Evidence map›Paper›PMID 41036118›Full record

ArticleFrontiers in public health2025

Socioeconomic and health disparities in adults diagnosed with type 1 diabetes mellitus before age 18: insights from the Italian PASSI surveillance system.

Giulia Zamagni, Valentina Minardi, Maria Masocco, Federica Asta, Riccardo Candido, Gianluca Tornese, Giulia Bresciani, Valentina Manfredini, Elena Frattolin, Claudia Veronica Carletti and 4 more

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In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Giulia Zamagni *Institute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Valentina Minardi *National Center for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy.
Maria MasoccoNational Center for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy.
Federica AstaNational Center for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy.
Riccardo CandidoDepartment of Medical Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Gianluca TorneseInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Giulia BrescianiInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Valentina ManfrediniDepartment of Medical Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Elena FrattolinFriuli-Venezia Giulia Regional Coordination of Associations of People Living with Diabetes, Trieste, Italy.
Claudia Veronica CarlettiInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Daniela GermanoFriuli-Venezia Giulia Regional Center PASSI Surveillance System-ASUGI, Trieste, Italy.
Eleonora MaurelInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Luca RonfaniInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.
Lorenzo MonastaInstitute for Maternal and Child Health-Burlo Garofolo, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Type 1 diabetes mellitus is a lifelong condition with consequences that extend well beyond glycaemic control, often impacting individuals' socioeconomic status and overall quality of life. In Italy, the broader effects of early-onset type 1 diabetes on social and health-related outcomes have been insufficiently investigated. Therefore, this study aimed to investigate the socioeconomic impacts of type 1 diabetes among adults diagnosed with the condition before age 18. Methods: Using data from the Italian Behavioral Risk Factor Surveillance System (PASSI) collected between 2011 and 2018 and in 2023, we analyzed key outcomes in adults aged 18-50 who were diagnosed with type 1 diabetes before age 18 and were on insulin therapy. Each case was matched by age and sex to two non-diabetic controls. Descriptive statistics and multivariable logistic regression were used to compare key indicators. Results: Our sample included 993 participants (331 cases and 662 controls). Cases had significantly higher odds of being unemployed [OR = 1.57 (1.20-2.07)], experiencing severe financial difficulties [OR = 1.81 (1.05-3.13)], and reporting poor self-rated health [OR = 6.64 (2.53-17.43)]. Cases also had an increased likelihood of reporting physical impairment for 1-13 days [OR = 1.91 (1.30-2.81)] and ≥14 days [OR = 2.95 (1.54-5.65)], mental health impairment for 1-13 days [OR = 2.16 (1.46-3.19)], and daily activity limitations for 1-13 days [OR = 1.73 (1.06-2.82)]. Conclusions: These findings highlight the multifaceted burden of type 1 diabetes and the need for integrated approaches to care that address not only clinical but also socioeconomic and psychosocial dimensions of the disease.

Indexed as

Diabetes Mellitus, Type 1Health Status DisparitiesAdolescentAdultBehavioral Risk Factor Surveillance SystemFemaleHumansItalyMaleMiddle AgedQuality of LifeSocioeconomic FactorsYoung Adulthealth inequalitespublic healthquality of lifesocioeconomic inequalitiestype 1 diabetes mellitus

Identifiers

PMID41036118
PMCPMC12479510

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.