Characterizing the relationship between social determinants of health and risk of albuminuria among children with type 1 diabetes

J Diabetes Complications. 2024 Dec;38(12):108880. doi: 10.1016/j.jdiacomp.2024.108880. Epub 2024 Oct 9.

Abstract

In a cohort of 2303 children with type 1 diabetes (T1D), we found that non-English speaking status (HR 2.82, 95% CI 1.54-5.18) and public insurance (HR 1.48, 95% CI 1.07-2.05) were associated with an increased risk of incident albuminuria, after adjusting for T1D-related variables (age, hemoglobin A1c, diabetic ketoacidosis episodes with acute kidney injury).

Keywords: Acute kidney injury (AKI); Albuminuria; Diabetic ketoacidosis (DKA); Social determinants of health (SDoH); Type 1 diabetes.

MeSH terms

  • Adolescent
  • Albuminuria* / epidemiology
  • Child
  • Child, Preschool
  • Cohort Studies
  • Diabetes Mellitus, Type 1* / complications
  • Diabetes Mellitus, Type 1* / epidemiology
  • Diabetic Nephropathies* / complications
  • Diabetic Nephropathies* / epidemiology
  • Female
  • Humans
  • Incidence
  • Male
  • Risk Factors
  • Social Determinants of Health* / statistics & numerical data