Hui Wan, Yin Wu, Guihong Fan, Dan Li
Wolbachia invasion dynamics of a random mosquito population model with imperfect maternal transmission and incomplete CI
Journal of mathematical biology
united states racial disparities health outcomes continue major problem farreaching effects equity healthcare public health children teenagers type 1 diabetes disadvantaged demographic particular difficulties managing condition getting access healthcare despite improvements treatment diabetes little study examined much racial disparities inhospital mortality affect particular demographic examining racial differences inhospital mortality rates among children adolescents type 1 diabetes united states study seeks close gap crosssectional study utilized data healthcare cost utilization projects hcup kids inpatient database kid 2012 kid nationally representative sample pediatric discharges us hospitals total 20107 patients admitted type 1 diabetes included study primary outcome patients inhospital mortality status primary predictor variable race patient six potential confounders chosen based previous literature age sex hospital location obesity weight loss electrolyte disorders status median household income descriptive statistics bivariate analyses done multivariate analysis conducted controlling potential confounders odd ratios 95 confidence interval probability value reported statistical analysis system sas version 94 windows sas institute inc cary nc usa used statistical analysis total 20107 patients included study patients included 786 53 59 102 age groups 4 59 1014 1518 respectively among patients 643 female whites stood 543 hispanic black races accounted 172 218 67 respectively adjusting variables children young adults asian pacific islanders or1948 95 ci 10153738 94 higher odds inhospital mortality compared white counterparts children young adults aged 59 or029 95 ci 0130649 71 lower odds inhospital mortality compared aged 4 aged 1014 or0155 95 ci 00770313 85 lower odds inhospital mortality compared aged 4 aged 1519 or0172 95 ci 01000296 83 lower odds inhospital mortality compared aged 4 children young adults weight loss or4474 95 ci 25577826 almost five times higher odds inhospital mortality compared without weight loss children young adults electrolyte disorders or5131 95 ci 34297679 five times higher odds inhospital mortality compared without electrolyte disorders results show young adults asian pacific islanders higher odds inhospital mortality compared white counterparts study highlights urgent need focused measures designed lessen inequalities enhance health equity implementation culturally sensitive healthcare practices addressing social determinants health enhancing access highquality diabetes care priorities