minority youth.