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Children's Age, Family Conflict, and Children's HbA1c: Are Girls and Boys Different?
Miryoung Lee1, Paul R Breyer1, John M Pascoe1
1From the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center at Houston, School of Public Health, Brownsville, and the Department of Pediatrics, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
Objective:
This study examined the relation between children's sex, age, family conflict, and children's glycated hemoglobin A1c (HbA1c).
Methods:
Parents of children with type 1 diabetes mellitus were recruited from the diabetes clinic of a midwestern children's hospital. The survey included demographics and the Diabetes Family Conflict Scale (DFCS). The index child's HbA1c was obtained.
Results:
DFCS was significantly associated with HbA1c for both boys and girls (rs = 0.3, P < 0.001); however, girls had significantly higher median HbA1c levels (8.8) than boys (8.4, P = 0.003). Median HbA1c levels in boys younger than 12 years (8.2) were significantly lower compared with girls younger than 12 years (8.7, P = 0.025) or older girls (9.0, P < 0.001). Median DFCS scores were similar for all boys-approximately 25-but families with older girls had significantly higher scores compared with younger girls (27.0 vs 24.0, P = 0.04).
Conclusions:
DFCS scores were significantly related to HbA1c levels. Psychosocial factors are related to HbA1c in children with type 1 diabetes mellitus.
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