The Impact of Public Policy on Equitable Access to Technology for Children and Youth Living with Type 1 Diabetes in British Columbia, Canada
Authors' conclusion
Universal coverage of CGM improved uptake; however, equity gaps persisted.
Study context
- Population
- Children with T1D enrolled in the British Columbia (BC) Pediatric Diabetes Registry with ≥1 outpatient visit after June 10, 2020 (1 year before universal continuous glucose monitoring (CGM) funding), British Columbia, Canada
- Participants
- 477 children
- Exposure
- Levels of deprivation, before vs after universal CGM funding
- Outcome
- HbA1c, TIR and pump use across levels of deprivation; change in CGM use pre- and post-introduction of universal coverage
Methodological detailsregistry-based, interrupted time series
- Registry-based
- Interrupted time series
Main finding
As reported in the abstract
HbA1c, TIR, pump use and CGM use by deprivation level
Quintile 5 vs Quintile 1Difference in probability of pump use (residential instability), % (95% CI)
HbA1c, TIR, pump use and CGM use by deprivation level
−18.9(−26.1% to −11.7%)
Quintile 5 vs Quintile 1Difference in CGM use (economic dependency), 1 year after universal funding (95% CI)
Equity gap persisted
−21.9(−34.5 to −9.4)
- Difference in sensor use, most vs least deprived situational group, at time of universal coverage
- −21.0% (−35.4%, −6.6%)
- Difference in sensor use, most vs least deprived situational group, after 12 months of coverage
- −4.6% (−21.6%, 12.4%)
Observational data: associations, not effects.
Original publication
The Impact of Public Policy on Equitable Access to Technology for Children and Youth Living with Type 1 Diabetes in British Columbia, Canada. Diabetes Technol Ther. Published 26 November 2024. doi:10.
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