Socioeconomic deprivation and cardiometabolic risk factors in individuals with type 1 diabetes: T1D exchange clinic registry
Authors' conclusion
Persistent SDOH differences could account for a substantial degree of poor achievement of cardiometabolic targets in individuals with T1D. Our results suggest the need for a broader framework to understand the association between T1D and adverse cardiometabolic outcomes.
Study context
- Population
- Individuals with T1D aged 13–90 years (mean 29.2 ± 17), T1D Exchange clinic registry, 6,320 zip code tabulation areas (2007–2017)
- Participants
- 18,754 individuals
- Exposure
- Highest vs lower social deprivation
- Outcome
- Cardiometabolic risk factors (HbA1c, low-density lipoprotein, blood pressure, BMI, physical activity)
Methodological detailsregistry-based, multivariable and logistic regression
- Registry-based
- Multivariable and logistic regression
Main finding
As reported in the abstract
Association of SDI with cardiometabolic risk factors
Odds of triple concomitant risk burden (poor glycemia, dyslipidemia, hypertension), highest socially deprived areas, unadjusted
1.69
Odds of triple concomitant risk burden (poor glycemia, dyslipidemia, hypertension), highest socially deprived areas, adjusted
1.78
Observational data: associations, not effects.
Original publication
Socioeconomic deprivation and cardiometabolic risk factors in individuals with type 1 diabetes: T1D exchange clinic registry. Diabetes Res Clin Pract. Published 10 December 2022. doi:10. 1016/ j. diabres. 2022. 110198
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