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Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus
BACKGROUND: The aim of the study was to assess the impact of socioeconomic status (SES) on health behaviors, metabolic control, and chronic complications in people with type 2 diabetes mellitus (T2DM) from South Korea, a country with universal health insurance coverage and that has experienced rapid...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Diabetes Association
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202566/ https://www.ncbi.nlm.nih.gov/pubmed/30113143 http://dx.doi.org/10.4093/dmj.2017.0102 |
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author | Kim, So Hun Lee, Seung Youn Kim, Chei Won Suh, Young Ju Hong, Seongbin Ahn, Seong Hee Seo, Da Hae Nam, Moon-Suk Chon, Suk Woo, Jeong-Taek Baik, Sei Hyun Park, Yongsoo Lee, Kwan Woo Kim, Young Seol |
author_facet | Kim, So Hun Lee, Seung Youn Kim, Chei Won Suh, Young Ju Hong, Seongbin Ahn, Seong Hee Seo, Da Hae Nam, Moon-Suk Chon, Suk Woo, Jeong-Taek Baik, Sei Hyun Park, Yongsoo Lee, Kwan Woo Kim, Young Seol |
author_sort | Kim, So Hun |
collection | PubMed |
description | BACKGROUND: The aim of the study was to assess the impact of socioeconomic status (SES) on health behaviors, metabolic control, and chronic complications in people with type 2 diabetes mellitus (T2DM) from South Korea, a country with universal health insurance coverage and that has experienced rapid economic and social transition. METHODS: A total of 3,294 Korean men and women with T2DM aged 30 to 65 years, participating in the Korean National Diabetes Program (KNDP) cohort who reported their SES and had baseline clinical evaluation were included in the current cross-sectional analysis. SES included the level of education and monthly household income. RESULTS: Lower education level and lower income level were closely related, and both were associated with older age in men and women. Women and men with lower income and education level had higher carbohydrate and lower fat intake. After adjustment for possible confounding factors, higher education in men significantly lowered the odds of having uncontrolled hyperglycemia (glycosylated hemoglobin ≥7.5%) (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.43 to 0.91 for highest education; P(trend)=0.048), while higher household income in men significantly lowered the odds of having diabetic retinopathy (OR, 0.59; 95% CI, 0.37 to 0.95 for highest income level; P(trend)=0.048). In women, lower income was associated with a higher stress level. CONCLUSION: Men with lower SES had higher odds of having diabetic retinopathy and uncontrolled hyperglycemia, showing the need to improve care targeted to this population. |
format | Online Article Text |
id | pubmed-6202566 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-62025662018-10-26 Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus Kim, So Hun Lee, Seung Youn Kim, Chei Won Suh, Young Ju Hong, Seongbin Ahn, Seong Hee Seo, Da Hae Nam, Moon-Suk Chon, Suk Woo, Jeong-Taek Baik, Sei Hyun Park, Yongsoo Lee, Kwan Woo Kim, Young Seol Diabetes Metab J Original Article BACKGROUND: The aim of the study was to assess the impact of socioeconomic status (SES) on health behaviors, metabolic control, and chronic complications in people with type 2 diabetes mellitus (T2DM) from South Korea, a country with universal health insurance coverage and that has experienced rapid economic and social transition. METHODS: A total of 3,294 Korean men and women with T2DM aged 30 to 65 years, participating in the Korean National Diabetes Program (KNDP) cohort who reported their SES and had baseline clinical evaluation were included in the current cross-sectional analysis. SES included the level of education and monthly household income. RESULTS: Lower education level and lower income level were closely related, and both were associated with older age in men and women. Women and men with lower income and education level had higher carbohydrate and lower fat intake. After adjustment for possible confounding factors, higher education in men significantly lowered the odds of having uncontrolled hyperglycemia (glycosylated hemoglobin ≥7.5%) (odds ratio [OR], 0.63; 95% confidence interval [CI], 0.43 to 0.91 for highest education; P(trend)=0.048), while higher household income in men significantly lowered the odds of having diabetic retinopathy (OR, 0.59; 95% CI, 0.37 to 0.95 for highest income level; P(trend)=0.048). In women, lower income was associated with a higher stress level. CONCLUSION: Men with lower SES had higher odds of having diabetic retinopathy and uncontrolled hyperglycemia, showing the need to improve care targeted to this population. Korean Diabetes Association 2018-10 2018-06-29 /pmc/articles/PMC6202566/ /pubmed/30113143 http://dx.doi.org/10.4093/dmj.2017.0102 Text en Copyright © 2018 Korean Diabetes Association http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, So Hun Lee, Seung Youn Kim, Chei Won Suh, Young Ju Hong, Seongbin Ahn, Seong Hee Seo, Da Hae Nam, Moon-Suk Chon, Suk Woo, Jeong-Taek Baik, Sei Hyun Park, Yongsoo Lee, Kwan Woo Kim, Young Seol Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title | Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title_full | Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title_fullStr | Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title_full_unstemmed | Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title_short | Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus |
title_sort | impact of socioeconomic status on health behaviors, metabolic control, and chronic complications in type 2 diabetes mellitus |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202566/ https://www.ncbi.nlm.nih.gov/pubmed/30113143 http://dx.doi.org/10.4093/dmj.2017.0102 |
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