Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes
Cortina S, Repaske DR, Hood KK. Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes. Objective: To examine the role of sociodemographic factors and psychosocial adjustment in continuous subcutaneous insulin infusion (...
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| Veröffentlicht in: | Pediatric diabetes 2010-08, Vol.11 (5), p.337-344 |
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| creator | Cortina, Sandra Repaske, David R Hood, Korey K |
| description | Cortina S, Repaske DR, Hood KK. Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes.
Objective: To examine the role of sociodemographic factors and psychosocial adjustment in continuous subcutaneous insulin infusion (CSII) use among adolescents with type 1 diabetes.
Methods: A total of 150 adolescents with type 1 diabetes and their caregivers completed measures of general psychological functioning, diabetes functioning, and stressful life events. Blood glucose monitoring (BGM) frequency and glycemic control were also assessed. Logistic regression was used to determine associations between CSII use and sociodemograpic and psychosocial factors.
Results: All logistic regression models were significant, indicating a large proportion of the variance in CSII use was associated with sociodemographic, diabetes‐specific and psychosocial variables. Final models showed higher frequency of BGM and having private insurance as significant correlates of CSII use. CSII use was also associated with adolescent and caregiver reports of sharing of responsibilities around diabetes management and negative affect regarding BGM.
Conclusions: Adolescents currently prescribed CSII therapy evidenced key differences from their counterparts using multiple daily injections (MDI) in insurance status, diabetes management behavior, and family functioning related to diabetes. Efforts to understand the role of family factors in the maintenance of CSII therapy with clinical indicators of CSII use may inform treatment effectiveness. |
| doi_str_mv | 10.1111/j.1399-5448.2009.00593.x |
| format | Article |
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Objective: To examine the role of sociodemographic factors and psychosocial adjustment in continuous subcutaneous insulin infusion (CSII) use among adolescents with type 1 diabetes.
Methods: A total of 150 adolescents with type 1 diabetes and their caregivers completed measures of general psychological functioning, diabetes functioning, and stressful life events. Blood glucose monitoring (BGM) frequency and glycemic control were also assessed. Logistic regression was used to determine associations between CSII use and sociodemograpic and psychosocial factors.
Results: All logistic regression models were significant, indicating a large proportion of the variance in CSII use was associated with sociodemographic, diabetes‐specific and psychosocial variables. Final models showed higher frequency of BGM and having private insurance as significant correlates of CSII use. CSII use was also associated with adolescent and caregiver reports of sharing of responsibilities around diabetes management and negative affect regarding BGM.
Conclusions: Adolescents currently prescribed CSII therapy evidenced key differences from their counterparts using multiple daily injections (MDI) in insurance status, diabetes management behavior, and family functioning related to diabetes. Efforts to understand the role of family factors in the maintenance of CSII therapy with clinical indicators of CSII use may inform treatment effectiveness.</description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/j.1399-5448.2009.00593.x</identifier><identifier>PMID: 19761529</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; adolescents ; Blood Glucose - analysis ; Cross-Sectional Studies ; CSII ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - psychology ; Female ; Glycated Hemoglobin A - analysis ; Humans ; Hypoglycemic Agents - administration & dosage ; Infusions, Subcutaneous ; Insulin - administration & dosage ; Insulin Infusion Systems - economics ; Insulin Infusion Systems - psychology ; insulin pump ; Male ; Socioeconomic Factors ; Treatment Outcome ; type 1 diabetes</subject><ispartof>Pediatric diabetes, 2010-08, Vol.11 (5), p.337-344</ispartof><rights>2009 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4063-7518eb105fc2137b2e912daad3c0b38dca166de9957b431302128972d0549a503</citedby><cites>FETCH-LOGICAL-c4063-7518eb105fc2137b2e912daad3c0b38dca166de9957b431302128972d0549a503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-5448.2009.00593.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-5448.2009.00593.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19761529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cortina, Sandra</creatorcontrib><creatorcontrib>Repaske, David R</creatorcontrib><creatorcontrib>Hood, Korey K</creatorcontrib><title>Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description>Cortina S, Repaske DR, Hood KK. Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes.
Objective: To examine the role of sociodemographic factors and psychosocial adjustment in continuous subcutaneous insulin infusion (CSII) use among adolescents with type 1 diabetes.
Methods: A total of 150 adolescents with type 1 diabetes and their caregivers completed measures of general psychological functioning, diabetes functioning, and stressful life events. Blood glucose monitoring (BGM) frequency and glycemic control were also assessed. Logistic regression was used to determine associations between CSII use and sociodemograpic and psychosocial factors.
Results: All logistic regression models were significant, indicating a large proportion of the variance in CSII use was associated with sociodemographic, diabetes‐specific and psychosocial variables. Final models showed higher frequency of BGM and having private insurance as significant correlates of CSII use. CSII use was also associated with adolescent and caregiver reports of sharing of responsibilities around diabetes management and negative affect regarding BGM.
