Gender-related differences in the association between socioeconomic status and self-reported diabetes

Tang, Mei; Chen, Yue; Krewski, Daniel

doi:10.1093/ije/dyg075

Cited by 166 publications

(144 citation statements)

References 21 publications

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“…Some studies have confirmed that socioeconomic inequalities in the prevalence of common chronic diseases, including diabetes, are greater in women than in men [3,35,36]. This study supports these findings.…”

Section: Discussionsupporting

confidence: 85%

“…Recent studies from different countries have reported similar results for diabetes mortality [35,37]. This different pattern among women can be explained by the existence of inequalities in health behaviours, because people with a disadvantaged SEP have a higher prevalences of obesity, lower physical activity and high psychosocial risks, these inequalities being higher among women than among men [36,38,39]. Cavelaars et al [40] reported that SEP inequalities in obesity in some European countries were higher among women.…”

Section: Discussionmentioning

confidence: 90%

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Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

et al. 2008

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Aims/hypothesis The aim of this study was to determine and quantify socioeconomic position (SEP) inequalities in diabetes mellitus in different areas of Europe, at the turn of the century, for men and women. Methods We analysed data from ten representative national health surveys and 13 mortality registers. For national health surveys the dependent variable was the presence of diabetes by self-report and for mortality registers it was death from diabetes. Educational level (SEP), age and sex were independent variables, and age-adjusted prevalence ratios (PRs) and risk ratios (RRs) were calculated. ResultsIn the overall study population, low SEP was related to a higher prevalence of diabetes, for example men who attained a level of education equivalent to lower secondary school or less had a PR of 1.6 (95% CI 1.4-1.9) compared with those who attained tertiary level education, whereas the corresponding value in women was 2.2 (95% CI 1.9-2.7). Moreover, in all countries, having a disadvantaged SEP is related to a higher rate of mortality from diabetes and a linear relationship is observed. Eastern European countries have higher relative inequalities in mortality by SEP. According to our data, the RR of dying from diabetes for women with low a SEP Diabetologia (2008) 51:1971-1979 DOI 10.1007/s00125-008-1146 3.4 (95% CI 2.6-4.6), while in men it is 2.0 (95% CI 1.7-2.4). Conclusions/interpretation In Europe, educational attainment and diabetes are inversely related, in terms of both morbidity and mortality rates. This underlines the importance of targeting interventions towards low SEP groups. Access and use of healthcare services by people with diabetes also need to be improved.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 90%

Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

et al. 2008

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“…Socioeconomic status has been associated with type 2 diabetes and obesity in adults. In developed countries, the risk of diabetes is highest in those with lower socioeconomic status (109,110); however, the opposite appears to apply in developing countries, where higher socioeconomic status is associated with an increased risk of diabetes (111). Physical inactivity probably explains these findings in both settings.…”

Section: Other Factorsmentioning

confidence: 98%

Type 2 Diabetes in the Young: The Evolving Epidemic

Alberti

Zimmet

Shaw³

et al. 2004

Diabetes Care

412

251

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“…In an attempt to explain these divergent trends, research has focused on pathways that account for persistence in and expansion of health inequalities. Some of these include mediators such as stress, social support, and preventive as well as risk behaviors (Engdahl and Tambs 2010;House et al 1990;Marmot and Siegrist 2004;Petrelli et al 2006;Tang, Chen, and Krewski 2003). Some research suggests pathways can operate from early life onward, implicating both childhood and adult SES as determinants of health in old age (Elo and Preston 1997;Galobardes, Lynch, and Davey Smith 2004;Galobardes, Lynch, and Smith 2008;Galobardes, Smith, and Lynch 2006;Hayward and Gorman 2004;Luo and Waite 2005;Preston, Hill, and Drevenstedt 1998;Smith and Hanson Forthcoming).…”

Section: Introductionmentioning

confidence: 99%

Childhood socioeconomic status, adult socioeconomic status, and old-age health trajectories

Zimmer¹,

Hanson²,

Smith³

2016

DemRes

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Gender-related differences in the association between socioeconomic status and self-reported diabetes

Cited by 166 publications

References 21 publications

Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

Type 2 Diabetes in the Young: The Evolving Epidemic

Childhood socioeconomic status, adult socioeconomic status, and old-age health trajectories

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