Child Opportunity Index and clinical characteristics at diabetes diagnosis in youth: type 1 diabetes versus type 2 diabetes
Authors' conclusion
COI is associated with differing characteristics at diagnosis in youth-onset T1D and T2D but is worse among youth with T2D overall. These findings underscore the need to address socioeconomic adversity when designing interventions to reduce T2D risk and to improve outcomes at diabetes diagnosis in youth.
Study context
- Population
- Youth with new-onset diabetes admitted to a large academic pediatric hospital
- Participants
- 484 participants
- Exposure
- Child Opportunity Index (COI) in T1D vs T2D
- T1Dn = 389reference
- T2Dn = 95
- Outcome
- COI by diabetes type
- Follow-up
- Diabetes diagnosis
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Youth with T2D had lower COI
- T2D vs T1D: P < 0.001
Observational data: associations, not effects.
Further findings
Baseline characteristics · diabetes diagnosis · value = age
Black T1D 10.0% · T2D 44.2%
White T1D 81.2% · T2D 48.4%
COI and DKA · diabetes diagnosis
- Low COI was associated with DKA in T1D and T2D
- Adjusted for age and sex
COI, race and HbA1c (T2D) / obesity (T1D) · diabetes diagnosis
- Black youth with low COI had the highest HbA1c among T2D and the highest obesity prevalence among T1D
Original publication
Child Opportunity Index and clinical characteristics at diabetes diagnosis in youth: type 1 diabetes versus type 2 diabetes. BMJ Open Diabetes Res Care. Published 17 April 2024. doi:10. 1136/ bmjdrc-2023-003968
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