Socioeconomic status and diagnosed diabetes incidence
Socioeconomic status and diagnosed diabetes incidence
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DOI：
10.1016/j.diabres.2004.09.007
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发表时间：
2005-06-01
影响因子：
5.1
通讯作者：
Kasl, SV
中科院分区：
文献类型：
--
作者：
Robbins, JM;Vaccarino, V;Kasl, SV
目的：探讨社会经济地位（SES）与糖尿病发病率的关系。方法：我们调查了1971-1992年NHANES I流行病学随访研究中的三项SES和诊断糖尿病的女性发病率，这些女性在1980年没有诊断糖尿病。结果：在女性中，糖尿病发病率与收入（以贫困水平的百分比衡量）、教育和职业状况呈负相关，调整了年龄和种族/民族。与受教育年限< 9年的女性相比，受教育年限≤16年的女性的风险比（HR）为0.26（95%可信区间（CI） 0.13-0.54）。对潜在中介因素的调整，包括体型变量、饮食、体育活动、戒酒和吸烟，大大减弱了与收入和教育的关联。在男性中，收入和教育程度越高，糖尿病发病率越低的趋势很明显(家庭收入是贫困水平的5倍的男性相对于贫困线以下的男性的HR为0.44 (95% CI 0.19-0.98)，但糖尿病发病率与职业状况没有负相关关系。结论：用三种常用方法中的任何一种进行评估，SES是女性诊断糖尿病的危险因素。在男性中，这些联系就不那么一致了。2004爱思唯尔爱尔兰有限公司版权所有。
Aims: To investigate the association between socioeconomic status (SES) and incidence of diabetes.Methods: We investigated three measures of SES and incidence of diagnosed diabetes among women and ten in the NHANES I Epidemiologic Followup Study, 1971-1992, who were free of diagnosed diabetes in 1980,Results: Among women, diabetes incidence was inversely associated with income (measured as percent of the poverty level), education, and occupational status, adjusting for age and race/ethnicity. The hazard ratio (HR) for women with > 16 years education was 0.26 (95% confidence interval (CI) 0.13-0.54) relative to those with < 9 years of education. Adjustment for potential mediators, including body size variables, diet, physical activity, anti alcohol and tobacco use, substantially attenuated the associations with income and education. Among men a trend toward lower diabetes incidence with higher income and higher education was evident (the HR for men with household income > 5 times the poverty level was 0.44 (95% CI 0.19-0.98) relative to those under the poverty line), but there was no inverse association of diabetes incidence with occupational status.Conclusions: SES, assessed with any of three common measures, is a risk factor for diagnosed diabetes in women. Among men these associations are less consistent. (c) 2004 Elsevier Ireland Ltd. All rights reserved.