Conclusions: Adolescents currently prescribed CSII therapy evidenced key differences from their counterparts using multiple daily injections (MDI) in insurance status, diabetes management behavior, and family functioning related to diabetes. Efforts to understand the role of family factors in the maintenance of CSII therapy with clinical indicators of CSII use may inform treatment effectiveness.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>adolescents</subject><subject>Blood Glucose - analysis</subject><subject>Cross-Sectional Studies</subject><subject>CSII</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - psychology</subject><subject>Female</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Humans</subject><subject>Hypoglycemic Agents - administration & dosage</subject><subject>Infusions, Subcutaneous</subject><subject>Insulin - administration & dosage</subject><subject>Insulin Infusion Systems - economics</subject><subject>Insulin Infusion Systems - psychology</subject><subject>insulin pump</subject><subject>Male</subject><subject>Socioeconomic Factors</subject><subject>Treatment Outcome</subject><subject>type 1 diabetes</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUU1v1DAUtBCIlsJfQL5xSrDjOI4PHOi2lEpVqfgQ3CzHdlgv2TjNc9TdP8DvrtOsliu-vLHfzPPTDEKYkpym836TUyZlxsuyzgtCZE4IlyzfPUOnx8bzI2a_TtArgA0hVEhWvkQnVIqK8kKeor_fgvHBum34Peph7Q3WvcUD7M06QGrpDrfaxDAC1vD0EJ3FDz6usQl99P0UJsAwNWaKunfzxfcwdb5PtZ3AhxlgbUPnwLg-wiKO-8Fhiq3XjYsOXqMXre7AvTnUM_Tj0-X31efs5svV9erjTWZKUrFMcFq7hhLemoIy0RRO0sJqbZkhDaut0bSqrJOSi6ZklJGCFrUUhSW8lJoTdobeLXOHMdxPDqLa-rRW1y27K8HK5FIyKTHrhWnGADC6Vg2j3-pxryhRcwhqo2Z_1ey1mkNQTyGoXZK-PXwyNVtn_wkPrifCh4Xw4Du3_-_B6u7y4jqhpM8WvYfodke9Hv-oSjDB1c_bK1V-PV-xO3muLtgjJKen7w</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Cortina, Sandra</creator><creator>Repaske, David R</creator><creator>Hood, Korey K</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes</title><author>Cortina, Sandra ; Repaske, David R ; Hood, Korey K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4063-7518eb105fc2137b2e912daad3c0b38dca166de9957b431302128972d0549a503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>adolescents</topic><topic>Blood Glucose - analysis</topic><topic>Cross-Sectional Studies</topic><topic>CSII</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - psychology</topic><topic>Female</topic><topic>Glycated Hemoglobin A - analysis</topic><topic>Humans</topic><topic>Hypoglycemic Agents - administration & dosage</topic><topic>Infusions, Subcutaneous</topic><topic>Insulin - administration & dosage</topic><topic>Insulin Infusion Systems - economics</topic><topic>Insulin Infusion Systems - psychology</topic><topic>insulin pump</topic><topic>Male</topic><topic>Socioeconomic Factors</topic><topic>Treatment Outcome</topic><topic>type 1 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cortina, Sandra</creatorcontrib><creatorcontrib>Repaske, David R</creatorcontrib><creatorcontrib>Hood, Korey K</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cortina, Sandra</au><au>Repaske, David R</au><au>Hood, Korey K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2010-08</date><risdate>2010</risdate><volume>11</volume><issue>5</issue><spage>337</spage><epage>344</epage><pages>337-344</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract>Cortina S, Repaske DR, Hood KK. Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes.
Objective: To examine the role of sociodemographic factors and psychosocial adjustment in continuous subcutaneous insulin infusion (CSII) use among adolescents with type 1 diabetes.
Methods: A total of 150 adolescents with type 1 diabetes and their caregivers completed measures of general psychological functioning, diabetes functioning, and stressful life events. Blood glucose monitoring (BGM) frequency and glycemic control were also assessed. Logistic regression was used to determine associations between CSII use and sociodemograpic and psychosocial factors.
Results: All logistic regression models were significant, indicating a large proportion of the variance in CSII use was associated with sociodemographic, diabetes‐specific and psychosocial variables. Final models showed higher frequency of BGM and having private insurance as significant correlates of CSII use. CSII use was also associated with adolescent and caregiver reports of sharing of responsibilities around diabetes management and negative affect regarding BGM.
Conclusions: Adolescents currently prescribed CSII therapy evidenced key differences from their counterparts using multiple daily injections (MDI) in insurance status, diabetes management behavior, and family functioning related to diabetes. Efforts to understand the role of family factors in the maintenance of CSII therapy with clinical indicators of CSII use may inform treatment effectiveness.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19761529</pmid><doi>10.1111/j.1399-5448.2009.00593.x</doi><tpages>8</tpages></addata></record> |
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| ispartof | Pediatric diabetes, 2010-08, Vol.11 (5), p.337-344 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adaptation, Psychological Adolescent adolescents Blood Glucose - analysis Cross-Sectional Studies CSII Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - psychology Female Glycated Hemoglobin A - analysis Humans Hypoglycemic Agents - administration & dosage Infusions, Subcutaneous Insulin - administration & dosage Insulin Infusion Systems - economics Insulin Infusion Systems - psychology insulin pump Male Socioeconomic Factors Treatment Outcome type 1 diabetes |
| title | Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes |
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