The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus

Hassan, Krishnavathana; Loar, Robert W.; Anderson, Barbara J.; Heptulla, Rubina A.

doi:10.1016/j.jpeds.2006.05.039

Cited by 248 publications

(212 citation statements)

References 35 publications

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“…These results are in accordance with previous Swedish studies and reports from other comparable countries (1)(2)(3)5). Previous studies indicated that low SES during childhood is associated with low glycemic control and diabetesrelated morbidity in patients with T1D (8,9), and the current study implies that mortality in adulthood is also affected by parental SES.…”

Section: Discussionsupporting

confidence: 58%

“…Time to diabetes complications and death in T1D depends on metabolic control that may associate with psychological as well as social stress. Parental socioeconomic status (SES), mirrored by parental educational level and economic resources, is shown to affect disease care and metabolic control in the child with diabetes (8,9). Numerous reports have shown that individuals with lower SES during childhood have increased morbidity and all-cause mortality at all ages (10)(11)(12)(13)(14).…”

mentioning

confidence: 99%

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Impact of Parental Socioeconomic Status on Excess Mortality in a Population-Based Cohort of Subjects With Childhood-Onset Type 1 Diabetes

et al. 2015

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OBJECTIVE The aim of this study was to analyze the possible impact of parental and individual socioeconomic status (SES) on all-cause mortality in a population-based cohort of patients with childhood-onset type 1 diabetes. RESEARCH DESIGN AND METHODS Subjects recorded in the Swedish Childhood Diabetes Registry (SCDR) from 1 January 1978 to 31 December 2008 were included (n = 14,647). The SCDR was linked to the Swedish Cause of Death Registry (CDR) and the Longitudinal Integration Database for Health Insurance and Labour Market Studies (LISA). RESULTS At a mean follow-up of 23.9 years (maximum 46.5 years), 238 deaths occurred in a total of 349,762 person-years at risk. In crude analyses, low maternal education predicted mortality for male patients only (P = 0.046), whereas parental income support predicted mortality in both sexes (P < 0.001 for both). In Cox models stratified by age-at-death group and adjusted for age at onset and sex, parental income support predicted mortality among young adults (≥18 years of age) but not for children. Including the adult patient’s own SES in a Cox model showed that individual income support to the patient predicted mortality occurring at ≥24 years of age when adjusting for age at onset, sex, and parental SES. CONCLUSIONS Exposure to low SES, mirrored by the need for income support, increases mortality risk in patients with childhood-onset type 1 diabetes who died after the age of 18 years.

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Section: Discussionsupporting

confidence: 58%

mentioning

confidence: 99%

Impact of Parental Socioeconomic Status on Excess Mortality in a Population-Based Cohort of Subjects With Childhood-Onset Type 1 Diabetes

et al. 2015

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“…These correlations are in line with published reports from other samples. [17][18][19][20][21][22][23] Of note, the correlation between BGM frequency and HbA1c was large (r = 20.37, P , .0001), indicating the expected strong relationship between management and control in this study sample.…”

Section: Depression Score and Diabetes Management And Controlmentioning

confidence: 71%

“…Up to 9.5% of the general population of adolescents are depressed, [8][9][10] and the rate is 2 to 3 times higher for adolescents with type 1 diabetes and other chronic health conditions. [11][12][13][14][15][16] When present, depression in adolescents with type 1 diabetes is associated with less frequent blood glucose monitoring (BGM), 17 higher HbA1c values, [18][19][20][21] and increased rates of diabetes-related hospitalizations. 22,23 All of these negative health outcomes are associated with higher risk of longterm complications from diabetes and consequent increase in medical care costs.…”

Section: Resultsmentioning

confidence: 99%

Improving Depression Screening for Adolescents With Type 1 Diabetes

et al. 2013

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OBJECTIVE: Depression is common among adolescents, but rates increase significantly in the presence of chronic health conditions. Outpatient screening for depression is recommended but rarely formally conducted due to barriers of implementation. METHODS:To provide a model for depression screening of youth with chronic health conditions, a standard process using a selfadministered electronic version of the Children' s Depression Inventory (CDI) was developed. Quality improvement methodology and traditional analytic approaches were used to test the feasibility and outcomes of routine screening in patients 13 to 17 years of age with type 1 diabetes. RESULTS:Of the 528 eligible adolescents, 509 (96%) received at least 1 depression screen during the first year. The process was tested and refined in over 1200 patient encounters, which resulted in an increase in depression screening rates from ,5% to a median of 85% over the initial 12 months. Both patients and staff reported acceptance of screening on qualitative surveys. Elevated CDI scores ($16) were found in 8% of the sample; moderate scores (10-15) in 12% of the sample. Low risk scores were found in 80% of the sample. Higher CDI scores correlated with lower blood glucose monitoring frequency and higher hemoglobin A1c, confirming the link between more depression symptoms and poorer diabetes management and control. Suicidal ideation was endorsed in 7% of the population.CONCLUSIONS: Systematic depression screening in adolescents with type 1 diabetes can be reliably implemented with clinically significant results. A systematic approach, such as described in this study, can serve as a model for other chronic health conditions. Pediatrics

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“…Although largely unstudied in adolescents with T2D, studies in children with T1D have indicated that lower socioeconomic status is associated with poor glycemic control. Moreover, depression and the probability of depression increases as a patient's glycemic control worsens [12]. The complex association of T2D with a multitude of risk factors for depression further complicates the management of patients.…”

Section: Reviewmentioning

confidence: 99%

Management of Depression in Adolescents with Type 2 Diabetes Mellitus

Magrini

Wright

2017

PLAID

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Over the past 30 years, the incidence of type 2 diabetes mellitus continues to rise in the pediatric and adolescent population. The increased rates of depression in children with type 1 diabetes have long been established in literature. However, the association of type 2 diabetes and depression has only recently been acknowledged. The purpose of this article is to: 1) review the current literature to examine the incidence of depression and type 2 diabetes in adolescents, and 2) suggest approaches to identify and care for these patients.

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The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus

Cited by 248 publications

References 35 publications

Impact of Parental Socioeconomic Status on Excess Mortality in a Population-Based Cohort of Subjects With Childhood-Onset Type 1 Diabetes

Impact of Parental Socioeconomic Status on Excess Mortality in a Population-Based Cohort of Subjects With Childhood-Onset Type 1 Diabetes

Improving Depression Screening for Adolescents With Type 1 Diabetes

Management of Depression in Adolescents with Type 2 Diabetes Mellitus

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