Area deprivation and regional disparities in treatment and outcome quality of 29,284 pediatric patients with type 1 diabetes in germany : a cross-sectional multicenter dpv analysis.
- Auzanneau, Marie
- Lanzinger, Stefanie
- Bohn, Barbara
- Kroschwald, Peter
- Kuhnle-Krahl, Ursula
- Holterhus, Paul Martin
- Placzek, Kerstin
- Hamann, Johannes
- Bachran, Rainer
- Rosenbauer, Joachim
- Maier, Werner
DOIAbstract
OBJECTIVE: This study analyzed whether area deprivation is associated with disparities in health care of pediatric type 1 diabetes in Germany. RESEARCH DESIGN AND METHODS: We selected patients <20 years of age with type 1 diabetes and German residence documented in the "diabetes patient follow-up" (Diabetes-Patienten-Verlaufsdokumentation [DPV]) registry for 2015/2016. Area deprivation was assessed by quintiles of the German Index of Multiple Deprivation (GIMD 2010) at the district level and was assigned to patients. To investigate associations between GIMD 2010 and indicators of diabetes care, we used multivariable regression models (linear, logistic, and Poisson) adjusting for sex, age, migration background, diabetes duration, and Ge...
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