OBJECTIVE
To examine the association between subjective (SSS) and objective (OSS) social status and cardiovascular disease (CVD) risk factors in adults with type 2 diabetes.
METHODS
Adult study participants (N=358) were recruited from 2 primary care settings. CVD risk factors included hemoglobinA1c (HbA1c), systolic (SBP) and diastolic (DBP) blood pressure and low-density lipoprotein-cholesterol (LDL-C). Objective social status was assessed by income, education and employment. Subjective social status was measured using the validated MacArthur Scales of Subjective Social Status to demarcate self-reported perceptions of having the most money, education, and respected job using a ladder scale (1=rung 1, 10=rung 10). Multiple linear regression was used to examine associations between CVD risk factors and subjective and objective social status controlling for age, gender, race/ethnicity, marital status, employment status, income, study site, comorbidity, education, and insurance status.
RESULTS
Fully adjusted models showed that rung 2 (p=0.029), rung 3 (p=0.032), rung 8 (p=0.049), and rung 9 (p=0.032) of the subjective social status were significantly associated with poorer DBP. Annual income ≥ $75, 000 was significantly associated with lower LDL-C (p=0.021). Employment was associated with lower HbA1c (p=0.036), but higher LDL-C (p=0.002).
CONCLUSIONS
Subjective and objective social status levels are differentially associated with HbA1c, DBP, and LDL-C. Findings provide new information about patients’ perspectives of the relationship between social status and diabetes-related outcomes.
Pushover analysis which is also stated as Non-linear static analysis is widely used procedures for the seismic assessment or evaluation of the structures. The pushover model is used to measure the new structure's seismic demand or for current structures. Within this research pushover review is carried out to consider G+10 multi-storeyed building in zones using SAP 2000 software From the results of the study it was discovered that the hinges are established between IO (Immediate Occupancy) and LS (Life Safety) suggesting that the building is secure. The structural model analysed in this state is therefore safe. Therefore, the structural model studied in this State is safe. The effect of interaction of the Soil Structure on the seismic efficiency of the construction is considered and the building is built with and without considering interaction of soilstructure (SSI).The RC building symmetric plan and These buildings are modelled, designed according to IS 456:2000 and evaluated using SAP2000 software under two separate boundary conditions, namely fixed-base, and considering nonlinear dynamic analysis soil-structure relationship.
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