Medical Science | Open Access | DOI: https://doi.org/10.37547/tajmspr/Volume07Issue08-03

Socioeconomic and Behavioral Determinants of Type II Diabetes Outcomes: A Health Data Analytics Approach

Omobolaji odunowo , University of North Texas, College of Information, information science. USA

Abstract

Objective: This study investigates the socioeconomic and behavioral determinants of Type II Diabetes outcomes using a health data analytics framework. Drawing from publicly available medical expenditure and demographic data, the research examines how variables such as age, education, income, employment status, and smoking behavior influence the prevalence and economic impact of the disease. Key findings highlight that older adults and individuals with lower educational attainment or who engage in smoking incur higher medical expenditures.

Methods: A Random Forest classifier was employed to predict patient gender based on socioeconomic and behavioral features, demonstrating moderate predictive accuracy and reinforcing the relevance of non-clinical data in chronic disease profiling.

Results: Statistical analysis further revealed significant correlations between social disadvantage and elevated diabetes-related costs. The study advocates for an integrated “health in all policies” approach, emphasizing the need for cross-sectoral interventions in education, employment, and community health promotion.

Conclusion: These findings contribute to the growing body of literature on the social determinants of health and underscore the value of data-driven strategies in addressing the Type II Diabetes epidemic. Future research should focus on longitudinal and intersectional analyses to enhance causal inference and inform targeted policy responses.

Keywords

Type II Diabetes, socioeconomic determinants, health data analytics, medical expenditure, smoking behavior, education level

References

Adler, E., & Stewart, J. (2010). Health disparities across the lifespan: Meaning, methods, and mechanisms. Annals of the New York Academy of Sciences, 1186(1), 5–23. https://doi.org/10.1111/j.1749-6632.2009.05337.x

Alaimo, K., Packnett, E., Miles, R. A., & Kruger, D. J. (2008). Fruit and vegetable intake among urban community gardeners. Journal of Nutrition Education and Behavior, 40(2), 94–101.

Alonso-Moran, E., Orueta, J. F., Esteban, J., Axpe, J. M., Gonzalez, M., Polanco, N., Loiola, P., Gaztambide, S., & Nuno-Solinis, R. (2014). The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus. BMC Public Health, 14, 1059. https://doi.org/10.1186/1471-2458-14-1059

Armstrong, D. (2000). A survey of community gardens in upstate New York: Implications for health promotion and community development. Health & Place, 6(4), 319–327.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: It’s time to consider the causes of the causes. Public Health Reports, 129(2), 19–31.

Brown, A. F., Ettner, S. L., Piette, J., Weinberger, M., Gregg, E., Safford, M., Waitzfelder, B., & Beckles, G. L. (2003). Socioeconomic position and health among persons with diabetes mellitus: A conceptual framework and review of the literature. Health Services Research, 38(5), 1277–1293.

Buck, D., & Gregory, S. (2013). Improving the public’s health: A resource for local authorities. The King’s Fund. https://www.kingsfund.org.uk/publications/improving-publics-health

Chaufan, C., & Weitz, R. (2009). The elephant in the room: The invisibility of poverty in research on type 2 diabetes. Health Sociology Review, 18(2), 173–186.

Clark, M. L., & Utz, S. W. (2014). Social determinants of type 2 diabetes and health in the United States. World Journal of Diabetes, 5(3), 296–304. https://doi.org/10.4239/wjd.v5.i3.296

Connolly, V., Unwin, N., Sherriff, P., Bilous, R., & Kelly, W. (2000). Diabetes prevalence and socioeconomic status: A population-based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. Journal of Epidemiology and Community Health, 54(3), 173–177.

Currie, J., DellaVigna, S., Moretti, E., & Pathania, V. (2009). The effect of fast food restaurants on obesity and weight gain. American Economic Journal: Economic Policy, 2(3), 32–63.

Filarski, R. (2014). Type 2 diabetes risk factors among the unemployed. Health Problems of Civilization, 8(4), 4–8.

Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Smith, G. D. (2006). Indicators of socioeconomic position (Part 1). Journal of Epidemiology and Community Health, 60(1), 7–12.

Hill, J., Nielsen, M., & Fox, M. H. (2013). Understanding the social factors that contribute to diabetes: A means to informing health care and social policies for the chronically ill. The Permanente Journal, 17(2), 67–72. https://doi.org/10.7812/TPP/12-099

Hwang, J., & Shon, C. (2014). Relationship between socioeconomic status and type 2 diabetes: Results from Korea National Health and Nutrition Examination Survey (KNHANES). BMJ Open, 4(8), e005710.

Koen, J., Klehe, U. C., & Van-Vianen, A. E. M. (2013). Employability among the long-term unemployed: A futile quest or worth the effort? Journal of Vocational Behavior, 82(1), 37–48.

Mackenbach, J. P., Stirbu, I., Roskam, A. J. R., Schaap, M. M., Menvielle, G., Leinsalu, M., & Kunst, A. E. (2008). Socioeconomic inequalities in health in 22 European countries. The New England Journal of Medicine, 358(23), 2468–2481.

Marmot, M., & Wilkinson, R. G. (2006). Social determinants of health (2nd ed.). Oxford University Press.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078.

Patel, C. J., Bhattacharya, J., & Butte, A. J. (2010). An environment-wide association study (EWAS) on type 2 diabetes mellitus. PLoS ONE, 5(5), e10746. https://doi.org/10.1371/journal.pone.0010746

Raphael, D. (2010). Poverty as a leading cause of type 2 diabetes: A commentary. Diabetes in Control. http://www.diabetesincontrol.com/poverty-a-leading-cause-of-type-2-diabetes-studies-say/

Smith, J. P. (2007). The impact of socioeconomic status on health over the life-course. Journal of Human Resources, 42(4), 739–764.

Thomas, H. M., & Irwin, J. D. (2011). Cook It Up! A community-based cooking program for at-risk youth: Overview of a food literacy intervention. BMC Research Notes, 4, 495. https://doi.org/10.1186/1756-0500-4-495

Touma, C., & Pannain, S. (2011). Does lack of sleep cause diabetes? Cleveland Clinic Journal of Medicine, 78(8), 549–558.

Walker, R. J., Gebregziabher, M., Martin-Harris, B., & Egede, L. E. (2014). Independent effects of socioeconomic and psychological social determinants of health on self-care and outcomes in type 2 diabetes. General Hospital Psychiatry, 36(6), 662–668.

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odunowo, O. . (2025). Socioeconomic and Behavioral Determinants of Type II Diabetes Outcomes: A Health Data Analytics Approach. The American Journal of Medical Sciences and Pharmaceutical Research, 7(8), 13–23. https://doi.org/10.37547/tajmspr/Volume07Issue08-03