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Social disadvantage, family composition, and diabetes mellitus: prevalence and outcome
J H Baumer1, L P Hunt, J P Shield
1Department of Child Health, Derriford Hospital, Plymouth, UK.
Objective:
To investigate the relation between social disadvantage and family composition on diabetes prevalence and diabetes care outcome.
Design:
Retrospective audit in the south west of England of 801 children with diabetes mellitus.
Main Outcome Measures:
Prevalence of diabetes in relation to the Townsend index. Admissions to hospital with diabetes related problems, glycated haemoglobin, time spent in hospital, outpatient attendance rates.
Results:
There was no association between social status and diabetes prevalence. Social deprivation increased the likelihood of admission for hypoglycaemia. Children living with a single parent were more likely to be admitted to hospital with a diabetes related problem and stay in hospital longer. Having either a parent with diabetes or a single parent increased the rates of clinic non-attendance. No association was identified between medium term diabetes control and either social disadvantage or single parent status.
Conclusions:
Social disadvantage has no effect on diabetes prevalence and little on diabetes outcome in childhood. Family structure and parental diabetes have adverse effects on some aspects of diabetes outcome.
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