Socioeconomic position is associated with glycemic control in youth and young adults with type 1 diabetes

Details

• Alternative Title:
  Pediatr Diabetes
• Personal Author:
  Sutherland, Melanie W. ; Ma, Xiaonan ; Reboussin, Beth A. ; Mendoza, Jason A. ; Bell, Bethany A. ; Kahkoska, Anna R. ; Sauder, Katherine A. ; Lawrence, Jean M. ; Pihoker, Catherine ; Liese, Angela D.
• Description:
  Objective:
  
  Health inequities persist in youth and young adults (YYA) with type 1 diabetes 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:
  
  222 YYA with type 1 diabetes enrolled in the SEARCH Food Insecurity Study in South Carolina and Washington between the years 2013–2015 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.
  
  
• Subjects:
  Adolescent Article Child Diabetes Mellitus, Type 1 Female Glycemic Control HbA1c Health Status Disparities Humans Latent Class Analysis Male Social Needs Socioeconomic Factors Type 1 Diabetes Young Adult

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• Source:
  Pediatr Diabetes. 21(8):1412-1420
• Pubmed ID:
  32902080
• Pubmed Central ID:
  PMC8054269
• Document Type:
  Journal Article
• Funding:
  UL1 TR000062/TR/NCATS NIH HHSUnited States/ ; U18 DP006134/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006138/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU919219/CC/CDC HHSUnited States/ ; U48/CCU819241-3/CC/CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU419249/CC/CDC HHSUnited States/ ; U18DP006138/ACL/ACL HHSUnited States/ ; U58/CCU019235-4/CC/CDC HHSUnited States/ ; U18DP006133/ACL/ACL HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U48/CCU519239/CC/CDC HHSUnited States/ ; U18DP006131/ACL/ACL HHSUnited States/ ; U18 DP006131/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006134/ACL/ACL HHSUnited States/ ; U18 DP006136/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006133/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR000423/TR/NCATS NIH HHSUnited States/ ; U18DP006136/ACL/ACL HHSUnited States/ ; U18 DP006139/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006139/ACL/ACL HHSUnited States/ ; UL1 TR001450/TR/NCATS NIH HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  21
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:731b04dbbf1d7d0c4fdc8238535f48b21c4b0b14b2ab09b0782af7e17efc7575
• Download URL:
  https://stacks.cdc.gov/view/cdc/105379/cdc_105379_DS1.pdf
• File Type:
  [PDF - 302.74 KB ]