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Bächle, C.* ; Peneva, A.* ; Maier, W. ; Castillo, K.* ; Stahl-Pehe, A.* ; Kuß, O.* ; Holle, R. ; Hermann, J.M.* ; Holl, R.W.* ; Rosenbauer, J.*

Association of individual and area-level socioeconomic conditions with quality of life and glycaemic control in 11-to 21-year-old adolescents with early-onset type 1 diabetes: A cross-sectional study.

Qual. Life Res. 27, 3131-3136 (2018)
Postprint DOI PMC
Open Access Green
PurposeTo analyse the association of area-level deprivation (German Index of Multiple Deprivation, GIMD 2010) with health- and disease-related quality of life (QoL) and glycaemic control (HbA1c) jointly with individual-level socioeconomic status (SES) in young patients with preschool-onset type 1 diabetes.MethodsA total of 425 male and 414 female patients aged 11-21years from a Germany-wide population-based survey completed the generic KINDL-R, the DISABKIDS chronic-generic module (DCGM-12), and the DISABKIDS diabetes-specific module with impact and treatment scales (QoL indicators; range 0-100 with higher scores representing better QoL). To analyse the association of area-level deprivation and SES with QoL and HbA1c, multiple linear regression models were applied adjusting for sociodemographic and health-related variables.ResultsMean QoL scores (SD) were 73.2 (12.2) for the KINDL-R, 76.1 (16.1) for the DCGM-12, 66.2 (19.9) for diabetes impact, and 56.4 (27.3) for diabetes treatment (DISABKIDS). Mean HbA1c was 8.3 (1.4)%. While both QoL outcomes and HbA1c level improved with increasing individual SES, no association was observed between area-level deprivation (GIMD 2010) and either outcome.ConclusionsCompared with individual SES, area-level deprivation seems to be of minor importance for QoL and glycaemic control in young people with early-onset type 1 diabetes.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Type 1 Diabetes ; Adolescents ; Quality Of Life ; Hba1c ; Area-level Deprivation ; Socioeconomic Status; Regional Deprivation; Children; Hypoglycemia; Disparities; Prevalence; Germany.; Care
ISSN (print) / ISBN 0962-9343
e-ISSN 1573-2649
Journal Quality of Life Research
Quellenangaben Volume: 27, Issue: 12, Pages: 3131-3136 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Van Godewijckstraat 30, 3311 Gz Dordrecht, Netherlands
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)