Social Status, Risky Health Behaviors, and Diabetes in Middle-Aged and Older Adults

Wray, Linda A.; Alwin, Duane F.; McCammon, Ryan J.; Manning, Timothy R.; Best, Latrica E.

doi:10.1093/geronb/61.6.s290

Cited by 33 publications

(38 citation statements)

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“…In our study we observed that socioeconomic health was inversely related to the prevalence of diabetes, both for each country analysed individually and for the overall data. In accordance with other studies we have found that diabetes morbidity is associated with having a disadvantaged SEP [2,3,[8][9][10][11][12]. Previous studies that have analysed inequalities in diabetes mortality also have shown that people with a lower SEP have a higher risk of dying from diabetes [13][14][15].…”

Section: Discussionsupporting

confidence: 91%

“…This association was shown in both diabetes morbidity studies [3,8,[10][11][12] and in diabetes mortality studies [13][14][15]. Recent studies have reported that this association is explained in part by health behaviours and obesity [8,[16][17][18].…”

Section: Introductionmentioning

confidence: 85%

“…The majority of studies analysing the relationship between diabetes and SEP have only involved one country [9][10][11][12][13][14][15], and those that have compared the inequalities in SEP among different countries included several chronic diseases rather than focusing on diabetes alone [3]. The comparison of several European countries can be helpful because country characteristics may be related to the degree of diabetes inequalities.…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

et al. 2008

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Aims/hypothesis The aim of this study was to determine and quantify socioeconomic position (SEP) inequalities in diabetes mellitus in different areas of Europe, at the turn of the century, for men and women. Methods We analysed data from ten representative national health surveys and 13 mortality registers. For national health surveys the dependent variable was the presence of diabetes by self-report and for mortality registers it was death from diabetes. Educational level (SEP), age and sex were independent variables, and age-adjusted prevalence ratios (PRs) and risk ratios (RRs) were calculated. ResultsIn the overall study population, low SEP was related to a higher prevalence of diabetes, for example men who attained a level of education equivalent to lower secondary school or less had a PR of 1.6 (95% CI 1.4-1.9) compared with those who attained tertiary level education, whereas the corresponding value in women was 2.2 (95% CI 1.9-2.7). Moreover, in all countries, having a disadvantaged SEP is related to a higher rate of mortality from diabetes and a linear relationship is observed. Eastern European countries have higher relative inequalities in mortality by SEP. According to our data, the RR of dying from diabetes for women with low a SEP Diabetologia (2008) 51:1971-1979 DOI 10.1007/s00125-008-1146 3.4 (95% CI 2.6-4.6), while in men it is 2.0 (95% CI 1.7-2.4). Conclusions/interpretation In Europe, educational attainment and diabetes are inversely related, in terms of both morbidity and mortality rates. This underlines the importance of targeting interventions towards low SEP groups. Access and use of healthcare services by people with diabetes also need to be improved.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

et al. 2008

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“…Finally, adult onset diabetes mellitus is far more prevalent in blacks than whites (Brancati et al, 1996;Wray et al, 2006) and the excess prevalence among blacks is greater among women than men (Robbins et al, 2000). Diabetes is associated with physical disability.…”

Section: Disparities In Chronic Diseases Impairments and Disabilitymentioning

confidence: 99%

Disparities in disability life expectancy in us birth cohorts: The influence of sex and race

Soneji

2006

Biodemography and Social Biology

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Racial and sex disparities in chronic diseases and mortality are sources of health inequality and have been observed from infancy to adulthood. Disparities in health and mortality contribute to corresponding disparities in healthy life. I address two previously unanswered questions in the aging literature. First, does the racial and sex gap in healthy life narrow, persist, or expand over age and time, particularly considering severity of ill health, among the oldest old? Second, do some race-sex groups of birth cohorts live not just longer lives, but longer healthier lives, while others spend additional years in illness? To estimate the quantities, I employ a refined definition of physical disability and apply a new extension of Sullivan's method to true birth cohorts. The results suggest among the oldest old, few racial or sex disparities exist over age and time in mild disability. Yet, racial and sex disparities persist over age and time in severe disability.

