Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI:10.1353/hpu.2026.a982966

Olaitan Akinboboye, Rebekah J Walker, Jennifer A Campbell, Laura Hawks, Joni S Williams, Leonard E Egede

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引用次数: 0

Abstract

Objective: Examine the relationship between incarceration factors and glycemic control in African Americans with criminal legal involvement and type 2 diabetes mellitus (T2DM).

Methods: Using a cross-sectional survey analysis of 171 adults, a model was estimated using stepwise regression with forward selection to evaluate the relationship between incarceration factors and glycemic control, controlling for demographic and clinical factors.

Results: Reporting a drug-related conviction (β:-0.81; 95%CI:-1.50,-0.11) was associated with higher HbA1c compared with no drug-related conviction. Compared with using only pills or oral hypoglycemic agents, the combination of pills/oral hypoglycemic agents and insulin (β:1.31; 95%CI:0.60,2.01) and using insulin or injectables alone (β:0.94; 95%CI:0.14,1.74) were associated with higher HbA1c. Each additional comorbidity (β:-0.18; 95%CI:-0.33,-0.04) and unit increase in age (β:-0.04; 95%CI:-0.08,-0.01) was associated with a lower HbA1c.

Conclusion: History of a drug-related conviction, age, comorbidity, and medication were associated with glycemic control in African Americans with a history of criminal legal involvement and T2DM.

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非裔美国人刑事法律介入和2型糖尿病的监禁因素与血糖控制的独立关系

目的：探讨非裔美国人刑事法律案件和2型糖尿病（T2DM）监禁因素与血糖控制的关系。方法：对171例成人进行横断面调查分析，在控制人口学和临床因素的情况下，采用逐步回归和正向选择方法估计模型，评估监禁因素与血糖控制的关系。结果：报告与药物相关的犯罪（β:-0.81; 95%CI:-1.50,-0.11）与没有药物相关犯罪的患者相比，HbA1c升高相关。与单独使用药片或口服降糖药相比，药片/口服降糖药联合胰岛素（β:1.31; 95%CI:0.60,2.01）和单独使用胰岛素或注射剂（β:0.94; 95%CI:0.14,1.74）与HbA1c升高相关。每一个额外的共病（β:-0.18; 95%CI:-0.33,-0.04）和年龄单位增加（β:-0.04; 95%CI:-0.08,-0.01）与较低的HbA1c相关。结论：药物相关定罪史、年龄、合并症和药物与有刑事法律介入史和2型糖尿病的非裔美国人血糖控制相关。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.