早期生活中的社会经济不平等与 2 型糖尿病发病率:马斯特里赫特研究的纵向分析

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Rachelle Meisters , Annemarie Koster , Jeroen Albers , Bengisu Sezer , Marleen M.J. van Greevenbroek , Bastiaan E. de Galan , Hans Bosma
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引用次数: 0

摘要

目的 2 型糖尿病(T2D)是一种常见的慢性疾病,对社会经济地位(SEP)较低的群体的影响尤为严重。本研究旨在探讨儿童社会经济地位与 T2D 发病之间的关系,而与成人社会经济地位无关。方法 采用马斯特里赫特研究的纵向数据(样本数=6727,55.2% 为女性,平均(标清)年龄为 58.7(8.7)岁)。儿童时期的 SEP 是通过询问父亲和母亲的最高学历以及儿童时期的收入不足情况来确定的。成人 SEP 则根据最高教育程度、同等家庭收入和职业职位确定。T2D病例每年自行报告一次(随访时间长达12年)。结果 在基线时未患 T2D 的参与者中,有 3.7% 的人在 8.2 年(中位数)的随访期间报告了 T2D 事件。在儿童期和成年期SEP较低的人群中,T2D的发病率最高,而在儿童期和成年期SEP较高的人群中,T2D的发病率最低(每千人年1.7例与每千人年7.5例)。儿童期社会经济不平等与 T2D 发病之间的关系主要由成人期社会经济不平等所解释,但儿童期收入不足与 T2D 发病有独立关系。结论儿童期和成年期的社会经济不平等是终末期糖尿病发病的风险因素,需要更多关注减少儿童期贫困和改善成年期社会经济不平等以降低终末期糖尿病风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early life socioeconomic inequalities and type 2 diabetes incidence: Longitudinal analyses in the Maastricht study

Aim

Type 2 diabetes (T2D) is a common chronic disease that disproportionally affects groups with a low socioeconomic position (SEP). This study aimed to examine associations between childhood SEP and incident T2D, independent of adult SEP.

Methods

Longitudinal data from The Maastricht Study were used (N=6,727, 55.2 % female, mean (SD) age 58.7(8.7) years). Childhood SEP was determined by asking for the highest completed educational level for the father and mother and childhood income inadequacy. Adult SEP was determined by highest completed educational level, equivalent household income, and occupational position. Incident T2D was self-reported yearly (up to 12 years of follow-up). Associations were studied with Cox regression analyses.

Results

In participants without T2D at baseline, 3.7% reported incident T2D over 8.2 (median) years of follow-up. Incident T2D was most common in people with low childhood and adult SEP and lowest in those with high childhood and adult SEP (1.7 vs. 7.5 per 1,000 person years). The association between childhood SEP and incident T2D was mainly explained by adult SEP, except for childhood income inadequacy which was independently associated with incident T2D.

Conclusion

Socioeconomic inequalities in childhood and adulthood are risk factors for incident T2D. More attention is needed to reduce childhood poverty and improve adult SEP to reduce the T2D risk.

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来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
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