Ethnic disparities in quality of diabetes care in Scotland: A national cohort study
Authors' conclusion
There are marked ethnic disparities in routine diabetes care in Scotland in the short- and medium-term following diabetes diagnosis. Further investigation is needed to establish and effectively address the underlying reasons.
Study context
- Population
- People newly diagnosed with T2D between 2009 and 2018, Scotland
- Participants
- 162,122 people
- Exposure
- Eight ethnicity groups vs White
- Outcome
- Receipt of nine guideline indicated processes of care
- Follow-up
- First year post-diagnosis
Methodological detailslinked national diabetes registry, adjusted for confounders
- Linked national diabetes registry
- Adjusted for confounders
Main finding
As reported in the abstract
HbA1c monitoring
Each group vs whiteOdds ratio (95% CI)
African, Caribbean or Black44% lower odds
0.56(0.48–0.66)
Indian47% lower odds
0.53(0.47–0.61)
Other ethnicity50% lower odds
0.50(0.46–0.58)
- Odds of eye screening lower in most ethnic groups vs White
- 30%-40%
Observational data: associations, not effects.
Further findings
Annual HbA1c monitoring and eye screening during follow-up · median 5 year follow-up
- Differences largely persisted, attenuated slightly for HbA1c monitoring
Original publication
Ethnic disparities in quality of diabetes care in Scotland: A national cohort study. Diabet Med. Published 8 May 2024. doi:10. 1111/ dme. 15336
Composed by AI from the published abstract and checked against it. How Briefs are made →