Individual and partner's level of occupation and the association with HbA<sub>1c</sub> levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

Rutte, Anne; Rauh, Simone P.; Schram, Miranda T.; Nijpels, Giel; DeVries, J. Hans; Holleman, F.; Pijl, Hanno; Dekkers, Olaf M.; Özcan, Behiye; Sijbrands, Eric J.G.; Tack, Cees J.; Abbink, Evertine J.; Valk, Harold W. de; Silvius, Bianca; Wolffenbuttel, Bruce H. R.; Stehouwer, Coen D. A.; Schaper, Nicolaas C.; Dekker, Joost; Beulens, Joline W.J.; Elders, Petra; Rutters, Femke

doi:10.1111/dme.13422

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…Our results concerning the association between socioeconomic deprivation and higher HbA1c levels, which resonate with previous studies, 5,34,35 are relevant since every 1% reduction in HbA1c is associated with lower risk of numerous diabetes-related health complications including death. 36 In addition, our findings that monitoring as recommended is associated with lower HbA1c levels confirm other work.…”

Section: Discussionsupporting

confidence: 91%

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Bruggen

Kasteleyn

Bonten

et al. 2021

Int. J. Clin. Pract.

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Section: Discussionsupporting

confidence: 91%

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Bruggen

Kasteleyn

Bonten

et al. 2021

Int. J. Clin. Pract.

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“…After screening the titles and abstracts of all references, 262 potentially eligible articles were read full text. Fifty‐five studies met the inclusion criteria of this review . As 2 studies examined identical associations within the same sample, we only included 1 paper in our study .…”

Section: Resultsmentioning

confidence: 99%

“…There were 8 studies on the association between other SES variables and HbA 1c levels (Table ). There were also 9 studies that examined the association between SES and mean or median difference in HbA 1c levels over time (Tables ).…”

Section: Resultsmentioning

confidence: 99%

Socio‐economic status and HbA_1c in type 2 diabetes: A systematic review and meta‐analysis

Bijlsma-Rutte

Rutters

Elders

et al. 2018

Diabetes Metabolism Res

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Up until now, differences in HbA levels by socio-economic status (SES) have been identified, but not yet quantified in people with type 2 diabetes. The aim of this study was therefore to assess the difference in HbA levels between people with type 2 diabetes of different SES in a systematic review and meta-analysis. A systematic literature search was conducted in MEDLINE, Embase, Ebsco, and the Cochrane Library until January 14, 2018. Included studies described adults with type 2 diabetes in whom the association between SES and HbA levels was studied. Studies were rated for methodological quality and data were synthesized quantitatively (meta-analysis) and qualitatively (levels of evidence), stratified for type of SES variable, i.e., education, income, deprivation, and employment. Fifty-one studies were included: 15 high, 27 moderate, and 9 of low methodological quality. Strong evidence was provided that people of low SES have higher HbA levels than people of high SES, for deprivation, education, and employment status. The pooled mean difference in HbA levels between people of low and high SES was 0.26% (95% CI, 0.09-0.43) or 3.12 mmol/mol (95% CI, 1.21-5.04) for education and 0.20% (95% CI, -0.05 to 0.46) or 2.36 mmol/mol (95%CI, -0.61 to 5.33) for income. In conclusion, our systematic review and meta-analysis showed that there was an inverse association between SES and HbA levels in people with type 2 diabetes. Future research should focus on finding SES-sensitive strategies to reduce HbA levels in people with type 2 diabetes.

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“…These can lead to non-adherence to treatment plans and poor DM management, resulting in poor DM outcomes. Prior studies from different countries have supported the role of economic stability (Rutte et al, 2017 ), education (Chrvala et al, 2016 ), health insurance (Liese et al, 2019 ), health literacy (Marciano et al, 2019 ), frequency of health care visits (Zhang et al, 2012 ), and neighborhood and built environment (Gariepy et al, 2013 ) in glycemic control of T2DM. Therefore, addressing and understanding SDOH leading to better glycemic control has been crucial for improving nursing and healthcare in people with T2DM.…”

Section: Introductionmentioning

confidence: 99%

Social determinants of health and glycemic control in persons with type 2 diabetes mellitus attending a tertiary hospital in Nepal: A cross-sectional study

Adhikari,

Sriyuktasuth,

Phligbua

2023

Belitung Nurs J

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Background: Diabetes mellitus (DM) is an emerging global public health challenge worldwide, including Nepal. Social determinants of health (SDOH) play a major role in glycemic control among persons with type 2 DM (T2DM). However, little is known about the association between SDOH and glycemic control among individuals with T2DM in Nepal. Objective: This study aimed to identify the level of glycemic control and SDOH associated with glycemic control among Nepalese with T2DM. Methods: This cross-sectional study was conducted at a tertiary hospital in Kathmandu, Nepal, among 135 Nepalese diagnosed with T2DM who attended follow-up appointments. Convenience sampling and inclusion criteria were utilized for participant selection. Data were collected from April to June 2021 using validated scales. Descriptive statistics, Chi-square test, and binary logistic regression were employed to analyze the data. Results: The mean age of the participants in this study was 53.84 (SD = 11.78) years, and the average monthly household income was 567.64 (SD = 362.30) USD. The majority of the participants (77.8%) were literate and had no health insurance coverage (73.3%). Approximately 64.4% of the participants showed suboptimal glycemic control indicated by glycated hemoglobin (HbA1c) ≥7%. The significant determinants of good glycemic control included monthly household income of >850 USD (odds ratio [OR] = 12.20, 95% confident interval [CI] = 1.76–84.61, p = 0.011) and 341–600 USD (OR = 7.64, 95% CI 1.35–42.98, p = 0.021), being literate (OR = 6.37, 95% CI = 1.65–24.49, p = 0.007), having health insurance (OR = 5.82, 95% CI = 1.49–22.65, p = 0.011), sufficient health literacy (OR = 3.46, 95% CI = 1.10–10.83, p = 0.03), and high (OR = 16.17, 95% CI = 2.36–110.67, p = 0.005) and moderate (OR = 7.02, 95% CI = 1.26–39.07, p = 0.026) food availability, respectively. Conclusion: The study revealed suboptimal glycemic control in Nepalese with T2DM. This study presents essential social determinants of glycemic control in this population. Therefore, healthcare providers, particularly nurses, should pay more attention to assessing social determinants and provide targeted interventions to patients with T2DM who have low income, are illiterate, have no health insurance coverage, have insufficient health literacy, and have low resources for food availability.

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Individual and partner's level of occupation and the association with HbA_1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

Cited by 4 publications

References 13 publications

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Socio‐economic status and HbA_1c in type 2 diabetes: A systematic review and meta‐analysis

Social determinants of health and glycemic control in persons with type 2 diabetes mellitus attending a tertiary hospital in Nepal: A cross-sectional study

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Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

Cited by 4 publications

References 13 publications

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Socioeconomic status is not associated with the delivery of care in people with diabetes but does modify HbA1c levels: An observational cohort study (Elzha‐cohort 1)

Socio‐economic status and HbA1c in type 2 diabetes: A systematic review and meta‐analysis

Social determinants of health and glycemic control in persons with type 2 diabetes mellitus attending a tertiary hospital in Nepal: A cross-sectional study

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Individual and partner's level of occupation and the association with HbA_1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

Socio‐economic status and HbA_1c in type 2 diabetes: A systematic review and meta‐analysis