Persistent disparities in insulin pump uptake despite a universal pump programme for type 1 diabetes in Ontario, Canada
Main finding · Insulin pump useResult — go to the resultAdjusted odds ratio 0.44 95% CI 0.39–0.48Authors' conclusion
Despite a universal pump programme for individuals with T1D, disparities by social disadvantage persist. Residual financial and non-financial barriers must be addressed to promote equitable insulin pump uptake.
Study context
- Population
- Adults aged >18 years with T1D diagnosed before 31 March 2021, Ontario, Canada, with a universal publicly funded insulin pump programme; and paediatric and adult applicants to the programme, 1 September 2006 to 31 March 2022adults with T1D
- Participants
- 27,453 adults
- Exposure
- Greatest vs lowest social disadvantage quintile
- Outcome
- Insulin pump use
Methodological detailsadministrative healthcare data
- Administrative healthcare data
Main finding
As reported in the abstract
Adjusted odds ratio
0.44
95% CI 0.39–0.48
Greatest social disadvantage quintilevs Lowest social disadvantage quintile
aOR 0.44 (95% CI 0.39–0.48)
- Adults with T1D using insulin pumps
- 60%
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Social disparities in pump programme enrolment over time (higher social deprivation quintile), 2022 vs 2007 | 1.09 (0.83–1.44) | |
| 0.512Odds ratio (log scale) |
- Social disparities in pump programme enrolment over time (higher social deprivation quintile), 2022 vs 2007 — Applicants to the insulin pump programme
- 21 002
Social disparities in pump programme enrolment over time (higher social deprivation quintile), 2022 vs 2007
- Disparities decreased in first 3 years, plateaued until 2020, then increased from 2020 to 2022; no change 2022 vs 2007
Original publication
Persistent disparities in insulin pump uptake despite a universal pump programme for type 1 diabetes in Ontario, Canada. Diabetes Obes Metab. Published 26 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →