# Social determinants of health and self-management of Type 1 diabetes in black single-parent families

> **NIH NIH F31** · UNIVERSITY OF PENNSYLVANIA · 2020 · $33,920

## Abstract

Project Summary.
Type 1 diabetes (T1D) is the third most common pediatric chronic illness in the United States. Although
historically more prevalent in white youth, the rate and prevalence of pediatric T1D diagnoses are increasing
disproportionately among black youth. Racial disparities persist beyond incidence, such that black youth with
T1D are at risk for disparities in T1D treatment, management and outcomes as compared to white and
Hispanic youth. Compelling evidence demonstrates that racial health disparities exist even when income and
education are similar among racial/ethnic groups. These health disparities are compounded in black youth from
single parent homes, in comparison to those from two-parent homes. Despite being at high risk, the family
voices of black youth from single parent homes continue to be underrepresented in pediatric T1D research, as
prior research has predominantly focused on “majority culture” families (white, two parent, middle class). Daily
family and self-management of T1D is critical to reducing the risk of poor diabetes related outcomes and the
social determinants of health (SDOH) that families experience can substantially influence a family's ability to
manage a chronic illness. Thus, understanding how SDOH contribute to health disparities seen in this at risk
population is paramount to the delivery of nursing care, the development of interventions and to future nursing
science research efforts. This proposed research intensive training plan prepares the applicant to conduct a
three-phase sequential exploratory mixed methods study [QUALquan] with a purposive sample of single
parents of black youth with T1D from an urban pediatric diabetes center. Focus groups and semi-structured
interviews will be conducted to identify the most influential SDOH components for these families, how they
influence T1D family and self-management, and potential strengths and solutions for addressing these barriers
in this at risk population. Not all families are alike, thus qualitative findings will be used to develop and
disseminate a quantitative survey within a broader T1D population of black, single parent families to elucidate
within group differences for resource, clinical, and structural needs and generate hypotheses for future
research and intervention development. Knowledge gained will focus resources on the most in need families
and guide development of clinical, community and structural interventions to improve family and self-
management and reduce health disparities. This research and training plan will build the foundation for the
applicant's long term goal of developing a program of research committed to improving patient and families'
quality of life (QoL) and family and self-management by addressing the impacts of SDOH on family and self-
management of pediatric chronic illnesses. The proposed study and applicant's research goals align with the
National Institute of Nursing Research's strategic plan to address
focusin...

## Key facts

- **NIH application ID:** 9820198
- **Project number:** 5F31NR018097-02
- **Recipient organization:** UNIVERSITY OF PENNSYLVANIA
- **Principal Investigator:** Jennifer Morone
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $33,920
- **Award type:** 5
- **Project period:** 2018-12-01 → 2020-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9820198

## Citation

> US National Institutes of Health, RePORTER application 9820198, Social determinants of health and self-management of Type 1 diabetes in black single-parent families (5F31NR018097-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9820198. Licensed CC0.

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