Parental Low Level of Education and Single-Parent Families as Predictors of Poor Control of Type 1 Diabetes in Children Followed in French Guiana Article Swipe
Christelle Boyom Samou-Fantcho
,
Falucar Njuieyon
,
Nadjia Aigoun
,
Narcisse Elenga
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph22071051
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph22071051
This study aimed to determine the prevalence of type 1 diabetes mellitus (T1DM) in French Guiana and describe the social profiles of the patients. We conducted a multicenter cross-sectional study of children under 18 years who were diagnosed with type 1 diabetes and followed up from 2002 to 2021. Over a 20-year period, 48 children under 18 years with type 1 diabetes living in French Guiana were included in the study, out of a total of 59 cases. There were 26 girls and 22 boys. The median age at diagnosis was 8.52 years [IQR 6–12]. The incidence rate was 5.9 per 100,000 people in children aged 0–18 years. The 5–9-year age group was the most affected 43.7% (95% CI 38–51%). Of these children, 56.2% (95% confidence interval 40–70%) lived in single-parent households, and 35% (95% CI 23–57%) of the parents had a primary education. Of the children, 29% (95% CI 21–42%) were from families with no resources. Diabetes was diagnosed by ketoacidosis in 56% (95% CI 38–74%) of the patients. Forty percent (95% CI 35–66%) of the patients had an HbA1c > 9%. There was an imbalance in the prevalence of children with higher Hba1c (>9%), with 18.7% (95% CI 10–29%, p < 0.001) of children whose parents had a low level of education having an Hba1c > 9% compared with only 6% (95% CI 3–10%) of children whose parents had a university degree, and a marked imbalance in the prevalence of children with High Hba1c (>9%) among children from single-parent families (22.9%, 95% CI 17–30%) compared with children whose parents lived in couples (8%, 95% CI 5–12%). The 10–14-year age group (18.7%, 95% CI 11–25%) had the highest imbalance in the prevalence of poor diabetes control between children whose parents had lower versus higher education levels. Diabetic retinopathy and diabetic nephropathy were the only reported complications. The multivariate analysis showed that a low level of parental education (Odds ratio 2.9 [95% CI 2.1–4.5], p < 0.001) and single-parent families (Odds ratio 3.1 [95% CI 2.6–4.3], p < 0.001) were predictors of poor control of T1DM. However, the lack of social insurance coverage at diagnosis was not associated with poor T1DM control (p = 0.4). In conclusion, these sociodemographic factors should be considered when caring for children with T1DM in French Guiana.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijerph22071051
- https://www.mdpi.com/1660-4601/22/7/1051/pdf?version=1751291855
- OA Status
- gold
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4411806842
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4411806842Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijerph22071051Digital Object Identifier
- Title
-
Parental Low Level of Education and Single-Parent Families as Predictors of Poor Control of Type 1 Diabetes in Children Followed in French GuianaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-06-30Full publication date if available
- Authors
-
Christelle Boyom Samou-Fantcho, Falucar Njuieyon, Nadjia Aigoun, Narcisse ElengaList of authors in order
- Landing page
-
https://doi.org/10.3390/ijerph22071051Publisher landing page
- PDF URL
-
https://www.mdpi.com/1660-4601/22/7/1051/pdf?version=1751291855Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/1660-4601/22/7/1051/pdf?version=1751291855Direct OA link when available
- Concepts
-
Type 2 diabetes, Type 1 diabetes, Developmental psychology, Medicine, Psychology, Environmental health, Demography, Pediatrics, Gerontology, Diabetes mellitus, Endocrinology, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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32Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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