Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes

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Standard

Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes. / Fredheim, Siri; Delli, Ahmed; Rida, Heba; Drivvoll, Ann-Kristin; Skrivarhaug, Torild; Bjarnason, Ragnar; Thorsson, Arni; Lindblad, Bengt; Svensson, Jannet.

I: Pediatric Diabetes, Bind 15, Nr. 7, 11.2014, s. 519–527.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Fredheim, S, Delli, A, Rida, H, Drivvoll, A-K, Skrivarhaug, T, Bjarnason, R, Thorsson, A, Lindblad, B & Svensson, J 2014, 'Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes', Pediatric Diabetes, bind 15, nr. 7, s. 519–527. https://doi.org/10.1111/pedi.12157

APA

Fredheim, S., Delli, A., Rida, H., Drivvoll, A-K., Skrivarhaug, T., Bjarnason, R., Thorsson, A., Lindblad, B., & Svensson, J. (2014). Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes. Pediatric Diabetes, 15(7), 519–527. https://doi.org/10.1111/pedi.12157

Vancouver

Fredheim S, Delli A, Rida H, Drivvoll A-K, Skrivarhaug T, Bjarnason R o.a. Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes. Pediatric Diabetes. 2014 nov.;15(7):519–527. https://doi.org/10.1111/pedi.12157

Author

Fredheim, Siri ; Delli, Ahmed ; Rida, Heba ; Drivvoll, Ann-Kristin ; Skrivarhaug, Torild ; Bjarnason, Ragnar ; Thorsson, Arni ; Lindblad, Bengt ; Svensson, Jannet. / Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes. I: Pediatric Diabetes. 2014 ; Bind 15, Nr. 7. s. 519–527.

Bibtex

@article{45e5ae7c85cb4ba3a0dcc9282a4016c5,
title = "Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes",
abstract = "BACKGROUND/OBJECTIVE: Previous studies have found that ethnicity influences glycemic control. We hypothesized that differences between Nordic and non-Nordic patients are less pronounced for children with type 1 diabetes in high incidence countries in Northern Europe.RESEARCH DESIGN AND METHODS: We investigated patients aged 0-15 yr in national pediatric registers in Denmark (D), Iceland (I), Norway (N), and Sweden (S) (2006-2009). Ethnic origin was defined by maternal country of birth as being Nordic or non-Nordic (other countries).RESULTS: The cohort (n = 11,908, 53.0% boys, onset age 7.7 (3.9) yr, diabetes duration 6.1 (3.6) yr, [mean, (SD)]) comprised 921 (7.7%) non-Nordic patients. The frequencies of non-Nordic patients according to country of residence were: 5.7% (D), 2.7% (I), 5.5% (N), and 9.4% (S). Sex distribution and BMI z-score did not differ between Nordic and non-Nordic patients, but non-Nordic patients were 0.5 yr younger at onset than Nordic patients (p < 0.0006). Non-Nordic patients had a lower number of daily insulin bolus injections and higher daily insulin doses compared to their Nordic peers. Patients of non-Nordic origin had slightly higher HbA1c levels (0.6-2.9 mmol/mol, p < 0.001) and, with the exception of Norway, were less frequently treated with CSII (p = 0.002) after adjusting for confounders.CONCLUSIONS: The reported differences in glycemic regulation between Nordic and non-Nordic type 1 diabetes children and adolescents in four Nordic countries are diminutive, but persist after accounting for treatment intensity.",
author = "Siri Fredheim and Ahmed Delli and Heba Rida and Ann-Kristin Drivvoll and Torild Skrivarhaug and Ragnar Bjarnason and Arni Thorsson and Bengt Lindblad and Jannet Svensson",
note = "{\textcopyright} 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.",
year = "2014",
month = nov,
doi = "10.1111/pedi.12157",
language = "English",
volume = "15",
pages = "519–527",
journal = "Pediatric Diabetes",
issn = "1399-543X",
publisher = "Wiley-Blackwell",
number = "7",

