Social disadvantage, family composition, and diabetes mellitus: prevalence and outcome
a Department of Child Health, Level 12, Derriford
Hospital, Plymouth PL6 8DH, UK, b Institute of
Child Health, St Michael's Hill, Bristol BS2 8BJ, UK
Correspondence to: Dr Baumer.
Accepted 30 June 1998
OBJECTIVE
To investigate the relation between
social disadvantage and family composition on diabetes prevalence and
diabetes care outcome.
DESIGNRetrospective audit in the south west of
England of 801 children with diabetes mellitus.
MAIN OUTCOME MEASURESPrevalence of diabetes in
relation to the Townsend index. Admissions to hospital with diabetes
related problems, glycated haemoglobin, time spent in hospital,
outpatient attendance rates.
RESULTSThere was no association between
social status and diabetes prevalence. Social deprivation increased the
likelihood of admission for hypoglycaemia. Children living with a
single parent were more likely to be admitted to hospital with a
diabetes related problem and stay in hospital longer. Having either a
parent with diabetes or a single parent increased the rates of clinic
non-attendance. No association was identified between medium term
diabetes control and either social disadvantage or single parent status.
CONCLUSIONSSocial disadvantage has no effect on
diabetes prevalence and little on diabetes outcome in childhood. Family
structure and parental diabetes have adverse effects on some aspects of
diabetes outcome.
© 1998 by Archives of Disease in Childhood
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