{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T04:38:47Z","timestamp":1792471127043,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To investigate associations between migrant status, socioeconomic factors (SES), and residual beta\u2010cell function and glycemic outcomes in paediatric type 1 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study of 208 children (median [IQR] age 11 [8\u201314] years; 119 Italian, 89 from migrant\u2010background families) with glucometric (HbA1c, TIR, TITR, TAR, CV), SES (maternal\/paternal education, language, income), and metabolic data. Univariable and exploratory multivariable regression analyses identified factors associated with glycemic control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children from migrant\u2010background families presented with more severe metabolic crisis at onset (pH\u20097.28 vs. 7.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047; C\u2010peptide 0.24 vs. 0.32\u2009ng\/mL,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010). Despite higher AID usage (80.6% vs. 68.1%), children from migrant\u2010background families showed significantly worse glycemic control: higher HbA1c (7.8% vs. 7.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), lower TIR (57% vs. 65%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and greater glycemic variability (CV 39.3% vs. 35.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Socioeconomic disparities were marked, with 63.4% of migrant mothers unemployed (vs 16.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In multivariable analysis, migrant status was associated with higher HbA1c (\u03b2 +0.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while AID use (\u03b2 +10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and high maternal education (\u03b2 +7.86,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) were associated with higher TIR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this retrospective cohort, children and adolescents from migrant\u2010background families had poorer glycemic outcomes despite high AID uptake and comparable C\u2010peptide levels at follow\u2010up. Technology provision alone may be insufficient to eliminate socioeconomic and linguistic disparities in glycemic control, and interventions targeting education, language support, and family\u2010level self\u2010management capacity may be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71167","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T02:38:44Z","timestamp":1785724724000},"page":"9535-9542","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic and Linguistic Factors in Paediatric Type 1 Diabetes: Exploring Glycemic Outcomes, Technology Use, and Residual Beta\u2010Cell Function in Migrant\u2010Background Populations"],"prefix":"10.1111","volume":"28","author":[{"given":"Silvia","family":"Savastio","sequence":"first","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1518-8515","authenticated-orcid":false,"given":"Andrea E.","family":"Scaramuzza","sequence":"additional","affiliation":[{"name":"Pediatric Diabetes, Endocrinology and Nutrition, Pediatric Unit, ASST Cremona, Ospedale Maggiore  Cremona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Pozzi","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5024-0545","authenticated-orcid":false,"given":"Valeria","family":"Castorani","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Chiarle","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aurora","family":"Craici","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Todescato","sequence":"additional","affiliation":[{"name":"Pediatric Diabetes, Endocrinology and Nutrition, Pediatric Unit, ASST Cremona, Ospedale Maggiore  Cremona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Cavalli","sequence":"additional","affiliation":[{"name":"Pediatric Diabetes, Endocrinology and Nutrition, Pediatric Unit, ASST Cremona, Ospedale Maggiore  Cremona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4173-146X","authenticated-orcid":false,"given":"Ivana","family":"Rabbone","sequence":"additional","affiliation":[{"name":"Division of Pediatrics, Department of Health Sciences University of Piemonte Orientale  Novara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2025.2740"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000543266"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12020\u2010024\u201003881\u20106"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.1851"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13042"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0135178"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13456"},{"key":"e_1_2_11_9_1","unstructured":"Italy \u201cNew Report Snapshots Data on Citizenship Wellbeing and Education \u201d2025 https:\/\/www.infomigrants.net\/en\/post\/68854\/italy\u2010new\u2010report\u2010snapshots\u2010data\u2010on\u2010citizenship\u2010wellbeing\u2010and\u2010education."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6906a3"},{"issue":"4","key":"e_1_2_11_11_1","first-page":"254","article-title":"Organizzazione e Gestione dell'assistenza Diabetologica. 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