Influence of socioeconomic factors on glycemic control, therapeutic adherence and quality of life in children and adolescents with type 1 diabetes

To stablish the relationship between socioeconomic status of a cohort of children and adolescents with type 1 diabetes (T1D) with glycemic control, therapeutic adherence and diabetes quality of life (DQoL). A cross-sectional, observational study with consecutive inclusion was carried out. Participants aged 8–18 years with T1D duration >1 year. Data on family structure, family income, parents’ educational level and parental role on primary diabetes care supervision were registered. Adherence (DMQ-Sp) and DQoL (PedsQl) were analyzed. Linear and logistic regression models adjusted for demographics, family structure and parental role on primary diabetes care responsibility were applied. A total of 323 patients (T1D duration 5,3 ± 3,3 years; HbA1c 7,7 ± 1,0%; age 13,3 ± 2,8 years; 49,8% females) were included. Patients living in a nuclear family and those whose main diabetes care supervision was shared by both parents showed lower HbA1c [adjusted for demographics and family structure (7,06; CI 95% 6,52–7,59); adjusted for demographics and role on primary diabetes care supervision (7,43; CI 95% 6,57–8,28)]. DMQ-Sp score (adjusted for demographics and role on main supervision) was higher in patients whose parents shared the diabetes care supervision (84,56; CI 95% 73,93–95,19). Parents sharing diabetes care supervision showed a significantly higher PedsQl score (both 74,63 ± 12,70 vs mother 68,53 ± 14,59; p = 0,001). Children and adolescents with T1D had lower HbA1c, better therapeutic adherence and better DQoL when lived in a nuclear family, with higher socioeconomic status and the responsibility for supervising diabetes care was shared by both parents. Analizar la relación entre los factores socioeconómicos en que conviven una cohorte de niños y adolescentes con diabetes tipo 1 (DT1) con el grado de control glucémico, adherencia terapéutica y calidad de vida (CVRD). Estudio transversal, observacional de inclusión consecutiva. Participaron pacientes (edad 8–18 años) con DT1 > 1 año de evolución. Se registró el tipo de estructura familiar, ingresos económicos familiares, nivel de estudios de los progenitores y progenitor responsable primario de la supervisión del cuidado de la diabetes. Se analizó el grado de adherencia (DMQ-Sp) y CVRD (PedsQl). Se aplicaron modelos de regresión lineal ajustados por datos demográficos, estructura familiar y responsable primario. 323 participantes con DT1 (edad 13,3 ± 2,8 años; evolución 5,3 ± 3,3 años; HbA1c 7,7 ± 1,0%; 49,8% muj