The Impact of Social Determinants on Diabetes Mellitus Type II

Abstract

Social determinants of health (SDOH) can affect a wide range of health risks and contribute to significant health disparities and inequalities. Individuals with diabetes lacking access to a grocery store with healthy food options are less likely to be able to maintain a healthy A1C. Diabetes mellitus type II is one of the leading causes of death in the United States in recent years and contributes to a lower life expectancy. The inquiry for this evidence-based, quality improvement project is, in adult males and non-pregnant females with diabetes mellitus type II, does SDOH screening improve A1C within three-months at a rural health clinic in Kansas? The current SDOH screening process was time consuming and not done regularly by staff, and there was no formal education process to provide resources to patients who screened positive. This project aimed to implement a simplified SDOH screening tool and increase the distribution of the Resource Guide for community resources to patients at a rural health clinic and decrease patient A1C. The Health Leads screening tool was administered to 20 patients who met inclusion criteria to assess for unmet social needs. Patients who screened positive for one or more SDOH needs were provided a Resource Guide. Overall, the A1C increased for males and females. Social determinants of health are a complex issue. Those with positive indicators for SDOH are at increased risk of negative health outcomes.