Socio-economic deprivation and healthcare service use of young people with type 1 and type 2 diabetes
Rattachement africain : nz. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
AIM: Lower socio-economic status (SES) is linked to greater morbidity in people with young-onset type 2 (T2D) and type 1 diabetes (T1D). We assessed healthcare utilisation from this population and the impact of SES. METHODS: Retrospective analysis of 1,350 people with T2D and 731 with T1D diagnosed between 15-30 years of age referred to secondary diabetes services in Auckland, New Zealand. Primary care visits, referral to/attendance at diabetes clinics, and hospital admissions were recorded; their relationship to a validated national index of deprivation (NZDep) was assessed. RESULTS: The proportion with primary care attendance was similar in both groups with no significant variation with NZDep. For T2D, NZDep was a predictor of delayed referral (≧1-year post-diagnosis) to diabetes services, following adjustment for age and HbA1c in the year of diagnosis (OR 1.15 for every decile increase in NZDep, 95% CI 1.07-1.24, p=0.0003). The median number of appointments offered over a 2-year period was greater for T1D (2.0 (IQR 0, 7) vs (0 (IQR 0, 2), p<0.001); non-attendance increased with NZDep for T2D (p=0.016). The proportion with hospital admissions was similar in both groups and increased with NZDep (T1D p<0.001, T2D p=0.015). CONCLUSION: SES impacts several measures of healthcare utilisation. Current healthcare models are inadequately servicing people with young-onset T2D.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Socio-economic deprivation and healthcare service use of young people with type 1 and type 2 diabetes
- Date Crossref
- 11/11/2022
- Éditeur
- Pasifika Medical Association Group
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Auckland pays non établi dans la noticeUniversité ou école supérieure
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Greenlane Clinical Centre Auckland Diabetes Centre pays non établi dans la noticeÉtablissement de santé
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Auckland District Health Board pays non établi dans la noticeÉtablissement de santé
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Ministry of Health pays non établi dans la noticeOrganisme public
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Faculty of Medical and Health Sciences Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
University of Auckland, Auckland Diabetes Centre — Greenlane Clinical Centre et Auckland District Health Board, avec 2 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.