| Title | Association between socioeconomic status and metabolic control and diabetes complications: a cross-sectional nationwide study in Chinese adults with type 2 diabetes mellitus |
| Authors | Tao, Xiaoming Li, Jihu Zhu, Xiaolin Zhao, Bin Sun, Jiao Ji, Linong Hu, Dayi Pan, Changyu Huang, Yuxin Jiang, Suyuan Feng, Qiang Jiang, Cuiping |
| Affiliation | Fudan Univ, Huadong Hosp, Dept Endocrinol, 221 Yananxi Rd, Shanghai 200040, Peoples R China. Peking Univ, Peoples Hosp, Dept Endocrinol & Metab, Beijing 100871, Peoples R China. MSD China Holding Co Ltd, Shanghai, Peoples R China. Peking Univ, Peoples Hosp, Dept Cardiol, Beijing 100871, Peoples R China. Chinese Peoples Liberat Army Gen Hosp, Dept Endocrinol, Beijing 100853, Peoples R China. Fudan Univ, Huadong Hosp, Dept Endocrinol, 221 Yananxi Rd, Shanghai 200040, Peoples R China. Ji, LN (reprint author), Peking Univ, Peoples Hosp, Dept Endocrinol & Metab, Beijing 100871, Peoples R China. |
| Keywords | Socioeconomic status Type 2 diabetes Blood glucose Blood pressure Blood lipids Diabetes complications GLYCEMIC CONTROL RISK-FACTORS HEALTH PREVALENCE CARE POSITION |
| Issue Date | 2016 |
| Publisher | CARDIOVASCULAR DIABETOLOGY |
| Citation | CARDIOVASCULAR DIABETOLOGY.2016,15. |
| Abstract | Background: Low socioeconomic status (SES) is associated with adverse cardiovascular risk factor patterns and poor outcomes in patients with diabetes. The aim of this study was to determine whether SES is associated with the control of blood glucose, blood pressure, blood cholesterol (3Bs), and diabetic complications in Chinese adults with type 2 diabetes. Methods: Data regarding patients' demographics, social economics, diabetes complications, and cardiovascular risk profiles were analyzed for 25,454 patients. The outcomes of interest were the proportions of patients with HbA1c <7.0 %, blood pressure <140/80 mmHg, total serum cholesterol <4.5 mmol/L, and diabetes complications. Multivariable logistic regression was used for analysis. Results: Of the 25,454 patients, the least educated patients (1695, 6.7 %) had the highest chances of developing cardiovascular diseases (p = 0.048), cerebrovascular diseases (p < 0.001), and retinopathy (p < 0.001). The patients with lowest household income (10,039, 40.8 %) had the highest prevalence of retinopathy (p < 0.001) and neuropathy (p < 0.001). The most educated patients were more likely than the least educated patients to achieve HbA1c <7.0 % [adjusted odds ratio (OR) 1.38; 95 % confidence interval (95 % CI) 1.22-1.56] and 3B goals (adjusted OR 1.30; 95 % CI 1.11-1.53). The patients with highest household income were more likely to achieve BP <140/80 mmHg (adjusted OR 1.16; 95 % CI 1.07-1.27), but less likely to reach HbA1c <7.0 % (adjusted OR 0.90; 95 % CI 0.83-0.98) than those lowest income patients. Conclusions: Low SES was associated with poor metabolic control and more diabetes complications in adult patients in China. Individual diabetes management based on the SES of patients is encouraged. |
| URI | http://hdl.handle.net/20.500.11897/434233 |
| ISSN | 1475-2840 |
| DOI | 10.1186/s12933-016-0376-7 |
| Indexed | SCI(E) PubMed |
| Appears in Collections: | 人民医院 |
