Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study
In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men...
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doaj-16f77df8181d4e5cbac22b297ad3551c2020-11-24T21:44:53ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012019-04-01168143510.3390/ijerph16081435ijerph16081435Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht StudyYuwei Qi0Annemarie Koster1Martin van Boxtel2Sebastian Köhler3Miranda Schram4Nicolaas Schaper5Coen Stehouwer6Hans Bosma7Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsDepartment of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, 6200 MD Maastricht, The NetherlandsSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The NetherlandsDepartment of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The NetherlandsCAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The NetherlandsDepartment of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The NetherlandsDepartment of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The NetherlandsIn an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educational level (OR = 1.81, 95% CI = 1.24–2.64), low occupational level (OR = 1.42, 95% CI = 0.98–2.05), and material deprivation (OR = 1.78, 95% CI = 1.33–2.38) were independently associated with T2DM. Low income (OR = 1.28, 95% CI = 0.88–1.87) was the strongest, albeit not significant, SEP (socioeconomic position) correlate of prediabetes. This association confirms SEP as a multifaceted concept and indicates the need to measure SEP accordingly. In order to tackle the social gradient in prediabetes and T2DM, one should, therefore, address multiple SEP indicators and their possible pathways.https://www.mdpi.com/1660-4601/16/8/1435socioeconomic positiontype 2 diabetes mellitusprediabetesepidemiology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuwei Qi Annemarie Koster Martin van Boxtel Sebastian Köhler Miranda Schram Nicolaas Schaper Coen Stehouwer Hans Bosma |
spellingShingle |
Yuwei Qi Annemarie Koster Martin van Boxtel Sebastian Köhler Miranda Schram Nicolaas Schaper Coen Stehouwer Hans Bosma Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study International Journal of Environmental Research and Public Health socioeconomic position type 2 diabetes mellitus prediabetes epidemiology |
author_facet |
Yuwei Qi Annemarie Koster Martin van Boxtel Sebastian Köhler Miranda Schram Nicolaas Schaper Coen Stehouwer Hans Bosma |
author_sort |
Yuwei Qi |
title |
Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study |
title_short |
Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study |
title_full |
Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study |
title_fullStr |
Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study |
title_full_unstemmed |
Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study |
title_sort |
adulthood socioeconomic position and type 2 diabetes mellitus—a comparison of education, occupation, income, and material deprivation: the maastricht study |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2019-04-01 |
description |
In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educational level (OR = 1.81, 95% CI = 1.24–2.64), low occupational level (OR = 1.42, 95% CI = 0.98–2.05), and material deprivation (OR = 1.78, 95% CI = 1.33–2.38) were independently associated with T2DM. Low income (OR = 1.28, 95% CI = 0.88–1.87) was the strongest, albeit not significant, SEP (socioeconomic position) correlate of prediabetes. This association confirms SEP as a multifaceted concept and indicates the need to measure SEP accordingly. In order to tackle the social gradient in prediabetes and T2DM, one should, therefore, address multiple SEP indicators and their possible pathways. |
topic |
socioeconomic position type 2 diabetes mellitus prediabetes epidemiology |
url |
https://www.mdpi.com/1660-4601/16/8/1435 |
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