دورية أكاديمية
Socio-economic status and diabetes-related hospital admissions: a cross-sectional study of people with diagnosed diabetes
| العنوان: | Socio-economic status and diabetes-related hospital admissions: a cross-sectional study of people with diagnosed diabetes |
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| المؤلفون: | Wild, Sarah H, McKnight, John A, McConnachie, Alex, Lindsay, Robert S |
| المساهمون: | University of Edinburgh, Western General Hospital, Edinburgh, Robertson Centre for Biostatistics, University of Glasgow, BHF Glasgow Cardiovascular Research Centre, University of Glasgow |
| المصدر: | ISSN: 0143-005X. |
| بيانات النشر: | HAL CCSD BMJ Publishing Group |
| سنة النشر: | 2010 |
| المجموعة: | Archive ouverte HAL (Hyper Article en Ligne, CCSD - Centre pour la Communication Scientifique Directe) |
| مصطلحات موضوعية: | DIABETES DI, SOCIAL INEQUALITIES |
| الوصف: | International audience ; Background: Low socio-economic status (SES) is associated with adverse cardiovascular risk factor patterns and poorer outcomes for people with diabetes Methods: We performed a cross-sectional study using data for 35,925 people with diagnosed diabetes in Scotland and an area-based measure of SES using linked hospital and population-based diabetes register records. Comparisons by quintile of SES were made before (with p values presented for trend across quintiles below) and after adjusting for other factors using multivariable logistic regression. Results: Compared to people in more affluent quintiles people in more deprived quintiles of SES were more likely to have hospital records for diabetic kidney disease (2.4% vs 2.0%, p=0.049), diabetic ketoacidosis (3.5% vs 3.0%, p=0.11), hypoglycaemia (1.8% vs 1.4%, p=0.008), ischaemic heart disease (22% vs 17%, p <0.0001), stroke (6.8% vs 5.1%, p<0.0001) and peripheral arterial disease (4.1% vs 2.1%, p<0.0001). An independent effect of SES persisted for cardiovascular disease outcomes after adjusting for age and sex. There were minimal differences in disease management measures by SES. Conclusion: Managing current risk factors equitably is unlikely to remove socio-economic inequalities in diabetes-related outcomes. Measures of SES may be valuable in risk scores and in making valid comparisons of quality of diabetes care. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-00560775; https://hal.archives-ouvertes.fr/hal-00560775Test; https://hal.archives-ouvertes.fr/hal-00560775/documentTest; https://hal.archives-ouvertes.fr/hal-00560775/file/PEER_stage2_10.1136%252Fjech.2009.094664.pdfTest |
| DOI: | 10.1136/jech.2009.094664 |
| الإتاحة: | https://doi.org/10.1136/jech.2009.094664Test https://hal.archives-ouvertes.fr/hal-00560775Test https://hal.archives-ouvertes.fr/hal-00560775/documentTest https://hal.archives-ouvertes.fr/hal-00560775/file/PEER_stage2_10.1136%252Fjech.2009.094664.pdfTest |
| حقوق: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.2F201ECD |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/jech.2009.094664 |
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