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Family conflict in type 1 diabetes: Who is at risk?
Author(s) -
Fox Danya A.,
Bone Jeffrey N.,
Keidar Shelly,
Amed Shazhan
Publication year - 2020
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/pedi.13116
Subject(s) - medicine , diabetes mellitus , ethnic group , family history , regimen , type 2 diabetes , cross sectional study , univariate analysis , type 1 diabetes , family income , gerontology , multivariate analysis , endocrinology , pathology , sociology , economic growth , anthropology , economics
Background/Objective Diabetes‐related conflict between caregiver and child has been associated with lower quality of life, reduced treatment adherence, and higher hemoglobin A1C. The objective of this project was to identify patient and family characteristics associated with higher levels of diabetes‐specific family conflict. Methods This was a cross‐sectional study. Caregivers of children aged 4‐ to 18‐years‐old with type 1 diabetes were recruited from diabetes clinics across British Columbia. Data were collected through chart reviews and patient surveys, including the Diabetes Family Conflict Scale and the Adherence in Diabetes Questionnaire . All caregivers and children ≥8‐years‐old were invited to complete the survey. Potential predictors were explored using univariate and multivariable linear regression models. Results In the unadjusted analysis, higher caregiver report of conflict (n = 196) was associated with: low family income, non‐Caucasian ethnicity, missed school, older age at diagnosis, and insulin regimen (2‐3 injections/day rather than multiple daily injections or pump). When all variables were adjusted for simultaneously, income, insulin regimen, one or more stay at home parent and recent hospitalization were significant. For the child report (n = 111), higher maternal education was associated with lower conflict in the unadjusted analysis and non‐Caucasian ethnicity was associated with higher conflict in the adjusted analysis. Conclusions This exploratory study identified possible novel associations between patient and family characteristics and diabetes‐related family conflict.