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Health care access and glycemic control in youth and young adults with type 1 and type 2 diabetes in South Carolina

机译:南卡罗来纳州青年和青少年和年轻成年人的医疗保健和血糖控制,南卡罗来纳州的2型糖尿病

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Abstract Affordability and geographic accessibility are key health care access characteristics. We used data from 481 youth and young adults (YYA) with diabetes (389 type 1, 92 type 2) to understand the association between health care access and glycemic control as measured by HbA 1c values. In multivariate models, YYA with state or federal health insurance had HbA 1c percentage values 0.68 higher ( P?= 0.0025) than the privately insured, and those without insurance 1.34 higher ( P? 0.0001). Not having a routine diabetes care provider was associated with a 0.51 higher HbA 1c ( P ?=?0.048) compared to having specialist care, but HbA 1c did not differ significantly ( P ?=?0.069) between primary vs specialty care. Distance to utilized provider was not associated with HbA 1c among YYA with a provider ( P ?=?0.11). These findings underscore the central role of health insurance and indicate a need to better understand the root causes of poorer glycemic control in YYA with state/federal insurance.
机译:摘要的负担能力和地理可访问性是关键保健访问特征。我们使用481青年和年轻人(YYA)的数据与糖尿病(389型,92型),以了解通过HBA 1C值测量的医疗保健访问和血糖控制之间的关联。在多变量模型中,具有国家或联邦健康保险的YYA具有0.68的HBA 1C百分比值(P?= 0.0025),而没有保险1.34更高(P?& 0.0001)。与具有专业护理相比,没有常规糖尿病护理提供者与0.51较高的HBA 1C(P?= 0.048)相关,但是,HBA 1C在初级VS专业之间没有显着差异(P?= 0.069)。利用提供商的距离与YYA中的HBA 1C与提供者(P?= 0.11)无关。这些调查结果强调了健康保险的核心作用,并表明需要更好地了解YYA与州/联邦保险的较好血糖控制的根本原因。

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