Factors Associated with Utilization and Underutilization of Diabetes Technology in Underrepresented Families Living with Type 1 Diabetes
Authors' conclusion
Technology utilization was associated with structural characteristics and youth-reported experiences, with youth discrimination identifying experiential factors that may influence adoption of diabetes technologies.
Study context
- Population
- Parent-youth dyads from underrepresented families living with T1D, Building the Evidence to Address Disparities in Type 1 Diabetes study
- Participants
- 84 parent-youth dyads
- Exposure
- Technology utilizers vs underutilizers
- Outcome
- Diabetes technology utilization (both CGM and pump); associations with sociodemographic variables by adjusted prevalence ratios
Main finding
As reported in the abstract
Factors associated with technology utilization (aPR)
Parental age, adjusted prevalence ratios (aPR) (95% CI [1.01,1.05]), P = 0.003
1.03
Parental education, aPR (95% CI [1.01,1.19]), P = 0.03
1.10
Non-White + non-English caregivers, aPR (95% CI [1.01,2.48]), P = 0.046
1.58
Youth discrimination, aPR (95% CI [0.89,1.00]), P = 0.04; lower utilization
0.94
Observational data: associations, not effects.
Further findings
| Outcome | Utilizers | Underutilizers | P value |
|---|---|---|---|
| Youth discrimination | 2.49 | 4.23 | P = 0.016 |
| CGM burden | 1.84 | 2.34 | P < 0.001 |
| Technology acceptance | 4.40 | 3.91 | P = 0.007 |
Characteristics of utilizers vs underutilizers (SMD)
- Parents of utilizers older, SMD
- 0.74
- Parents of utilizers higher education, SMD
- 0.91
- Utilizer youth longer diabetes duration, SMD
- 0.49
Original publication
Factors Associated with Utilization and Underutilization of Diabetes Technology in Underrepresented Families Living with Type 1 Diabetes. Diabetes Technol Ther. Published 25 September 2026. doi:10.
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