Diabetes, obesity, and economic social exclusion (DOSE) syndemic among a nationally representative sample in the United States

Jeanna Campbell

Social Science & Medicine, 2025, vol. 383, issue C

Abstract: Non-Hispanic Black and Hispanic women disproportionately experience economic social exclusion (SE), type 2 diabetes, and obesity (DO). SE contributes to worse metabolic health, including inflammation, adipose tissue, and insulin insensitivity. Syndemics theory seeks to explain and intervene in structural-biological interactions that promote disease risk, progression, and health disparities. Emerging qualitative evidence indicates DOSE synergy, however few studies have utilized recommended epidemiological approaches to analyzing synergy with nationally representative samples.

Keywords: Type 2 diabetes; Obesity; Low socioeconomic status; Syndemics theory (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1016/j.socscimed.2025.118413

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