1130-P: Language and Ethnicity in the Experience of Social Determinants of Health in Pediatric Type 1 Diabetes

Abstract

Social determinants of health (SDOH) are recognized as drivers of health outcomes. In this pilot study, we explored SDOH in parents/guardians (PG) of youth with type 1 diabetes (T1D) and public insurance for differences across preferred language and ethnicity. PG of youth <12 years with T1D and public insurance were recruited to complete nine validated surveys in English or Spanish measuring perceived discrimination, childhood trauma, technology acceptance, and mental health. PG and child characteristics were gathered via self-report. Descriptive differences in survey responses were evaluated by three language and ethnicity groups: non-Hispanic English preferred (NHE), Hispanic English preferred (HE), and Hispanic Spanish preferred (HS). We recruited 28 PG (37±7 yrs, youth 8±2 yrs, 68% Hispanic, 54% Spanish preferred, 71% with income <$50K). Most children use sensors (93%) and, less frequently, pumps (54%). Compared to NHE and HS, HE PG score higher on discrimination scales, had lower technology acceptance, and poorer mental health (Table). Interestingly adverse childhood experiences were highest in the NHE group. Language may play a role in the experience of discrimination, technology acceptance, and mental health for Hispanic PG. Although only two surveys were statistically significant, mean survey differences between the groups are clinically meaningful and warrant further investigation. Disclosure A.Addala: None. R.Medina penaranda: None. S.Hanes: None. G.M.Shaw: None. L.Chamberlain: None. D.Naranjo: None. J.Raymond: None. D.M.Maahs: Advisory Panel; Medtronic, LifeScan Diabetes Institute, MannKind Corporation, Consultant; Abbott, Research Support; Dexcom, Inc. K.K.Hood: Consultant; Cecelia Health. Funding Maternal & Child Health Research Institute; National Institute of Diabetes and Digestive and Kidney Diseases (K23DK13134201)