Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group

Jeremy J. Walker; Shona J. Livingstone; Helen M. Colhoun; Robert S. Lindsay; John A. McKnight; Andrew D. Morris; John R. Petrie; Sam Philip; Naveed Sattar; Sarah H. Wild; Scottish Diabetes Research Network Epidemiology Group

doi:10.2337/dc10-1862

Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group

Jeremy J. Walker, Shona J. Livingstone, Helen M. Colhoun, Robert S. Lindsay, John A. McKnight, Andrew D. Morris, John R. Petrie, Sam Philip, Naveed Sattar, Sarah H. Wild, Scottish Diabetes Research Network Epidemiology Group

Research output: Contribution to journal › Article › peer-review

65 Citations (Scopus)

Abstract

OBJECTIVE-The study objective was to describe the effect of socioeconomic status (SES) on mortality among people with type 2 diabetes.

RESEARCH DESIGN AND METHODS-We used a population-based national electronic diabetes database for 35- to 84-year-olds in Scotland for 2001-2007 linked to mortality records. SES was derived from an area-based measure with Q5 and Q1 representing the most deprived and affluent quintiles, respectively. Poisson regression was used to estimate relative risks (RRs) for mortality among people with type 2 diabetes compared with the population without diabetes stratified by age (35-64 and 65-84 years), sex, duration of diabetes (< 2 and >= 2 years), and SES.

RESULTS-Complete data were available for 210,994 eligible individuals (99.4%), and there were 33,842 deaths. Absolute mortality from all causes among people with type 2 diabetes increased with increasing age and socioeconomic deprivation and was higher for men than women. RR for mortality associated with type 2 diabetes was highest for women aged 35-64 years in Q1 with diabetes duration < 2 years at 4.83(95% CI 3.15-7.40) and lowest for men aged 65-84 years in Q5 with diabetes duration >= 2 years at 1.13 (1.03-1.24).

CONCLUSIONS-SES modifies the association between type 2 diabetes and mortality so that RR for mortality is lower among more deprived populations. Age, sex, and duration of diabetes also interact with type 2 diabetes to influence RR of mortality. Differences in prevalence of comorbidities may explain these findings.

Original language	English
Pages (from-to)	1127-1132
Number of pages	6
Journal	Diabetes Care
Volume	34
Issue number	5
DOIs	https://doi.org/10.2337/dc10-1862
Publication status	Published - May 2011

Keywords

Coronary heart disease
Follow-up
Mellitus
Population
Prevalence
Health
Impact
Women
Inequalities
Deprivation

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.2337/dc10-1862

Cite this

Walker, J. J., Livingstone, S. J., Colhoun, H. M., Lindsay, R. S., McKnight, J. A., Morris, A. D., Petrie, J. R., Philip, S., Sattar, N., Wild, S. H., & Scottish Diabetes Research Network Epidemiology Group (2011). Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group. Diabetes Care, 34(5), 1127-1132. https://doi.org/10.2337/dc10-1862

@article{e1c7ba72f639436ea311e063c4e1ac4e,

title = "Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group",

abstract = "OBJECTIVE-The study objective was to describe the effect of socioeconomic status (SES) on mortality among people with type 2 diabetes.RESEARCH DESIGN AND METHODS-We used a population-based national electronic diabetes database for 35- to 84-year-olds in Scotland for 2001-2007 linked to mortality records. SES was derived from an area-based measure with Q5 and Q1 representing the most deprived and affluent quintiles, respectively. Poisson regression was used to estimate relative risks (RRs) for mortality among people with type 2 diabetes compared with the population without diabetes stratified by age (35-64 and 65-84 years), sex, duration of diabetes (< 2 and >= 2 years), and SES.RESULTS-Complete data were available for 210,994 eligible individuals (99.4%), and there were 33,842 deaths. Absolute mortality from all causes among people with type 2 diabetes increased with increasing age and socioeconomic deprivation and was higher for men than women. RR for mortality associated with type 2 diabetes was highest for women aged 35-64 years in Q1 with diabetes duration < 2 years at 4.83(95% CI 3.15-7.40) and lowest for men aged 65-84 years in Q5 with diabetes duration >= 2 years at 1.13 (1.03-1.24).CONCLUSIONS-SES modifies the association between type 2 diabetes and mortality so that RR for mortality is lower among more deprived populations. Age, sex, and duration of diabetes also interact with type 2 diabetes to influence RR of mortality. Differences in prevalence of comorbidities may explain these findings.",

keywords = "Coronary heart disease, Follow-up, Mellitus, Population, Prevalence, Health, Impact, Women, Inequalities, Deprivation",

author = "Walker, {Jeremy J.} and Livingstone, {Shona J.} and Colhoun, {Helen M.} and Lindsay, {Robert S.} and McKnight, {John A.} and Morris, {Andrew D.} and Petrie, {John R.} and Sam Philip and Naveed Sattar and Wild, {Sarah H.} and {Scottish Diabetes Research Network Epidemiology Group}",