}

RIS

TY - JOUR

T1 - Equal access to health care may diminish the differences in outcome between native and immigrant patients with type 1 diabetes

AU - Fredheim, Siri

AU - Delli, Ahmed

AU - Rida, Heba

AU - Drivvoll, Ann-Kristin

AU - Skrivarhaug, Torild

AU - Bjarnason, Ragnar

AU - Thorsson, Arni

AU - Lindblad, Bengt

AU - Svensson, Jannet

N1 - © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

PY - 2014/11

Y1 - 2014/11

N2 - BACKGROUND/OBJECTIVE: Previous studies have found that ethnicity influences glycemic control. We hypothesized that differences between Nordic and non-Nordic patients are less pronounced for children with type 1 diabetes in high incidence countries in Northern Europe.RESEARCH DESIGN AND METHODS: We investigated patients aged 0-15 yr in national pediatric registers in Denmark (D), Iceland (I), Norway (N), and Sweden (S) (2006-2009). Ethnic origin was defined by maternal country of birth as being Nordic or non-Nordic (other countries).RESULTS: The cohort (n = 11,908, 53.0% boys, onset age 7.7 (3.9) yr, diabetes duration 6.1 (3.6) yr, [mean, (SD)]) comprised 921 (7.7%) non-Nordic patients. The frequencies of non-Nordic patients according to country of residence were: 5.7% (D), 2.7% (I), 5.5% (N), and 9.4% (S). Sex distribution and BMI z-score did not differ between Nordic and non-Nordic patients, but non-Nordic patients were 0.5 yr younger at onset than Nordic patients (p < 0.0006). Non-Nordic patients had a lower number of daily insulin bolus injections and higher daily insulin doses compared to their Nordic peers. Patients of non-Nordic origin had slightly higher HbA1c levels (0.6-2.9 mmol/mol, p < 0.001) and, with the exception of Norway, were less frequently treated with CSII (p = 0.002) after adjusting for confounders.CONCLUSIONS: The reported differences in glycemic regulation between Nordic and non-Nordic type 1 diabetes children and adolescents in four Nordic countries are diminutive, but persist after accounting for treatment intensity.

AB - BACKGROUND/OBJECTIVE: Previous studies have found that ethnicity influences glycemic control. We hypothesized that differences between Nordic and non-Nordic patients are less pronounced for children with type 1 diabetes in high incidence countries in Northern Europe.RESEARCH DESIGN AND METHODS: We investigated patients aged 0-15 yr in national pediatric registers in Denmark (D), Iceland (I), Norway (N), and Sweden (S) (2006-2009). Ethnic origin was defined by maternal country of birth as being Nordic or non-Nordic (other countries).RESULTS: The cohort (n = 11,908, 53.0% boys, onset age 7.7 (3.9) yr, diabetes duration 6.1 (3.6) yr, [mean, (SD)]) comprised 921 (7.7%) non-Nordic patients. The frequencies of non-Nordic patients according to country of residence were: 5.7% (D), 2.7% (I), 5.5% (N), and 9.4% (S). Sex distribution and BMI z-score did not differ between Nordic and non-Nordic patients, but non-Nordic patients were 0.5 yr younger at onset than Nordic patients (p < 0.0006). Non-Nordic patients had a lower number of daily insulin bolus injections and higher daily insulin doses compared to their Nordic peers. Patients of non-Nordic origin had slightly higher HbA1c levels (0.6-2.9 mmol/mol, p < 0.001) and, with the exception of Norway, were less frequently treated with CSII (p = 0.002) after adjusting for confounders.CONCLUSIONS: The reported differences in glycemic regulation between Nordic and non-Nordic type 1 diabetes children and adolescents in four Nordic countries are diminutive, but persist after accounting for treatment intensity.

U2 - 10.1111/pedi.12157

DO - 10.1111/pedi.12157

M3 - Journal article

C2 - 24909643

VL - 15

SP - 519

EP - 527

JO - Pediatric Diabetes

JF - Pediatric Diabetes

SN - 1399-543X

IS - 7

ER -

ID: 138221499