ArticleEndocrinology, diabetes & metabolism2023
Sociodemographic factors affecting glycaemic control in Finnish paediatric patients with type 1 diabetes.
Article in Endocrinology, diabetes & metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Bridging the Digital Divide: Real-World Efficacy of Commercial and Open-Source Automated Insulin Delivery Systems in a Diverse, Low-Resource Pediatric Population.Journal of diabetes science and technology · 2026Article
- Article
- The Impact of an Adolescent-Friendly Approach on Metabolic Control in Adolescents with Type 1 Diabetes in Türkiye.Journal of clinical medicine · 2025Article
- Low parental stress and positive well-being in Finnish children and adolescents with type 1 diabetes.BMJ open diabetes research & care · 2025Article
- Parental Low Level of Education and Single-Parent Families as Predictors of Poor Control of Type 1 Diabetes in Children Followed in French Guiana.International journal of environmental research and public health · 2025Observational
- The Association of Sociodemographic Factors and Utilization of Diabetes Technologies with Diabetes Management: An Investigation in Children and Adolescents with Type 1 Diabetes.Turkish archives of pediatrics · 2024Article
- Sociodemographic factors affecting glycaemic control in Finnish paediatric patients with type 1 diabetes.Endocrinology, diabetes & metabolism · 2023Article
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Authors and funding
4 authors.
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Abstract
aimsSocioeconomic problems may present significant challenges when trying to reach optimal glycaemic control in paediatric patients with type 1 diabetes. We examined sociodemographic factors affecting metabolic control in patients in one of the biggest paediatric diabetes clinics in Finland.
methodsOne hundred ninety-one children (age 2-15 years; median 11 years; 47% female) with type 1 diabetes and their families were recruited during outpatient visits in the paediatric diabetes clinic of Tampere University Hospital, Finland. The participants completed a questionnaire on the family's sociodemographic background. The child's glycaemic control was assessed by both glycosylated haemoglobin (HbA1c) and time in range (TIR). Risk factors for poor (HbA1c ≥75 mmol/mol; TIR <40%) and optimal (HbA1c <53 mmol/mol; TIR ≥70%) metabolic control were searched using logistic regression analyses.
resultsLiving in a nuclear family, male gender, younger age and a school assistant for diabetes management were associated with the simultaneous presence of both indicators of optimal metabolic control. Poor glycaemic control, as estimated by HbA1c, was associated with lower parental education and the child's older age. Parental smoking and the child's older age were associated with poor TIR.
conclusionThis study confirms the importance of sociodemographic factors in care of Finnish paediatric patients with type 1 diabetes. Sociodemographic status markers of the family could be used as triggers to alert paediatric diabetes teams to offer more tailored care to families with new-onset type 1 diabetes mellitus.
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