Ethnic disparities in quality of diabetes care in Scotland: A national cohort study
Diabetic Medicine,
Journal Year:
2024,
Volume and Issue:
41(9)
Published: May 8, 2024
Abstract
Aims
The
aim
of
this
study
is
to
compare
quality
diabetes
care
in
people
with
type
2
by
ethnicity,
Scotland.
Methods
Using
a
linked
national
registry,
we
included
162,122
newly
diagnosed
between
2009
and
2018.
We
compared
receipt
nine
guideline
indicated
processes
the
first‐year
post‐diabetes
diagnosis
using
logistic
regression,
comparing
eight
ethnicity
groups
White
group.
annual
HbA1c
eye
screening
during
entire
follow‐up
generalised
linear
mixed
effects.
All
analyses
adjusted
for
confounders.
Results
Receipt
was
lower
other
ethnic
post‐diagnosis.
Differences
were
most
pronounced
the:
African,
Caribbean
or
Black;
Indian;
almost
all
care.
For
example,
people,
odds
monitoring
were:
44%
Black
(OR
0.56
[95%
CI
0.48,
0.66]);
47%
Indian
0.53
0.47,
0.61]);
50%
group
0.50
0.46,
0.58]).
Odds
30%–40%
During
median
5
year
follow‐up,
differences
largely
persisted,
but
attenuated
slightly
former.
Conclusions
There
are
marked
disparities
routine
Scotland
short‐
medium‐term
following
diagnosis.
Further
investigation
needed
establish
effectively
address
underlying
reasons.
Language: Английский
Effectiveness of A person-centered and Culturally sensitive Course of Treatment in individuals with type 2 diabetes and non-Western backgrounds (the ACCT2 study): A pragmatic random-ized controlled trial protocol (Preprint)
Published: Oct. 9, 2024
BACKGROUND
Individuals
with
non-Western
backgrounds
consistently
exhibit
a
higher
risk
of
type
2
diabetes
(T2D)
compared
ethnic
Danes.
Factors
such
as
health
behavior,
limited
healthcare
access,
and
social
determinants
often
contribute
to
this
disparity.
Culturally
sensitive
interventions
are
crucial,
yet
effective
for
managing
T2D
in
populations
re-main
limited.
OBJECTIVE
This
study
examines
the
effect
one-year
person-centered
culturally
intervention
on
improving
glycemic
control
(HbA1c)
among
individuals
backgrounds.
The
secondary
objectives
improve
management
overall
well-being.
METHODS
present
is
designed
two-arm
randomized
controlled
trial.
96
women
men
(HbA1c≥53
mmol/mol)
speaking
either
Arabic,
Turkish,
or
Urdu
their
native
language
will
be
one
year
an
group
(person-centered
course
treatment)
(usual
care)
1:1
ratio
Denmark.
Assessments
scheduled
at
baseline
year.
primary
outcome
HbA1c
while
lipids,
blood
pressure,
patient-reported
outcomes
including
well-being,
management,
literacy,
use
adherence
medication
outcomes.
Feasibility
satisfaction
evaluated
using
interviews.
approved
by
Ethics
Committee
Capital
Region
Denmark
(H-23042245).
RESULTS
A
5.0
mmol/mol
(0.5%-DCCT)
change
minimally
important
difference,
requiring
88
participants.
To
allow
uncertainties
dropouts,
total
was
increased
96.
As
October
2024,
70
participants
have
been
recruited,
recruitment
ongoing
until
March
2025.
Data
collection
continue
December
2025,
first
results
expected
2026.
CONCLUSIONS
knowledge
regarding
effects
treatment
approaches
background.
employs
robust
methodological
design
alternative
avenue
man-aging
offers
valuable
insights
into
experiences
professionals,
potential
obstacles
strategies
implementation
outpatient
clinics.
CLINICALTRIAL
Clinicaltrials.gov
NCT06147245.
Language: Английский
Effectiveness of A person-centered and Culturally sensitive Course of Treatment in Arabic-, Turkish-, or Urdu-speaking individuals with type 2 diabetes (the ACCT2 study): A pragmatic randomized controlled trial protocol (Preprint)
JMIR Research Protocols,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 9, 2024
Language: Английский