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14-year diabetes incidence: the role of socio-economic status.
MedLine Citation:
PMID:  20973430     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Diabetes prevalence is associated with low socioeconomic status (SES), but less is known about the relationship between SES and diabetes incidence. DATA AND METHODS: Data from eight cycles of the National Population Health Survey (1994/1995 through 2008/2009) are used. A sample of 5,547 women and 6,786 men aged 18 or older who did not have diabetes in 1994/1995 was followed to determine if household income and educational attainment were associated with increased risk of diagnosis of or death from diabetes by 2008/2009. Three proportional hazards models were applied for income and for education--for men, for women and for both sexes combined. Independent variables were measured at baseline (1994/1995). Diabetes diagnosis was assessed by self-report of diagnosis by a health professional. Diabetes death was based on ICD-10 codes E10-E14. RESULTS: Among people aged 18 or older in 1994/1995 who were free of diabetes, 7.2% of men and 6.3% of women had developed or died from the disease by 2008/2009. Lower-income women were more likely to develop type 2 diabetes than were those in high-income households. This association was attenuated, but not eliminated, by ethno-cultural background and obesity/overweight. Associations with lower educational attainment in unadjusted models were almost completely mediated by demographic and behavioural variables. INTERPRETATION: Social gradients in diabetes incidence cannot be explained entirely by demographic and behavioural variables.
Authors:
Nancy A Ross; Heather Gilmour; Kaberi Dasgupta
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health reports / Statistics Canada, Canadian Centre for Health Information = Rapports sur la santé / Statistique Canada, Centre canadien d'information sur la santé     Volume:  21     ISSN:  0840-6529     ISO Abbreviation:  Health Rep     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9012854     Medline TA:  Health Rep     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  19-28     Citation Subset:  IM    
Affiliation:
Department of Geography, McGill University, Montreal, Quebec H3A 2K6, Canada. Nancy.Ross@mcgill.ca
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