Featured Research

from universities, journals, and other organizations

Despite free health care, household income affects chronic disease control in kids

Date:
April 4, 2013
Source:
Universite de Montreal
Summary:
Even in Canada, where free healthcare is available, the glycated hemoglobin levels of diabetic kids (type 1) are correlated with household income.

Researchers at the University of Montreal have found that the glycated hemoglobin levels of children with type 1 diabetes followed at its affiliated Sainte-Justine Mother and Child University Hospital (CHU Sainte-Justine) is correlated linearly and negatively with household income. Glycated hemoglobin is the binding of sugar to blood molecules -- over time, high blood sugar levels lead to high levels of glycated hemoglobin, which means that it can be used to assess whether a patient properly controls his or her blood glucose level.

Related Articles


"Our study highlights a marked disparity between the rich and the poor in an important health outcome for children with type 1 diabetes, despite free access to health care," explained Dr. Johnny Deladoëy, who led the study.

The researchers used statistics collected from 1,766 children who had been diagnosed with type 1 diabetes at CHU Sainte-Justine between 1980 and 2011. They estimated their household income by using the median for their postal code as reported by Statistics Canada and standardized their glycated hemoglobin levels (HbA1c) in order to undertake the study. "We know that there are a variety of socio-economic factors that affect metabolic control in diabetic children, but it is difficult to compare studies as researchers look at these factors in different ways," Deladoëy said. "However, median household income is a good proxy for these factors taken together." In addition, all studies on this subject have come from countries where users must pay to consult a health care professional whereas the present study is the first to look at this in the context of free health care. A study from Ontario, published simultaneously in another journal, reports similar findings.

Because there are so many factors influencing the treatment of this disease, the researchers were not surprised by their results. "These confirm our clinical impression that the most important factor correlated with the treatment of type 1 diabetes is household income," Deladoëy said. Importantly, the researchers found that the difference in glycated hemoglobin levels in kids from the poorest and the richest neighbourhoods corresponds to a doubling of the risk of damage to the eyes (diabetes is a leading cause of blindness in adulthood). "Type 1 diabetes is a chronic disease requiring multiple daily insulin injections and blood tests throughout the individual's life. Our study suggests that there should be greater support to children with type 1 diabetes who live in low income areas; this could include, for instance, increasing the number and length of visits from social workers," Deladoëy explained.

The study was supported by Girafonds of the Fondation du CHU Sainte-Justine.


Story Source:

The above story is based on materials provided by Universite de Montreal. Note: Materials may be edited for content and length.


Journal Reference:

  1. J. Deladoey, M. Henderson, L. Geoffroy. Linear Association Between Household Income and Metabolic Control in Children With Insulin-Dependent Diabetes Mellitus Despite Free Access to Health Care. Journal of Clinical Endocrinology & Metabolism, 2013; DOI: 10.1210/jc.2013-1212

Cite This Page:

Universite de Montreal. "Despite free health care, household income affects chronic disease control in kids." ScienceDaily. ScienceDaily, 4 April 2013. <www.sciencedaily.com/releases/2013/04/130404072246.htm>.
Universite de Montreal. (2013, April 4). Despite free health care, household income affects chronic disease control in kids. ScienceDaily. Retrieved January 27, 2015 from www.sciencedaily.com/releases/2013/04/130404072246.htm
Universite de Montreal. "Despite free health care, household income affects chronic disease control in kids." ScienceDaily. www.sciencedaily.com/releases/2013/04/130404072246.htm (accessed January 27, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, January 27, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Mistakes Should Serve a Lesson Says WHO

Ebola Mistakes Should Serve a Lesson Says WHO

AFP (Jan. 25, 2015) — The World Health Organization&apos;s chief on Sunday admitted the UN agency had been caught napping on Ebola, saying it should serve a lesson to avoid similar mistakes in future. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Disneyland Measles Outbreak Spreads To 5 States

Disneyland Measles Outbreak Spreads To 5 States

Newsy (Jan. 24, 2015) — Much of the Disneyland measles outbreak is being blamed on the anti-vaccination movement. The CDC encourages just about everyone get immunized. Video provided by Newsy
Powered by NewsLook.com
Growing Measles Outbreak Worries Calif. Parents

Growing Measles Outbreak Worries Calif. Parents

AP (Jan. 23, 2015) — Public health officials are rushing to contain a measles outbreak that has sickened 70 people across 6 states and Mexico. The AP&apos;s Raquel Maria Dillon has more. (Jan. 23) Video provided by AP
Powered by NewsLook.com
Smart Wristband to Shock Away Bad Habits

Smart Wristband to Shock Away Bad Habits

Reuters - Innovations Video Online (Jan. 23, 2015) — A Boston start-up is developing a wristband they say will help users break bad habits by jolting them with an electric shock. Ben Gruber reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins