日本收入/就业状况与糖尿病护理过程、健康行为和健康结果之间的关系:利用与问卷调查相关联的索赔数据进行的横断面研究

IF 3.1 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Takuya Yamaoka, Takehiro Sugiyama, Noriko Ihana-Sugiyama, Akiko Kimura, Kouko Yamamoto, Kenjiro Imai, Naoaki Kuroda, Mitsuru Ohsugi, Kohjiro Ueki, Toshimasa Yamauchi, Nanako Tamiya
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引用次数: 0

摘要

材料与方法 本横断面研究使用了 2021 年 4 月至 2022 年 3 月期间的健康保险理赔数据,以及 2022 年 12 月至 2023 年 1 月期间在筑波市进行的问卷调查。研究分析了分层随机抽样选出的糖尿病(1 型除外)患者。我们通过计算各组间的加权比例来评估糖尿病护理过程、健康行为和健康结果。我们还使用多变量修正泊松回归模型评估了收入/就业状况与这些变量之间的关系。结果 在 264 名已确认的参与者中,161 人(64.2%)为男性,168 人(72.8%)年龄≥65 岁。与低收入组相比,高收入组使用钠-葡萄糖共转运体 2 抑制剂或胰高血糖素样肽-1 受体激动剂的比例更高(调整风险比 [aRR] 1.70,95% 置信区间 (CI):1.07-2.72)。此外,中等收入组门诊医疗总费用高的比例较低(aRR 0.57,95% CI 0.35-0.92)。与无工作时间组相比,全职工作组有运动习惯的比例较低(aRR 0.59,95% CI 0.35-0.99),自我报告健康状况良好的比例较高(aRR 2.08,95% CI 1.22-3.55)。政策干预应侧重于通过考虑这些关联而确定的高风险人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Associations between income/employment status and diabetes care processes, health behaviors, and health outcomes in Japan: A cross-sectional study using claims data linked to a questionnaire survey

Associations between income/employment status and diabetes care processes, health behaviors, and health outcomes in Japan: A cross-sectional study using claims data linked to a questionnaire survey

Aims/Introduction

We aimed to explore the associations between income/employment status and diabetes care processes, health behaviors and health outcomes.

Materials and Methods

This cross-sectional study used health insurance claims data between April 2021 and March 2022, and a questionnaire survey between December 2022 and January 2023 in Tsukuba City. The study analyzed the participants with diabetes (other than type 1) from those selected by stratified random sampling. We evaluated diabetes care processes, health behaviors and health outcomes by calculating weighted proportions among the groups. We also assessed the associations between income/employment status and these variables using multivariable modified Poisson regression models.

Results

Of the 264 identified participants, 161 (64.2%) were men and 168 (72.8%) were aged ≥65 years old. Compared with the low-income groups, the high-income group had a higher proportion of sodium–glucose cotransporter 2 inhibitors or glucagon-like peptide-1 receptor agonists use (adjusted risk ratio [aRR] 1.70, 95% confidence interval (CI) 1.07–2.72), a higher proportion of attendance to annual health checkups for ≥2 years (aRR 1.68, 95% CI 1.07–2.64) and a lower proportion of all-cause hospitalization (aRR 0.15, 95% CI 0.04–0.48); additionally, the middle-income group had a lower proportion of high total outpatient medical expenses (aRR 0.57, 95% CI 0.35–0.92). Compared to the no work time group, the full-time work group had a lower proportion of exercise habits (aRR 0.59, 95% CI 0.35–0.99) and a higher proportion of good self-reported health (aRR 2.08, 95% CI 1.22–3.55).

Conclusions

Several variables were associated with income/employment status. Policy intervention should focus on high-risk groups identified by considering these associations.

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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation ENDOCRINOLOGY & METABOLISM-
CiteScore
6.50
自引率
9.40%
发文量
218
审稿时长
6-12 weeks
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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