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家庭结构和父母的职业模式:它对儿童糖尿病的影响
Pauline Schlarb1, Janina M Büttner1, Sascha R Tittel2,3
1Centre of Child and Adolescent Medicine, Division of Family- and Child-Psychosomatics, Justus Liebig University, Klinikstrasse 36, 35392, Giessen, Germany.
Acta diabetologica
|October 17, 2023
概括
家庭结构和父母的就业有很大的影响1型糖尿病 (T1DM) 儿童的管理. 双亲家庭和父母全职工作与更好的新陈代谢控制有关,突出了关键的风险因素.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 家庭医学 家庭医学 家庭医学
- 公共卫生 公共卫生
背景情况:
- 儿童1型糖尿病 (T1DM) 管理需要了解多方面的影响.
- 家庭动态和社会经济因素在慢性疾病管理中起着至关重要的作用.
- 以前的研究还没有完全阐明特定的家庭结构和父母的工作安排对儿科T1DM结果的影响.
研究的目的:
- 调查T1DM儿童和青少年家庭相关因素 (结构,家长工作) 与代谢控制之间的关联.
- 确定与更好或更差的血糖控制 (HbA1c) 相关联的特定家庭模式和父母就业模式.
- 为临床实践提供有关为儿童T1DM管理提供以家庭为中心的支持的信息.
主要方法:
- 全国糖尿病调查 (DPV) 数据集的分析,包括15340名患有T1DM的儿童 (<18岁).
- 统计建模 (线性和负双项回归) 来评估家庭结构,父母分工和血糖控制之间的关系.
- 包括关键的糖尿病管理指标:HbA1c,严重的低血糖,糖尿病酸性糖尿病,住院和治疗时间.
主要成果:
- 与单亲家庭,混合家庭或无父母家庭相比,双亲家庭的儿童的HbA1c水平明显更好 (p < .0001).
- 在与失业的父亲生活在一起的孩子中观察到更高的HbA1c水平,而不是那些父母完全就业或父亲全职和母亲兼职的孩子 (p < .001).
- 这些家庭和就业因素代表了儿童T1DM中低于最佳代谢控制的显著风险指标.
结论:
- 家庭结构和父母的工作时间模式是治疗儿科T1DM的关键因素.
- 识别面临风险的家庭环境对于有针对性的干预措施至关重要.
- 对于高风险的儿科T1DM患者和严重病例,建议提供以家庭为中心的咨询和支持.
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