Disparities in technology utilization among youth with type 1 diabetes across diverse racial and socioeconomic backgrounds.

IF 3.7 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

BMJ Open Diabetes Research & Care Pub Date : 2025-05-02 DOI:10.1136/bmjdrc-2025-004935

Alaa Al Nofal, Doha Hassan, Tamim Rajjo, Herbert C Heien, Rozalina G McCoy

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引用次数: 0

Abstract

Background: Previous studies have demonstrated disparities in the utilization of diabetes technology among youth with type 1 diabetes (T1D) based on race and socioeconomic status (SES). Few studies have examined these differences on a national scale or among youth with commercial health insurance.

Aim: To investigate differences in the fill rates of insulin pumps and continuous glucose monitors (CGMs) among commercially insured children with T1D across diverse racial and SES groups.

Methods: Using medical and pharmacy claims included in the OptumLabs Data Warehouse, we calculated the proportion of youth <18 years with T1D who had a fill for an insulin pump or a CGM, overall and stratified by race/ethnicity and annual household income, between 2011 and 2021.

Results: Among 13,246 youth with T1D, 36.1% had CGM and 30.9% had pump fills. White youth had higher CGM and pump fills than black (CGMs: 35.8% vs 22.5%; pumps: 31.9% vs 21.2%, p<0.001) and Hispanic (CGMs: 35.8% vs 32.6%, p=0.047; pumps: 31.9% vs 25.0%, p<0.001). Youth from households with income

Conclusions: In a cohort of commercially insured youth with T1D, both race and income are important factors that can independently influence the use of diabetes technology. Racial disparities decrease with higher income and disappear at incomes ≥US$200,000. Black youth with income

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不同种族和社会经济背景的1型糖尿病青少年技术使用差异

背景：先前的研究表明，基于种族和社会经济地位（SES），青少年1型糖尿病（T1D）患者对糖尿病技术的使用存在差异。很少有研究在全国范围内或在有商业健康保险的青年中调查这些差异。目的：探讨不同种族和社会经济地位群体商业保险T1D儿童胰岛素泵和连续血糖监测仪（CGMs）填充率的差异。方法：利用OptumLabs数据仓库中包含的医疗和药学索赔数据，计算青少年的比例。结果：13246例T1D青少年中，36.1%的人有CGM， 30.9%的人有泵填充。白人青年的CGM和泵填充量高于黑人(CGM: 35.8% vs 22.5%；结论：在商业保险的青年T1D患者队列中，种族和收入是可以独立影响糖尿病技术使用的重要因素。种族差异随着收入的增加而减小，在收入≥20万美元时消失。有收入的黑人青年

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来源期刊

BMJ Open Diabetes Research & Care Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

9.30

自引率

2.40%

发文量

123

审稿时长

18 weeks

期刊介绍： BMJ Open Diabetes Research & Care is an open access journal committed to publishing high-quality, basic and clinical research articles regarding type 1 and type 2 diabetes, and associated complications. Only original content will be accepted, and submissions are subject to rigorous peer review to ensure the publication of high-quality — and evidence-based — original research articles.