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Socioeconomic status and type 2 diabetes complications among young adult patients in Japan

OBJECTIVE: To assess the relationship between socioeconomic status (SES) and complications of type 2 diabetes among young adults in Japan. DESIGN: A cross-sectional study. SETTING: Outpatient wards of 96 member hospitals and clinics of the Japan Federation of Democratic Medical Institutions. PARTICI...

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Autores principales: Funakoshi, Mitsuhiko, Azami, Yasushi, Matsumoto, Hisashi, Ikota, Akemi, Ito, Koichi, Okimoto, Hisashi, Shimizu, Nobuaki, Tsujimura, Fumihiro, Fukuda, Hiroshi, Miyagi, Chozi, Osawa, Sayaka, Osawa, Ryo, Miura, Jiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402943/
https://www.ncbi.nlm.nih.gov/pubmed/28437472
http://dx.doi.org/10.1371/journal.pone.0176087
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author Funakoshi, Mitsuhiko
Azami, Yasushi
Matsumoto, Hisashi
Ikota, Akemi
Ito, Koichi
Okimoto, Hisashi
Shimizu, Nobuaki
Tsujimura, Fumihiro
Fukuda, Hiroshi
Miyagi, Chozi
Osawa, Sayaka
Osawa, Ryo
Miura, Jiro
author_facet Funakoshi, Mitsuhiko
Azami, Yasushi
Matsumoto, Hisashi
Ikota, Akemi
Ito, Koichi
Okimoto, Hisashi
Shimizu, Nobuaki
Tsujimura, Fumihiro
Fukuda, Hiroshi
Miyagi, Chozi
Osawa, Sayaka
Osawa, Ryo
Miura, Jiro
author_sort Funakoshi, Mitsuhiko
collection PubMed
description OBJECTIVE: To assess the relationship between socioeconomic status (SES) and complications of type 2 diabetes among young adults in Japan. DESIGN: A cross-sectional study. SETTING: Outpatient wards of 96 member hospitals and clinics of the Japan Federation of Democratic Medical Institutions. PARTICIPANTS: A total of 782 outpatients with type 2 diabetes (525 males, 257 females), aged 20–40 years as of March 31, 2012. After excluding 110 participants whose retinopathy diagnosis was in question, 672 participants were analyzed. MEASUREMENTS: We examined the relations between SES (educational level, income, type of public healthcare insurance, and employment status) and diabetes complications (retinopathy and nephropathy) using a multivariate logistic regression analysis. RESULTS: The prevalence of type 2 diabetic retinopathy was 23.2%, while that of nephropathy was 8.9%. The odds of having retinopathy were higher among junior high school graduates (OR 1.91, 95% CI 1.09–3.34), patients receiving public assistance (OR 2.19, 95% CI 1.20–3.95), and patients with irregular (OR 1.72, 95% CI 1.03–2.86) or no employment (OR 2.23, 95% CI 1.36–3.68), compared to those with a higher SES, even after covariate adjustment (e.g., age, gender, body mass index). Similarly, the odds of having nephropathy were higher among patients with middle (OR 3.61, 95% CI 1.69–8.27) or low income levels (OR 2.53, 95% CI 1.11–6.07), even after covariate adjustment. CONCLUSIONS: Low SES was associated with a greater likelihood of type 2 diabetes complications in young adults. These findings suggest the necessity of health policies that mitigate socioeconomic disparity and thereby reduce the prevalence of diabetic complications.
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spelling pubmed-54029432017-05-12 Socioeconomic status and type 2 diabetes complications among young adult patients in Japan Funakoshi, Mitsuhiko Azami, Yasushi Matsumoto, Hisashi Ikota, Akemi Ito, Koichi Okimoto, Hisashi Shimizu, Nobuaki Tsujimura, Fumihiro Fukuda, Hiroshi Miyagi, Chozi Osawa, Sayaka Osawa, Ryo Miura, Jiro PLoS One Research Article OBJECTIVE: To assess the relationship between socioeconomic status (SES) and complications of type 2 diabetes among young adults in Japan. DESIGN: A cross-sectional study. SETTING: Outpatient wards of 96 member hospitals and clinics of the Japan Federation of Democratic Medical Institutions. PARTICIPANTS: A total of 782 outpatients with type 2 diabetes (525 males, 257 females), aged 20–40 years as of March 31, 2012. After excluding 110 participants whose retinopathy diagnosis was in question, 672 participants were analyzed. MEASUREMENTS: We examined the relations between SES (educational level, income, type of public healthcare insurance, and employment status) and diabetes complications (retinopathy and nephropathy) using a multivariate logistic regression analysis. RESULTS: The prevalence of type 2 diabetic retinopathy was 23.2%, while that of nephropathy was 8.9%. The odds of having retinopathy were higher among junior high school graduates (OR 1.91, 95% CI 1.09–3.34), patients receiving public assistance (OR 2.19, 95% CI 1.20–3.95), and patients with irregular (OR 1.72, 95% CI 1.03–2.86) or no employment (OR 2.23, 95% CI 1.36–3.68), compared to those with a higher SES, even after covariate adjustment (e.g., age, gender, body mass index). Similarly, the odds of having nephropathy were higher among patients with middle (OR 3.61, 95% CI 1.69–8.27) or low income levels (OR 2.53, 95% CI 1.11–6.07), even after covariate adjustment. CONCLUSIONS: Low SES was associated with a greater likelihood of type 2 diabetes complications in young adults. These findings suggest the necessity of health policies that mitigate socioeconomic disparity and thereby reduce the prevalence of diabetic complications. Public Library of Science 2017-04-24 /pmc/articles/PMC5402943/ /pubmed/28437472 http://dx.doi.org/10.1371/journal.pone.0176087 Text en © 2017 Funakoshi et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Funakoshi, Mitsuhiko
Azami, Yasushi
Matsumoto, Hisashi
Ikota, Akemi
Ito, Koichi
Okimoto, Hisashi
Shimizu, Nobuaki
Tsujimura, Fumihiro
Fukuda, Hiroshi
Miyagi, Chozi
Osawa, Sayaka
Osawa, Ryo
Miura, Jiro
Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title_full Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title_fullStr Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title_full_unstemmed Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title_short Socioeconomic status and type 2 diabetes complications among young adult patients in Japan
title_sort socioeconomic status and type 2 diabetes complications among young adult patients in japan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402943/
https://www.ncbi.nlm.nih.gov/pubmed/28437472
http://dx.doi.org/10.1371/journal.pone.0176087
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