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“…Nustatyta, jog daugeliu atveju cukrinio diabeto susirgimo priežastys yra biologinės, tačiau Lietuvos ir užsienio straipsniuose pateikiama įrodymų, kad liga gali atsirasti ir dėl įvairių psichologinių bei socialinių veiksnių (Knol et al, 2006;Ostrauskas, Radzevičienė, 2006;Wray, Alwin, McCammon, Manning, Best, 2006). Svarbu paminėti, jog ši sunki lėtinė liga sukelia ne tik zinių komplikacijų ar pokyčių, bet ir psichologinių bei socialinių pasekmių, pavyzdžiui, depresiją (Friedmann et al, 2009), dažną pykčio pasireiški-mą (Yi, Vitaliano, Weinger, 2008), sumažėjusią savivertę (Dementjeva, Pileckaitė-Markovienė, Cap, 2006), padidėjusią socialinės izoliacijos riziką (Sacco, Yanover, 2006), padažnėjusius kon iktus tarp šeimos narių ar/ir partnerio (-ės) (Gruszczynska, 2006), padidėjusią sergančiojo priklausomybę nuo šeimos narių (Trief, 2003), sumažėjusį produktyvumą darbe (Lavigne, Phelps, Mushlin, Lednar, 2003).…”

Section: įVadasunclassified

Untitled

2012

IJPBA

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Vytauto Didžiojo universitetas, LietuvaSantrauka. Cukriniu diabetu (CD) sergantiems asmenims, net ir puikiai kontroliuojantiems sunkios lėtinės ligos eigą, tenka gydytis ligoninėje. Todėl svarbu analizuoti, kaip asmuo sugeba prisitaikyti naujoje aplinkoje ir kaip liga toliau kontroliuojama. Patenkintas suteikiama pagalba pacientas gali griežtai laikytis gydytojų nurodymų ir sulaukti palankių sveikatos rezultatų. Nustačius pagrindinius veiksnius, darančius reikšmingą įtaką ligos kontrolei, galima tikėtis norimų padarinių. Tyrimo tikslas -nustatyti sergančiųjų 2 tipo CD sveikatos kontrolės, socialinio palaikymo bei pasitenkinimo suteikiama pagalba sąsajas. Tyrime dalyvavo 128 suaugę 2 tipo CD sergantys pacientai, besigydantys LSMU ligoninės Kauno klinikų Endokrinologijos klinikose. Tiriamieji pagal lytį pasiskirstę apylygiai -39,8 % vyrų ir 60,2 % moterų, nuo 22 iki 87 metų amžiaus. Pasirinktų veiksnių sąsajoms įvertinti buvo naudojamos trys metodikos: 1. Sveikatos kontrolės lokuso skalė (Wallston, 1978); 2. Suvokiamo socialinio palaikymo skalė (Zimet, 1988); 3. Kliento pasitenkinimo klausimynas (McMurtry, 1994). Statistinė analizė parodė, kad moterims, sergančioms 2 tipo cukriniu diabetu, būdingas didesnis pasitenkinimas suteikiama pagalba ligoninėje, palyginti su 2 tipo cukriniu diabetu sergančiais vyrais. Rezultatai ir išvados: kuo didesnis suvokiamas socialinis palaikymas iš įvairių socialinių grupių (šeimos, draugų bei reikšmingų kitų asmenų), tuo labiau 2 tipo cukriniu diabetu sergančios moterys tiki, jog tiek jos pačios, tiek kiti asmenys kontroliuoja jų sveikatą. Paaiškėjo, kad stipresnę vidinę ligos kontrolę paaiškina jaunesnis amžius bei žemesni išorinės kontrolės įvertinimai. Pagrindiniai žodžiai: cukrinis diabetas, sveikatos kontrolė, socialinis palaikymas, pasitenkinimas suteikiama pagalba.

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Social Status, Risky Health Behaviors, and Diabetes in Middle-Aged and Older Adults

Abstract: Risky health behaviors are key predictors of incident diabetes in both age groups. Economic resources also play an important protective role in incident diabetes in midlife but not in older age.

Cited by 33 publications

References 45 publications

Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

Socioeconomic inequalities in diabetes mellitus across Europe at the beginning of the 21st century

Disparities in disability life expectancy in us birth cohorts: The influence of sex and race

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