Young people with Type 1 diabetes of non-white ethnicity and lower socio-economic status have poorer glycaemic control in England and Wales

Diabetic Medicine : a Journal of the British Diabetic Association
Amal R KhanolkarTerence Stephenson

Abstract

The impact of ethnicity and socio-economic status (SES) on glycaemic control during childhood Type 1 diabetes is poorly understood in England and Wales. We studied 18 478 children with Type 1 diabetes (< 19 years) attending diabetes clinics and included in the 2012-2013 National Paediatric Diabetes Audit. Self-identified ethnicity was categorized as white, Asian, black, mixed, other and 'not-stated' (did not to divulge ethnicity). A small area measure of SES was estimated from the Index of Multiple Deprivation. Multiple linear regression was used to assess associations between ethnicity, SES and glycaemic control (mean HbA1c levels) accounting for age, gender and diabetes duration. The impact of insulin pump use on the ethnicity/SES-HbA1c associations was tested in 13 962 children. All children from minority ethnic groups had higher mean HbA1c compared with white children, with largest differences observed in black and mixed ethnicities [8 mmol/mol (2.9%), 95% CI 5-11 and 7 mmol/mol (2.8%), 95% CI 5-9, respectively]. Lower SES was associated with higher mean HbA1c with a dose effect. The lowest SES group had a mean HbA1c that was 7 mmol/mol (2.8%) (95% CI 6-8) higher compared with the highest SES group, adjusted for ethnicity. ...Continue Reading

References

Apr 8, 1999·Archives of Disease in Childhood·J H BaumerJ P Shield
May 8, 2001·Health & Social Work·S J ThompsonN H White
Apr 12, 2005·Social Science & Medicine·Aphrodite NiggebruggeIan Harvey
May 28, 2005·Biological Research for Nursing·Sarah L SzantonJerilyn K Allen
Jul 11, 2006·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Erika E SwiftClarissa S Holmes
Aug 5, 2006·The Journal of Pediatrics·Dena SpringerStuart A Weinzimer
Feb 7, 2008·The Journal of Clinical Endocrinology and Metabolism·Marc J WeigensbergMichael I Goran
Jun 16, 2010·Annals of Internal Medicine·David C ZiemerLawrence S Phillips
Jul 16, 2010·Diabetes Research and Clinical Practice·Kupper A WintergerstMichael B Foster
May 20, 2011·European Journal of Pediatrics·Senthil SenniappanUNKNOWN North West England Paediatric Diabetes Network
Oct 4, 2011·PloS One·Samuel W CutfieldWayne S Cutfield
Sep 25, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·R J ThompsonP C Hindmarsh
Oct 27, 2012·Endocrinology and Metabolism Clinics of North America·Diana E StanescuTerri H Lipman
Jan 31, 2013·The Journal of Pediatrics·Caroline S ZuijdwijkFarid H Mahmud
Mar 4, 2014·Journal of Diabetes and Its Complications·Joanna J JacobsenJean M Lawrence
Feb 18, 2015·Pediatrics·Steven M WilliUNKNOWN T1D Exchange Clinic Network

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Citations

Sep 12, 2020·Acta Diabetologica·Erella Elkon-TamirAvivit Brener
Jul 15, 2020·Journal of the Royal Society of Medicine·Tim WilsonJoe McManners
Sep 16, 2017·Archives of Disease in Childhood·Justin T Warner
Sep 8, 2017·BMJ Open Diabetes Research & Care·Amal R KhanolkarTerence Stephenson
Feb 17, 2017·The Medical Journal of Australia·Helen PhelanMaria E Craig
Jun 28, 2018·Nature Reviews. Endocrinology·Martin Tauschmann, Roman Hovorka
Feb 6, 2017·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Lidwien A TjadenMarlies Noordzij
Jan 21, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Lucy A PlumbYoav Ben-Shlomo
Jul 9, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Nur Rochmah Soetjipto

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