Associations of demographic and behavioural factors with glycaemic control in young adults with XXXX .

@entity1 @entity6
BACKGROUND: Despite recognized benefits of optimal glyacemic control in @entity1 with T1DM, this is still difficult to achieve, particularly for adolescents and young adults. Recognition of factors that may assist early optimization of glycaemic control is therefore important. AIMS: We explored associations of demographic, social and behavioural factors with glycosylated haemoglobin (HbA1c) levels in @entity1 with T1DM aged 18-25 years. @entity1 and methods A cross-sectional analysis was performed on young adults attending a dedicated multidisciplinary clinic at Fremantle Hospital, Western Australia from January to August 2014. RESULTS: Data from 93 @entity1 was analysed. Mean age was 21.4  2.3 years and 39.8% of the cohort were female. Longer duration of @entity6 was associated with higher HbA1c (r = 0.25, p=0.04). @entity1 had lower HbA1c than @entity1 (8.2  1.6 vs. 9.2  2.0%, p=0.01). Increased frequency of clinic attendance was associated with lower HbA1c (r = -0.27, p=0.02). Those engaged in work or study had better HbA1c compared to those who were not (8.9  2.1 vs. 10.5  2.1%, p=0.03). Socioeconomic disadvantage, risk-taking behaviour, insulin pump use and distance travelled to clinic were not associated with differences in HbA1c. CONCLUSION: In young adults with T1DM, geographic separation, socioeconomic disadvantage and risk taking behaviours did not influence glycaemic control. Longer duration of @entity6 identifies young adults at higher risk of poor control, while attendance at a multidisciplinary clinic and engagement in work or study was associated with better glycemic control. Additional studies are warranted to clarify the role of behavioural interventions to improve @entity6 management in young adults.
