Socioeconomic Profiles as Predictors of Glycemic Control in Youth with Type 1 Diabetes
| Autor: | Jason A. Mendoza, Anna R. Kahkoska, Katherine A. Sauder, Beth A. Reboussin, Bethany A. Bell, Angela D. Liese, Catherine Pihoker, Xiaonan Ma, Melanie W. Sutherland |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Type 1 diabetes business.industry Endocrinology Diabetes and Metabolism Ethnic group 030209 endocrinology & metabolism Logistic regression medicine.disease Latent class model 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Diabetes mellitus Internal Medicine medicine Young adult business Socioeconomic status Glycemic Demography |
| Zdroj: | Diabetes. 67 |
| ISSN: | 1939-327X 0012-1797 |
| Popis: | Various measures of socioeconomic status (SES) predict glycemic control in youth and young adults (YYA) with type 1 diabetes; however, rarely have multiple SES factors been considered simultaneously, including parental education and income, food security, health insurance status, and food assistance. The purpose of this study was to identify multidimensional SES profiles in YYA with type 1 diabetes and to assess the association between these profiles and glycemic control. Data from 257 YYA with type 1 diabetes enrolled in the SEARCH Food Insecurity Ancillary Study in South Carolina and Washington between the years 2013 and 2015 were included. We identified SES profiles utilizing latent class analysis and used multivariable logistic regression to compare the profiles’ glycemic control, with HbA1c > 9% defined as poor glycemic control. Two profiles were identified: Profile 1 (74%) included YYA that were of higher parental income and education, and less likely to have government-funded health insurance, to receive food assistance, and to be food insecure. Profile 2 (26%) included YYA who were categorized opposite to that of profile 1. In profile 2, 60% of YYA had poor glycemic control compared to 44% of YYA in profile 1. After adjustment for age, sex, race/ethnicity, site, diabetes duration, and diabetes medication, YYA in profile 2 were significantly more likely to have poor glycemic control relative to YYA in profile 1 (OR = 1.94, 95% CI = 1.01-3.71). Membership to a lower SES profile is associated with poor glycemic control among YYA with T1D. Strategies to improve glycemic control, particularly in YYA who belong to lower SES profiles, are needed. Disclosure M.W. Sutherland: None. X. Ma: None. J.A. Mendoza: None. B.A. Bell: None. B.A. Reboussin: None. A.R. Kahkoska: None. K.A. Sauder: None. C. Pihoker: None. A.D. Liese: None. |
| Databáze: | OpenAIRE |
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