Importance of caregivers' subjective social status and neighbourhood disadvantage for adolescents with type 1 diabetes.
Importance of caregivers' subjective social status and neighbourhood disadvantage for adolescents with type 1 diabetes.
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照顾者的主观社会地位和邻里劣势对于患有 1 型糖尿病的青少年的重要性。
DOI：
10.1111/dme.15097
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Jaser,SarahS
中科院分区：
文献类型：
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作者：
Mackie,Tayler;Morrow,TroyD;Abadula,FayoJ;Jaser,SarahS
目标来自低收入人群的 1 型糖尿病青少年更有可能难以控制糖尿病，最终血糖结果较差，但人们对邻里因素或主观社会地位 (SSS) 作为风险/保护因素知之甚少。我们研究了社会经济状况的多个指标与糖尿病结局之间的关联。方法 198 名经历中度糖尿病困扰的 13-17 岁青少年（58% 女性，58% 白人，非西班牙裔）完成了糖尿病管理和糖尿病困扰的测量，他们的护理人员报告了 SSS。从病历中提取血糖指标，并使用参与者的地址来确定区域剥夺指数 (ADI)。结果较高水平的邻里劣势与较高的血红蛋白 A1c 水平和平均血糖水平显着相关，但护理人员的 SSS 与所有血糖指标、糖尿病管理和糖尿病困扰的相关性更强。结论鉴于护理人员的 SSS 与血糖控制、糖尿病管理和糖尿病困扰之间存在很强的关联，对护理人员的 SSS 进行筛查可能会发现将从额外支持中受益的青少年。
AimsAdolescents with type 1 diabetes from low‐income populations are more likely to have difficulty in managing their diabetes and ultimately have poorer glycaemic outcomes, but less is known about neighbourhood‐level factors or subjective social status (SSS) as risk/protective factors. We examined associations between multiple indicators of socio‐economic status with diabetes outcomes.MethodsOne hundred and ninety‐eight adolescents ages 13–17 (58% female, 58% White, non‐Hispanic) experiencing moderate diabetes distress completed measures of diabetes management and diabetes distress, and their caregivers reported on SSS. Glycaemic indicators were extracted from medical records, and participants' addresses were used to determine area deprivation index (ADI).ResultsHigher levels of neighbourhood disadvantage were significantly associated with higher haemoglobin A1clevels and average glucose levels, but caregivers' SSS was more strongly associated with all glycaemic indicators, diabetes management and diabetes distress.ConclusionsGiven strong associations between caregivers' SSS and glycaemic control, diabetes management, and diabetes distress, screening for caregivers' SSS may identify adolescents who would benefit from additional support.