Racial-Ethnic Disparities in Management and Outcomes Among Children With Type 1 Diabetes
Racial-Ethnic Disparities in Management and Outcomes Among Children With Type 1 Diabetes
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DOI：
10.1542/peds.2014-1774
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发表时间：
2015-03-01
期刊：
影响因子：
8
通讯作者：
Lipman, Terri H.
中科院分区：
文献类型：
--
作者：
Willi, Steven M.;Miller, Kellee M.;Lipman, Terri H.
背景和目标：先前的研究已经记录了糖尿病治疗和结果中的种族/民族差异。这些差异是由社会经济地位（SES）差异还是其他因素造成的，仍然存在争议。我们检查了 T1D Exchange 临床登记处大量儿科参与者在治疗方式和糖尿病结局方面的种族/民族差异。 方法：该队列包括 10 704 名参与者，年龄为 18 岁，患有 1 型糖尿病≥1 年（48% 为女性；平均年龄：11.9 +/- 3.6 岁；糖尿病病程：5.2 +/- 3.5 年）。对 8841 名非西班牙裔白人 (white) (83%)、697 名非西班牙裔黑人 (black) (7%) 和 1166 名西班牙裔 (11%) 参与者的糖尿病管理和临床结果进行了比较。人口包括 214 个高收入黑人和西班牙裔家庭。 结果：在调整性别、年龄、糖尿病病程和 SES 后，白人参与者的胰岛素泵使用率高于黑人或西班牙裔参与者（分别为 61% vs 26% 和 39%）（P
BACKGROUND AND OBJECTIVES: Previous research has documented racial/ethnic disparities in diabetes treatments and outcomes. It remains controversial whether these disparities result from differences in socioeconomic status (SES) or other factors. We examined racial/ethnic disparities in therapeutic modalities and diabetes outcomes among the large number of pediatric participants in the T1D Exchange Clinic Registry.METHODS: The cohort included 10 704 participants aged,18 years with type 1 diabetes for >= 1 year (48% female; mean age: 11.9 +/- 3.6 years; diabetes duration: 5.2 +/- 3.5 years). Diabetes management and clinical outcomes were compared among 8841 non-Hispanic white (white) (83%), 697 non-Hispanic black (black) (7%), and 1166 Hispanic (11%) participants. The population included 214 high-income black and Hispanic families.RESULTS: Insulin pump use was higher in white participants than in black or Hispanic participants (61% vs 26% and 39%, respectively) after adjusting for gender, age, diabetes duration, and SES (P