Lack of consideration of socioeconomic factors in transition programme of adolescents with type 1 diabetes: A systematic review

• Published in: Diabetic medicine Vol. 41; no. 1; pp. e15225 - n/a
• Main Authors: Berot, Aurelie, Morsa, Maxime, De Andrade, Vincent, Gagnayre, Remi, Bihan, Hélène
• Format: Journal Article Web Resource
• Language: English
• Published: England Wiley Subscription Services, Inc 01-01-2024; Wiley
• Subjects: Adolescent; Adolescents; Diabetes; Diabetes mellitus (insulin dependent); Diabetes Mellitus, Type 1 - diagnosis; Diabetes Mellitus, Type 1 - epidemiology; Diabetes Mellitus, Type 1 - therapy; Endocrinology, Diabetes and Metabolism; Human health sciences; Humans; Hyperglycemia; Intervention research; Literature reviews; Public health, health care sciences & services; Qualitative research; Santé publique, services médicaux & soins de santé; Sciences de la santé humaine; Socioeconomic Factors; socioeconomic status; Systematic review; Teenagers; transition; type 1 diabetes; Young Adult; Young adults; adolescent; type 1 diabetes; socioeconomic status; transition
• ISSN: 0742-3071; 1464-5491; 1464-5491
• DOI: 10.1111/dme.15225

The transition of adolescents with type 1 diabetes should be organized such that loss of follow‐up and deterioration of patients' metabolic control are minimized.
Objective
Our study aimed to ascertain whether socioeconomic status is featured in the characteristics of adolescents with type 1 diabetes in transition programmes and their inclusion in transition programmes.
Research Design and Methods
A systematic review of the literature was performed according to PRISMA recommendations. All articles published between 2010 and 2023 were considered. Studies that described a transition programme for adolescents or young adults with T1DM were included.
Results
After screening, 18 studies were included. Different transition programmes were proposed (exchanges between professionals, coordinators, and transition clinics). Nine articles described socio‐economic factors. The educational level was the most frequently reported. Only three studies evaluated the impact of one parameter on transition success: a lower education level was associated with more hospital visits for hyperglycaemia, and the other did not report any socioeconomic factor associated with clinic attendance.
Conclusions
The socioeconomic status of type 1 diabetes is poorly described in transition programmes, and the few that do make mention of it, offer little information about patient management.