Socioeconomic status is associated with global diabetes prevalence

Xu, Zhiye; Yu, Dan; Yin, Xiaoxing; Zheng, Fenping; Li, Hong

doi:10.18632/oncotarget.17902

Cited by 42 publications

(33 citation statements)

References 17 publications

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“…Although some references do not mention sex as an independent risk factor for T2DM [43], the prevalence of T2DM was reported in several studies to be lower among women [44–46] especially in developed countries [47]. The male excess in the incidence and prevalence of T2DM, which is found in some populations, has been attributed to sex-related differences in insulin sensitivity, consequences of obesity and regional body fat deposition and other contributing factors such as hypertension, smoking and alcohol intake [48,49].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of pre-diabetes and type 2 diabetes mellitus among Sami and non-Sami men and women in Northern Norway – The SAMINOR 2 Clinical Survey

Naseribafrouei

Eliassen

Melhus

et al. 2018

International Journal of Circumpolar Health

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The aim of this study was to determine and compare the prevalence of pre-diabetes and type 2 diabetes mellitus (T2DM) among Sami and non-Sami men and women of rural districts in Northern Norway. The SAMINOR 2 Clinical Survey is a cross-sectional population-based study performed in 2012–2014 in 10 municipalities of Northern Norway. A total of 12,455 Sami and non-Sami inhabitants aged 40–79 years were invited to participate and 5878 were included in the analyses. Participants with self-reported T2DM and/or a glycated haemoglobin (HbA1c) result ≥6.5% were categorised as having T2DM. Those with 5.7%≤HbA1c<6.5% were categorised as pre-diabetics. In men, the total age-standardised prevalence of pre-diabetes (37.9% vs 31.4%) and T2DM (10.8% vs 9.5%) were higher in Sami compared with non-Sami; the ethnic difference was statistically significant for both pre-diabetes (OR 1.42, p < 0.001) and T2DM (OR 1.31, p = 0.042). In women, pre-diabetes (36.4% vs 33.5%) and T2DM (8.6% vs 7.0%) were also more common in Sami than non-Sami; the differences in both pre-diabetes (OR 1.20, p = 0.025) and T2DM (OR 1.38, p = 0.021) were also statistically significant. The observed ethnic difference in the waist-to-height ratio (WHtR) was a plausible explanation for the ethnic difference in the prevalence of pre-diabetes and T2DM.

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Section: Discussionmentioning

confidence: 99%

Prevalence of pre-diabetes and type 2 diabetes mellitus among Sami and non-Sami men and women in Northern Norway – The SAMINOR 2 Clinical Survey

Naseribafrouei

Eliassen

Melhus

et al. 2018

International Journal of Circumpolar Health

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“…However, for the developing countries, there may be some non-negligible differences in change of behavioral lifestyle between lower and higher SES. Taking China for example, during the past four decades of rapid economic growth from a state of poverty and backwardness, the consumption of high energy diets occurs broader and faster in the lower SES than in the higher SES ( 13 ), while higher SES generally increases the adoption of sedentary habits, excessive calorie intake ( 35 ). In other words, some behavioral lifestyle risk of diabetes generally increased both in the lower and higher SES.…”

Section: Discussionmentioning

confidence: 99%

Physical Exercise, Social Interaction, Access to Care, and Community Service: Mediators in the Relationship Between Socioeconomic Status and Health Among Older Patients With Diabetes

Deng

Liu

2020

Front. Public Health

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The differences in socioeconomic status (SES) will cause a disparity in the health of the elderly. Taking diabetes as an example, previous studies have focused on risk factors of diabetes, while the relationship and mechanism between SES, multi-faceted factors, and the health of older patients with diabetes are not well-understood. This study aims to investigate the association between SES and health in older patients with diabetes and the interrelated mediators between them. Based on the data of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018, structural equation modeling (SEM) was used to test whether physical exercise, social interaction, access to care, and community service mediated the effect of SES on the health in older patients with diabetes. We found support for the model in which SES predicted the health in older patients with diabetes (comparative fit index = 0.910, incremental fit index = 0.911, goodness-of-fit index = 0.982, adjusted goodness-of-fit index = 0.959, standardized root mean square residual = 0.037, and root mean square error of approximation = 0.061). The total indirect effect of SES on the health accounted for 55.52% of the total effect. Results indicated that physical exercise (β = 0.108, p < 0.01), social interaction (β = 0.253, p < 0.001), and community service (β = 0.111, p < 0.001) had significant positive effects on the health of older patients with diabetes. SES was positively associated with physical exercise (β = 0.417, p < 0.001) and community service (β = 0.126, p < 0.01). Although no direct effect of SES on the health was found, SES mediated the positive effect in their relationship by physical exercise (indirect effect = 0.045, p < 0.01), and community service (indirect effect = 0.014, p < 0.05). This study showed the health disparities of older patients with diabetes were influenced by individual-level (physical exercise, social interaction) and environmental-level (community service). It suggests that a lack of physical exercise and health-related community service may impair the health of older patients with diabetes with low SES, which recommends individuals' positive actions and environmental supports for promoting health of regarding population.

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“…Previous social-economic analysis of DED merely focused more on medical expense and economic burden resulted by DED [59,60]. However, according to studies on other chronic disease, it has also been found an increasing trend in the prevalence of chronic diseases in lower income group [61,62]. The plausible explanation for this phenomenon is that individuals in lowerincome countries tended to have less access to health-care services, lower understanding of the disease status, and more unhealthy lifestyle behaviors [63,64].…”

Section: Discussionmentioning

confidence: 99%

The global prevalence of dry eye disease and its association with economy: a systematic review

Wan

Zhang

2019

Preprint

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Objective To investigate the relationship between the economy and the prevalence of dry eye disease (DED) worldwide. Methods Literature search on PubMed, Cochrane and Embase database was conducted to identify eligible records published from January 2008 to December 2018. Gross domestic product (GDP) per capita and gross national income (GNI) per capita was chosen to evaluate national economic status. Pearson coefficient, linear regression, and t test were performed in the statistical analyses. Results 32 population-based surveys conducted in 17 countries were included, with a total of 184255 subjects. The pooled mean prevalence of DED was 14.6%, and female individuals presented a higher prevalence than males (16.8% versus 11.5%, 𝑃 < 0.001). The prevalence of DED was negatively correlated with GNI per capita (𝑃 < 0.001, r = 0.603) and GDP per capita (𝑃 < 0.001, r = 0.600). Grouped by World Bank Income classifications, the prevalence of DED progressively declined with an increase in economic level from lower-middle-income countries (LMICs) to high-income countries (HICs). Remarkable difference was found between the prevalence of DED in LMICs and that in HICs (𝑃 < 0.001). Conclusions This study suggested a correlation between the economy and the prevalence of DED worldwide. These findings may provide valuable information on the global prevalence of DED from a distinctive epidemiologic perspective.

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Socioeconomic status is associated with global diabetes prevalence

Cited by 42 publications

References 17 publications

Prevalence of pre-diabetes and type 2 diabetes mellitus among Sami and non-Sami men and women in Northern Norway – The SAMINOR 2 Clinical Survey

Prevalence of pre-diabetes and type 2 diabetes mellitus among Sami and non-Sami men and women in Northern Norway – The SAMINOR 2 Clinical Survey

Physical Exercise, Social Interaction, Access to Care, and Community Service: Mediators in the Relationship Between Socioeconomic Status and Health Among Older Patients With Diabetes

The global prevalence of dry eye disease and its association with economy: a systematic review

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