A Longitudinal View of Disparities in Insulin Pump Use Among Youth with Type 1 Diabetes: The SEARCH for Diabetes in Youth Study
Authors' conclusion
Over the past two decades, there was no improvement in the racial, ethnic, and socioeconomic inequities in insulin pump use, despite an overall increase in use.
Study context
- Population
- Youth <20 years old with T1D, SEARCH for Diabetes in Youth study, 2001–2019
- Exposure
- Insulin pump use by race/ethnicity and markers of socioeconomic status over time
- Outcome
- Insulin pump use
Methodological detailsnational U.S. sample, four time periods 2001–2019, multivariable generalized estimating equations
- National U.S. sample
- Four time periods 2001–2019
- Multivariable generalized estimating equations
Main finding
As reported in the abstract
Odds ratio (95% CI)
Hispanicvs White
0.57(0.45–0.73)
Blackvs White
0.28(0.22–0.37)
Other racevs White
0.49(0.32–0.76)
≤high school degreevs ≥bachelor's degree
0.39(0.31–0.47)
Some collegevs ≥bachelor's degree
0.68(0.58–0.79)
Public insurancevs Private insurance
0.84(0.70–1.00)
Income <$25Kvs Income ≥$75,000
0.43(0.35–0.53)
Income $25K-$49Kvs Income ≥$75,000
0.52(0.43–0.63)
Income $50K-$74Kvs Income ≥$75,000
0.79(0.66–0.94)
- Overall insulin pump use increased
- 31.7% to 58.8%
Observational data: associations, not effects.
Original publication
A Longitudinal View of Disparities in Insulin Pump Use Among Youth with Type 1 Diabetes: The SEARCH for Diabetes in Youth Study. Diabetes Technol Ther. Published 29 November 2022. doi:10. 1089/ dia. 2022. 0340
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