Regional and urban Victorian diabetic youth: clinical and quality-of-life outcomes

Cameron, F. J., Clarke, C., Hesketh, Kylie, White, E. L., Boyce, D. F., Dalton, V. L., Cross, J., Brown, M., Thies, N. H., Pallas, G., Goss, P. W. and Werther, G. A. 2002, Regional and urban Victorian diabetic youth: clinical and quality-of-life outcomes, Journal of paediatrics and child health, vol. 38, no. 6, pp. 593-596, doi: 10.1046/j.1440-1754.2002.00060.x.

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Title Regional and urban Victorian diabetic youth: clinical and quality-of-life outcomes
Author(s) Cameron, F. J.
Clarke, C.
Hesketh, KylieORCID iD for Hesketh, Kylie
White, E. L.
Boyce, D. F.
Dalton, V. L.
Cross, J.
Brown, M.
Thies, N. H.
Pallas, G.
Goss, P. W.
Werther, G. A.
Journal name Journal of paediatrics and child health
Volume number 38
Issue number 6
Start page 593
End page 596
Publisher Blakwell Publishing Asia
Place of publication Melbourne, Vic.
Publication date 2002
ISSN 1034-4810
Keyword(s) adolescents
Summary Objectives: To compare groups of urban and regional Victorian diabetic children and assess their quality of life, diabetes knowledge, access to services and metabolic control.

Methods: Forty-seven children from three regional Victorian communities (Horsham, Warrnambool and Sale; n = 16, 18 and 13, respectively) were compared with 120 age-, sex- and duration of diabetes-matched children attending the Royal Children's Hospital (RCH) diabetes clinic in Melbourne. Quality of life, diabetes knowledge, use of services, and metabolic control were assessed using the child health questionnaire (CHQ PF-50/CF-80); a diabetes-knowledge questionnaire; access to a diabetes nurse educator (DNE), dietitian and complication screening; and indices of mean HbA1C (values are taken every 3 months in the 'yearly HbA1C'), respectively.

Results: Comparisons of CHQ data showed that regional diabetic youth scored significantly lower on most subscales. The greatest deficits were seen in areas of mental health, self-esteem, parent impact (emotional) and family cohesion. Diabetes knowledge and median yearly HbA1C for patients were not significantly different between the regional and urban centres (8.1%, 8.9%, 8.4% and 8.6% at RCH, Horsham, Warrnambool and Sale, respectively). Patients in regional centres had reportedly less access to team-based diabetes care.

Conclusions: Regional youth in Victoria, with similar levels of metabolic control and diabetes knowledge as their urban counterparts, have a markedly lower quality of life, implying a negative synergy between diabetes and the demands of regional lifestyles.
Notes Published Online: 13 Nov 2002
Language eng
DOI 10.1046/j.1440-1754.2002.00060.x
Field of Research 111704 Community Child Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2002
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