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
Aug 6, 2008·Diabetologia·P J CarterC Jefferies
Jun 5, 2010·Pediatric Diabetes·Kristy HatherlySue Taylor
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
Jul 27, 2011·Diabetes·Nisa M MaruthurElizabeth Selvin
Oct 4, 2011·PloS One·Samuel W CutfieldWayne S Cutfield
Sep 25, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·R P DiasR Amin
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 30, 2013·The Journal of Clinical Endocrinology and Metabolism·Johnny DeladoëyLouis Geoffroy
Dec 21, 2013·Diabetes Care·Lloyd Paul Aiello, UNKNOWN DCCT/EDIC Research Group
Dec 21, 2013·Diabetes Care·John M LachinUNKNOWN DCCT/EDIC Research Group
Mar 4, 2014·Journal of Diabetes and Its Complications·Joanna J JacobsenJean M Lawrence
Jun 10, 2014·Pediatric Diabetes·Siri FredheimJannet Svensson
Nov 11, 2014·PloS One·Sebastian KummerJoachim Rosenbauer
Dec 17, 2014·Diabetes Care·Maria NordwallHans J Arnqvist
Feb 18, 2015·Pediatrics·Steven M WilliUNKNOWN T1D Exchange Clinic Network
Citations
Mar 27, 2019·Pediatric Diabetes·Kirsten MönkemöllerReinhard W Holl
Jul 23, 2019·Pediatric Diabetes·Amal R KhanolkarTerence Stephenson
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
Dec 16, 2018·Diabetes Care·Anne F VloemansMaartje De Wit
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
Apr 5, 2019·BMJ : British Medical Journal·Joanne C BlairUNKNOWN SCIPI investigators
Aug 16, 2018·Health Technology Assessment : HTA·Joanne BlairCarrol Gamble
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
Nov 19, 2020·Pediatric Diabetes·Marine DelagrangeClaire LeTallec
Jul 9, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Nur Rochmah Soetjipto
Jan 1, 2022·BMJ Open Diabetes Research & Care·Claudia BoettcherStefanie Lanzinger