Socioeconomic position is associated with glycemic control in youth and young adults with type 1 diabetes
Autor: | Bethany A. Bell, Catherine Pihoker, Jason A. Mendoza, Angela D. Liese, Anna R. Kahkoska, Katherine A. Sauder, Melanie W. Sutherland, Xiaonan Ma, Beth A. Reboussin, Jean M. Lawrence |
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Rok vydání: | 2020 |
Předmět: |
Male
Research design Adolescent Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Glycemic Control Article Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes management Environmental health Internal Medicine medicine Humans 030212 general & internal medicine Child Socioeconomic status Glycemic Type 1 diabetes business.industry Social environment medicine.disease Latent class model Diabetes Mellitus Type 1 Socioeconomic Factors Latent Class Analysis Pediatrics Perinatology and Child Health Household income Female business |
Zdroj: | Pediatr Diabetes |
ISSN: | 1399-5448 1399-543X |
Popis: | Objective Health inequities persist in youth and young adults (YYA) with type 1diabetes in achieving optimal glycemic control. The purpose of this study was to assess the contribution of multiple indicators of social need to these inequities. Research design and methods Two hundred and twenty two YYA withtype 1 diabetes enrolled in the SEARCH Food Insecurity Study in South Carolina and Washington between the years 2013 and 2015 were included. Latent class analysis was used to identify socioeconomic profiles based on household income, parental education, health insurance, household food insecurity, and food assistance. Profiles were evaluated in relation to glycemic control using multivariable linear and logistic regression, with HbA1c > 9%(75 mmol/mol) defined as high-risk glycemic control. Results Two profiles were identified: a lower socioeconomic profile included YYA whose parents had lower income and/or education, and were more likely to be uninsured, receive food assistance, and be food insecure. A higher socioeconomic profile included YYA whose circumstances were opposite to those in the lower socioeconomic profile. Those with a lower socioeconomic profile were more likely to have high-risk glycemic control relative to those with a higher socioeconomic profile (OR = 2.24, 95%CI = 1.16-4.33). Conclusions Lower socioeconomic profiles are associated with high-risk glycemic control among YYA with type 1 diabetes. This supports recommendations that care providers of YYA with type 1 diabetes assess individual social needs in tailoring diabetes management plans to the social context of the patient. |
Databáze: | OpenAIRE |
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