The Relationship Between Socioeconomic Status and Diabetes Control and Complications in the EURODIAB IDDM Complications Study

Chaturvedi, Nishi; Stephenson, Judith; Fuller, John

doi:10.2337/diacare.19.5.423

Cited by 120 publications

(112 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…22 In our study, diabetic people with higher education had a lower prevalence of current smoking and a higher proportion of regular exercise as compared with those with lower education. However, adjustment for smoking and regular exercise in our own analysis did not change the results substantially.…”

Section: Discussionmentioning

confidence: 65%

Impacts of diabetes and hypertension on the risk of hospitalization among less educated people

Chen

Sigal

2006

J Hum Hypertens

View full text Add to dashboard Cite

Coexisting hypertension increases the morbidity and mortality associated with diabetes, and may be more so in less educated people. We analysed data from 49 904 Canadians 40-64 years of age who participated in the Canadian Community Health Survey, 2000-2001. Multiple classification analysis was used to adjust for covariates. Population weight and design effect of the survey were taken into account in the analysis. The association between hypertension and hospitalization varied according to diabetes and education. The adjusted difference in hospitalization incidence attributable to hypertension was significantly higher for the lower education group than the higher education group, and such a pattern tended to be more pronounced among diabetic people. The adjusted incidence difference attributable to hypertension was higher in the diabetic group (8.8, 95% confidence interval (CI): 4.6, 13.0%) than in the non-diabetic group (4.6, 95% CI: 3.6, 5.6%) for people with low education, but was similar for those with well-educated people. Possible reasons for the modifying effect of education on the relationship among hypertension, diabetes and hospitalization were discussed.

show abstract

Section: Discussionmentioning

confidence: 65%

Impacts of diabetes and hypertension on the risk of hospitalization among less educated people

Chen

Sigal

2006

J Hum Hypertens

View full text Add to dashboard Cite

show abstract

“…Although the best chances of preventing visual loss are when DR is treated before symptoms occur, about 1 in 5 patients are referred late to specialists [38]. Poor education and lower socio-economic status are strongly associated with PDR and visual loss, both in the United States [39] and Europe [40].…”

Section: Diabetes-related Blindnessmentioning

confidence: 99%

“…As mentioned above, poor schooling and lower socio-economic status are associated with diabetesrelated visual loss [39,40] and more should be done to encourage patients' active participation in optimizing their blood glucose and pressure and having regular eye checks. Educational methodologies should start with structured studies of patients and their beliefs and attitudes.…”

Section: Screening In the Patients' Perspectivementioning

confidence: 99%

Diabetic retinopathy

2002

View full text Add to dashboard Cite

Abstract. Easy observation of the fundus oculi makes retinopathy the most frequently reported chronic complication of diabetes and, consequently, the one we know best in terms of epidemiology and natural history. Achieving near-normal levels of blood glucose and blood pressure provides empirical though powerful tools for clinicians to delay the onset and progression of diabetic retinopathy. Even when these measures have failed and retinopathy becomes sight-threatening, laser photocoagulation has proven remarkably effective. Nonetheless, retinopathy remains a leading cause of blindness and there is little evidence that diabetes-related visual loss is decreasing in industrialized countries. This may result from the mixed blessing of prolonged survival of patients who had become diabetic when metabolic control was pursued less fastidiously than today. Screening for sight-threatening retinopathy is the most cost-effective medical procedure known and should help optimise the use of diagnostic and therapeutic resources, but its widest deployment still meets with inertia and lack of interest within most health care systems. Improving clinical skills and technology, however, allow us to take a more optimistic look at the future, as pathogenesis-targeted forms of treatment are being developed and tested through appropriately powered clinical trials. [Diabetologia (2002[Diabetologia ( ) 45:1617[Diabetologia ( -1634

show abstract

“…14 have looked at overall retinopathy, rather than considering different stages of the disease, and studies by Chaturvedi et al 15 and Hanna et al 16 have found significant socioeconomic variations in the prevalence of proliferative diabetic retinopathy. In the classification system used in Gloucestershire, proliferative retinopathy is graded as sight threatening, though this classification also includes maculopathy, moderate to severe non-proliferative retinopathy and advanced retinopathy.…”

Section: Discussionmentioning

confidence: 99%

Diabetic retinopathy and socioeconomic deprivation in Gloucestershire

et al. 2008

View full text Add to dashboard Cite

Objectives To investigate socioeconomic variations in diabetes prevalence, uptake of screening for diabetic retinopathy, and prevalence of diabetic retinopathy. Methods The County of Gloucestershire formed the setting of the study. A cross-sectional study of people with diabetes was done on a countywide retinopathy-screening database. Diabetes prevalence with odds ratios, uptake of screening, prevalence of any retinopathy and prevalence of sight-threatening retinopathy at screening were compared for different area deprivation quintiles. Logistic regression was used to adjust for confounding. Results With each increasing quintile of deprivation, diabetes prevalence increased (odds ratio 0.84), the probability of having been screened for diabetic retinopathy decreased (odds ratio 1.11), and the prevalence of sight-threatening diabetic retinopathy among screened patients increased (odds ratio of 0.98), while the prevalence of non-sight-threatening diabetic retinopathy remained unchanged with each increasing quintile of deprivation. Conclusion Sight-threatening diabetic retinopathy was associated with socioeconomic deprivation, but non-sight-threatening diabetic retinopathy was not. Uptake of screening was inversely related to socioeconomic deprivation.

show abstract

The Relationship Between Socioeconomic Status and Diabetes Control and Complications in the EURODIAB IDDM Complications Study

Cited by 120 publications

References 20 publications

Impacts of diabetes and hypertension on the risk of hospitalization among less educated people

Impacts of diabetes and hypertension on the risk of hospitalization among less educated people

Diabetic retinopathy

Diabetic retinopathy and socioeconomic deprivation in Gloucestershire

Contact Info

Product

Resources

About