Associations of Area-Level and Parental Individual-Level Social Deprivation with Glycemic Control over Time among Children with Type 1 Diabetes in France: A Longitudinal Cohort Study
Main finding · Short-term decrease in HbA1cResult — go to the resultSlope difference 2.68 % per yearAuthors' conclusion
Social deprivation may partially explain poor glycemic control in some patients; both short-term individual deprivation and long-term area-level deprivation may be involved. Further research is needed to determine how to integrate this information into a therapeutic strategy.
Study context
- Population
- Children diagnosed with T1D between 2017 and 2020 at Bordeaux University Hospital, France
- Participants
- 168 children
- Exposure
- Most-deprived vs least-deprived patients
- Outcome
- HbA1c trajectory from T1D diagnosis
Methodological detailslongitudinal, single-centre, piecewise linear mixed-effects models
- Longitudinal
- Single-centre
- Piecewise linear mixed-effects models
Main finding
Short-term decrease in HbA1c · first 4 months after diagnosis
Slope difference
2.68 % per year
P = 0.056
As reported in the abstract
Observational data: associations, not effects.
Further findings
Correlation of EPICES and European Deprivation Index (EDI) indicators
- The two indicators were poorly correlated
Original publication
Associations of Area-Level and Parental Individual-Level Social Deprivation with Glycemic Control over Time among Children with Type 1 Diabetes in France: A Longitudinal Cohort Study. Pediatr Diabetes. Published 20 May 2024. doi:10.
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