Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey.
Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey.
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筛查糖尿病性视网膜病和肾病的社区糖尿病成年人之间的社会经济差异：2015年韩国社区健康调查。
DOI：
10.1371/journal.pone.0191496
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Lee YH
中科院分区：
文献类型：
--
作者：
Lee YH
我们调查了社会经济地位（SES）与糖尿病视网膜病变（DR）和糖尿病肾病（DN）筛查之间的关系。我们分析了2015年全国韩国社区健康调查时22，134名年龄≥19岁的糖尿病患者的数据。采用多元Logistic回归分析探讨SES与DR和DN筛查的关系，包括调整健康行为、合并症和教育水平前后的SES。在所有糖尿病受试者中，分别有33.9%和38.1%接受了DR和DN筛查。在完全校正的模型中，DR和DN筛查的程度随着教育水平的下降而显著降低。家庭月收入与DR筛查呈正相关，但DN筛查的优势比（OR）较低，只有在最低和最高收入组进行比较时才明显。与管理人员/专业人员相比，农业/林业/渔业工人（OR 0.81，95%置信区间[CI] 0.69-0.96）和机械/体力劳动者（OR 0.83，95% CI 0.71-0.97）的DN筛查OR较低。农村居民（与城市相比）和寡妇/鳏夫（与夫妇成员相比）接受DR和DN筛查的可能性明显降低。当分析仅限于那些接受过糖尿病教育的人时，也得到了类似的结果。总之，社会经济不平等是显而易见的，在筛查DR和DN在社区居住的韩国糖尿病患者，无论他们是否报告接受糖尿病教育。需要有针对性的公共卫生政策（和社会关注）来帮助社会经济弱势群体。
We investigated the association between socioeconomic status (SES) and screening for diabetic retinopathy (DR) and diabetic nephropathy (DN) in community-dwelling diabetics. We analyzed data from 22,134 people with diabetes aged ≥19 years at the time of the nationwide 2015 Korean Community Health Survey. Multiple logistic regression analysis was used to explore the relationship between SES and screening for DR and DN both before and after adjustment for health behaviors, comorbidities, and educational level. Of all diabetic subjects, 33.9% and 38.1% underwent DR and DN screening, respectively. In the fully adjusted model, the extent of the DR and DN screening trended significantly lower as the educational level fell. Monthly household income was positively associated with DR screening, but a lower odds ratio (OR) for DN screening was evident only when the lowest and highest income groups were compared. Compared with managers/professionals, agricultural/forestry/fishery workers (OR 0.81, 95% confidence interval [CI] 0.69–0.96) and mechanical/manual laborers (OR 0.83, 95% CI 0.71–0.97) had lower ORs for DN screening. Residents in rural (compared with urban) areas and widows/widowers (compared with members of couples) were significantly less likely to undergo screening for DR and DN. Similar findings were obtained when the analysis was limited to those who had been educated about diabetes. In conclusion, socioeconomic inequalities were evident in terms of screening for DR and DN in community-dwelling Korean diabetics, regardless of whether they had reported receiving diabetes education. Tailored public health policies (and societal attention) are required to aid the socioeconomically disadvantaged.
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影响因子：
3.7
作者：
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通讯作者：
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影响因子：
5.6
作者：
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通讯作者：
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作者：
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作者：
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DOI：
10.3961/jpmph.2008.41.4.272
发表时间：
2008-07-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Choi, Seong-Woo;Rhee, Jung Ae;Shin, Min-Ho
通讯作者：
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