Family structures and parents’ occupational models: its impact on children’s diabetes

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Acta Diabetologica Pub Date : 2023-10-17 DOI:10.1007/s00592-023-02187-9

Pauline Schlarb, Janina M. Büttner, Sascha R. Tittel, Kirsten Mönkemöller, Esther Müller-Godeffroy, Claudia Boettcher, Angela Galler, Gabriele Berger, Burkhard Brosig, Reinhard W. Holl

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引用次数: 0

Abstract

Aims

This study examines how family-related factors influence the management of children and adolescents with type 1 diabetes (T1DM). We investigate the relationship between family patterns, parental work schedules and metabolic control.

Materials and methods

We analysed data from a nationwide diabetes survey (DPV) focusing on HbA1c, severe hypoglycaemia, diabetic ketoacidosis, hospital admissions and inpatient treatment duration. We used linear regression and negative binomial regression models. Our study includes 15,340 children under the age of 18 with data on family structure and parental division of labour.

Results

Children from two-parent households have better HbA_1c outcomes than children from single-parent, blended or no-parent households (p < .0001). Higher HbA_1C levels are associated with children living with an unemployed father, as opposed to those with full-time working parents or with a full-time working father and a part-time working mother (p < .001).

Conclusions

These findings emphasise the importance of carefully considering family structure and working time models in the management of paediatric T1DM. Our results highlight risk factors within the family environment and emphasise the need for family-focused counselling of high-risk patients or severe cases in clinical practice.

Abstract Image

查看原文本刊更多论文

家庭结构和父母的职业模式：对儿童糖尿病的影响。

目的：本研究探讨了家庭相关因素如何影响儿童和青少年1型糖尿病（T1DM）的治疗。我们调查了家庭模式、父母工作时间表和代谢控制之间的关系。材料和方法：我们分析了全国糖尿病调查（DPV）的数据，重点是HbA1c、严重低血糖、糖尿病酮症酸中毒、住院人数和住院治疗时间。我们使用了线性回归和负二项回归模型。我们的研究包括15340名18岁以下的儿童，他们有关于家庭结构和父母分工的数据。结果：来自双亲家庭的儿童比来自单亲、混合或无父母家庭的儿童具有更好的HbA1c结果（p 1C水平与父亲失业的儿童相关，而父母全职工作或父亲全职工作和母亲兼职的儿童则相反（p 结论：这些发现强调了在儿科T1DM管理中仔细考虑家庭结构和工作时间模式的重要性。我们的研究结果强调了家庭环境中的风险因素，并强调了在临床实践中对高危患者或重症病例进行以家庭为中心的咨询的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.