Assessment of risk factors of poor metabolic control in type 1 diabetic children assisted in a public hospital in Argentina

Araujo, María Beatriz; Mazza, Carmen

doi:10.1111/j.1399-5448.2008.00388.x

Cited by 26 publications

(34 citation statements)

References 25 publications

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“…Professional fathers have children with good glycemic control. Those findings are consistent with previous studies using the same method of our data collection, which have also proved that lower socioeconomic status which mainly results from unemployment of parents is related with higher HbA1c [12][13][14][15]. In contrast and according to the results of this study, neither mothers' educational level nor their occupational status have shown significant influence on their children glycemic control.…”

Section: Discussioncontrasting

confidence: 35%

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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IntroductionType 1 diabetes mellitus (T1DM) is one of the most common chronic metabolic disorders affecting children worldwide. The prevalence of (T1DM) was 109.5 per 100,000 in children and adolescents of Saudi Arabia in 2008, while it was 1.93 per 1000 in 2009 in the United States of America [1,2]. Parents involvement is the key to meet the goal of better management outcome of glycemic control and quality of life in pediatric patients [3,4]. One of the most important aims of health care team is to know the parents' knowledge and educational level to build up from different bases according to their information, also knowing their job and socioeconomic state to work together as a team to keep up the child glycemic control. It is well-established that the glycemic control and readmission rate of the child are affected by educational level and occupational position of the family [5]. In literature, better glycemic control in children with T1DM was found among families with higher parents' educational level, however not much is known on this topic in Saudi Arabia [6,7].We aimed of this cross-sectional hospital-based study to assess parents` higher educational level and occupational status in relation to glycemic control among children with T1DM at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Methodology ParticipantsOur sample was taken from outpatients' diabetic clinic at King Abdulaziz University Hospital in Jeddah (KAUH) between 2013 and 2014. There were children and adolescents with T1DM between 1and 18 years of age and their caregivers. Of the 450 eligible participants only 243, has completed the study to the end. For glycemic control, Objective: To investigate the relationship between glycemic controls measured as glycosylated hemoglobin (HbA1c) with parental higher education and occupational status in children and adolescents with T1DM.

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Section: Discussioncontrasting

confidence: 35%

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Al-Agha¹,

Majdi²,

Aljefri³

et al. 2017

J Pat Care

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“…Other studies have also found correlations of glycemic control and household composition, with improved control in those patients whose parents are married and living together vs. single‐parent households . In our study, after regression analysis, there was no significant difference in the rate of single‐parent household between the officer and enlisted groups.…”

Section: Discussionsupporting

confidence: 48%

Glycemic control and sponsor rank of military dependents with type 1 diabetes mellitus

2015

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“…The primary role of education in predicting major cardiovascular and renal events makes logical sense, as type 1 diabetes requires a large amount of self-care, and diabetes education clearly improves glycemic control. (23) However, we cannot fully explain why income is the primary SES measure associated with AN and LEAD, as these are also more prevalent with poor glycemic control. Likewise, PR was not associated with any SES measure, perhaps due to the high overall prevalence of PR in this cohort (>60%).…”

Section: Discussionmentioning

confidence: 93%

Associations Between Socioeconomic Status and Major Complications in Type 1 Diabetes: The Pittsburgh Epidemiology of Diabetes Complication (EDC) Study

Secrest

Costacou

Gutelius

et al. 2011

Annals of Epidemiology

119

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Purpose To understand the effect of socioeconomic status (SES) on the risk of complications in type 1 diabetes (T1D), we explored the relationship between SES and major diabetes complications in a prospective, observational T1D cohort study. Methods Complete data were available for 317 T1D persons within 4 years of age 28 (ages 24–32) in the Pittsburgh Epidemiology of Diabetes Complications Study. Age 28 was selected to maximize income, education, and occupation potential, and minimize the effect of advanced diabetes complications on SES. Results The incidences over 1–20 years follow-up of end-stage renal disease (ESRD) and coronary artery disease (CAD) were 2–3 times higher for T1D individuals without, compared to those with a college degree (p<0.05 for both), while autonomic neuropathy (AN) incidence was significantly higher for low income and/or non-professional participants (p<0.05 for both). HbA1c was inversely associated only with income level. In sex- and diabetes duration-adjusted Cox models, lower education predicted ESRD (HR=2.9, 95% CI, 1.1–7.7) and CAD (HR=2.5, 1.3–4.9), whereas lower income predicted AN (HR=1.7, 1.0–2.9) and lower extremity arterial disease (HR=3.7, 1.1–11.9). Conclusions These associations, partially mediated by clinical risk factors, suggest that lower SES T1D individuals may have poorer self-management and, thus, more diabetes complications.

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Assessment of risk factors of poor metabolic control in type 1 diabetic children assisted in a public hospital in Argentina

Abstract: This study showed that socioeconomic and familial factors were strongly associated with metabolic control, and they will allow us to make an early detection of those patients who are more susceptible of having poor progression of diabetes.

Cited by 26 publications

References 25 publications

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Effect of Parents’ Educational Level and Occupational Status on Child Glycemic Control

Glycemic control and sponsor rank of military dependents with type 1 diabetes mellitus

Associations Between Socioeconomic Status and Major Complications in Type 1 Diabetes: The Pittsburgh Epidemiology of Diabetes Complication (EDC) Study

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