year = "2011",

month = may,

doi = "10.2337/dc10-1862",

language = "English",

volume = "34",

pages = "1127--1132",

journal = "Diabetes Care",

issn = "0149-5992",

publisher = "American Diabetes Association Inc.",

number = "5",

}

Walker, JJ, Livingstone, SJ, Colhoun, HM, Lindsay, RS, McKnight, JA, Morris, AD, Petrie, JR, Philip, S, Sattar, N, Wild, SH & Scottish Diabetes Research Network Epidemiology Group 2011, 'Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group', Diabetes Care, vol. 34, no. 5, pp. 1127-1132. https://doi.org/10.2337/dc10-1862

TY - JOUR

T1 - Effect of socioeconomic status on mortality among people with type 2 diabetes

T2 - a study from the Scottish Diabetes Research Network Epidemiology Group

AU - Walker, Jeremy J.

AU - Livingstone, Shona J.

AU - Colhoun, Helen M.

AU - Lindsay, Robert S.

AU - McKnight, John A.

AU - Morris, Andrew D.

AU - Petrie, John R.

AU - Philip, Sam

AU - Sattar, Naveed

AU - Wild, Sarah H.

AU - Scottish Diabetes Research Network Epidemiology Group

PY - 2011/5

Y1 - 2011/5

N2 - OBJECTIVE-The study objective was to describe the effect of socioeconomic status (SES) on mortality among people with type 2 diabetes.RESEARCH DESIGN AND METHODS-We used a population-based national electronic diabetes database for 35- to 84-year-olds in Scotland for 2001-2007 linked to mortality records. SES was derived from an area-based measure with Q5 and Q1 representing the most deprived and affluent quintiles, respectively. Poisson regression was used to estimate relative risks (RRs) for mortality among people with type 2 diabetes compared with the population without diabetes stratified by age (35-64 and 65-84 years), sex, duration of diabetes (< 2 and >= 2 years), and SES.RESULTS-Complete data were available for 210,994 eligible individuals (99.4%), and there were 33,842 deaths. Absolute mortality from all causes among people with type 2 diabetes increased with increasing age and socioeconomic deprivation and was higher for men than women. RR for mortality associated with type 2 diabetes was highest for women aged 35-64 years in Q1 with diabetes duration < 2 years at 4.83(95% CI 3.15-7.40) and lowest for men aged 65-84 years in Q5 with diabetes duration >= 2 years at 1.13 (1.03-1.24).CONCLUSIONS-SES modifies the association between type 2 diabetes and mortality so that RR for mortality is lower among more deprived populations. Age, sex, and duration of diabetes also interact with type 2 diabetes to influence RR of mortality. Differences in prevalence of comorbidities may explain these findings.

AB - OBJECTIVE-The study objective was to describe the effect of socioeconomic status (SES) on mortality among people with type 2 diabetes.RESEARCH DESIGN AND METHODS-We used a population-based national electronic diabetes database for 35- to 84-year-olds in Scotland for 2001-2007 linked to mortality records. SES was derived from an area-based measure with Q5 and Q1 representing the most deprived and affluent quintiles, respectively. Poisson regression was used to estimate relative risks (RRs) for mortality among people with type 2 diabetes compared with the population without diabetes stratified by age (35-64 and 65-84 years), sex, duration of diabetes (< 2 and >= 2 years), and SES.RESULTS-Complete data were available for 210,994 eligible individuals (99.4%), and there were 33,842 deaths. Absolute mortality from all causes among people with type 2 diabetes increased with increasing age and socioeconomic deprivation and was higher for men than women. RR for mortality associated with type 2 diabetes was highest for women aged 35-64 years in Q1 with diabetes duration < 2 years at 4.83(95% CI 3.15-7.40) and lowest for men aged 65-84 years in Q5 with diabetes duration >= 2 years at 1.13 (1.03-1.24).CONCLUSIONS-SES modifies the association between type 2 diabetes and mortality so that RR for mortality is lower among more deprived populations. Age, sex, and duration of diabetes also interact with type 2 diabetes to influence RR of mortality. Differences in prevalence of comorbidities may explain these findings.

KW - Coronary heart disease

KW - Follow-up

KW - Mellitus

KW - Population

KW - Prevalence

KW - Health

KW - Impact

KW - Women

KW - Inequalities

KW - Deprivation

U2 - 10.2337/dc10-1862

DO - 10.2337/dc10-1862

M3 - Article

C2 - 21421800

SN - 0149-5992

VL - 34

SP - 1127

EP - 1132

JO - Diabetes Care

JF - Diabetes Care

IS - 5

ER -

Effect of socioeconomic status on mortality among people with type 2 diabetes: a study from the Scottish Diabetes Research Network Epidemiology Group

Abstract

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this