Diabetes technology

A Longitudinal View of Disparities in Insulin Pump Use Among Youth with Type 1 Diabetes: The SEARCH for Diabetes in Youth Study

Diabetes Technol TherPublished Serial cross-sectional 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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