关键词: Continuous glucose monitoring inequality technology type 1 diabetes

来  源:   DOI:10.4274/jcrpe.galenos.2024.2024-4-6

Abstract:
UNASSIGNED: To determine inequalities in access to diabetes technologies and the effect of socioeconomic factors on families with children with type 1 diabetes.
UNASSIGNED: In this multicenter cross-sectional study, parents of children with type 1 diabetes completed a questionnaire about household sociodemographic characteristics, latest HbA1c values, continuous glucose monitoring (CGM) and insulin pump use of children, the education and working status of parents. These characteristics were compared between technology use (only-CGM, only-pump, CGM+pump, no technology use).
UNASSIGNED: Among 882 families, only-CGM users, only-pump users, and CGM+pump users compared with no technology users, adjusting for age, sex, region, education levels, number of working parents, and household income. Children living in the least developed region had lower odds of having only-CGM (OR=0.20, 95%CI 0.12-0.34) and having CGM+pump (OR=0.07, 95%CI 0.03-0.22) compared with those living in the most developed region. Children with parents who had not finished high school had lower odds of having only-CGM (Mothers: OR=0.36, 95%CI 0.19-0.66; fathers: OR=0.32, 95%CI 0.18-0.60) or both CGM+pump (OR=0.27, 95%CI 0.11-0.64; fathers: OR=0.34, 95%CI 0.15-0.79) rather than no-technology compared to children whose parents has a university degree. Every $840 increase in the household income increased the odds by 5% for having only-CGM (OR=1.05, 95%CI 1.02-1.09) and CGM+pump (OR=1.05, 95%CI 1.01-1.08).
UNASSIGNED: Socioeconomic factors such as education, regions, and income were associated with inequality in access to technologies. The inequalities are more prominent in access to CGM while CGM had a bigger contribution to glycemic control.
摘要:
确定获得糖尿病技术的不平等以及社会经济因素对1型糖尿病儿童家庭的影响。
在这项多中心横断面研究中,1型糖尿病儿童的父母填写了一份关于家庭社会人口统计学特征的问卷,最新的HbA1c值,连续血糖监测(CGM)和胰岛素泵使用儿童,父母的教育和工作状况。这些特征在技术使用之间进行了比较(仅限CGM,唯一的泵,CGM+泵,不使用技术)。
在882个家庭中,仅限CGM用户,仅泵用户,与CGM+泵用户相比,无技术用户,调整年龄,性别,区域,教育水平,有工作的父母,和家庭收入。与生活在最发达地区的儿童相比,生活在最不发达地区的儿童仅有CGM(OR=0.20,95CI0.12-0.34)和有CGM+泵(OR=0.07,95CI0.03-0.22)的几率较低。与父母未完成高中学业的孩子相比,只有CGM(母亲:OR=0.36,95CI0.19-0.66;父亲:OR=0.32,95CI0.18-0.60)或同时使用CGM泵(OR=0.27,95CI0.11-0.64;父亲:OR=0.34,95CI0.15-0.79)而不是没有技术。家庭收入每增加840美元,只有CGM(OR=1.05,95CI1.02-1.09)和CGM+泵(OR=1.05,95CI1.01-1.08)的几率就会增加5%。
社会经济因素,如教育,regions,收入与获取技术的不平等有关。不平等在获得CGM方面更为突出,而CGM对血糖控制的贡献更大。
公众号