Individual and partner's level of occupation and the association with HbA(1c) levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

Autor: Evertine J. Abbink, Bruce H. R. Wolffenbuttel, Femke Rutters, Cees J. Tack, B. (Bianca) Silvius, Miranda T. Schram, Joline W. Beulens, Eric J.G. Sijbrands, Olaf M. Dekkers, Frits Holleman, J. H. DeVries, Hanno Pijl, Petra J. M. Elders, Behiye Özcan, Simone P. Rauh, Coen D.A. Stehouwer, Nicolaas C. Schaper, A. Rutte, Giel Nijpels, H. W. de Valk, Joost Dekker
Přispěvatelé: Amsterdam Gastroenterology Endocrinology Metabolism, Endocrinology, Amsterdam Cardiovascular Sciences, General Internal Medicine, MUMC+: HVC Pieken Maastricht Studie (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, RS: CARIM - R3.01 - Vascular complications of diabetes and the metabolic syndrome, Interne Geneeskunde, MUMC+: MA Interne Geneeskunde (3), MUMC+: MA Endocrinologie (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: CARIM - R3.02 - Hypertension and target organ damage, Internal Medicine, Lifestyle Medicine (LM), Center for Liver, Digestive and Metabolic Diseases (CLDM), General practice, APH - Health Behaviors & Chronic Diseases, Epidemiology and Data Science, APH - Methodology, ACS - Diabetes & metabolism, Amsterdam Reproduction & Development (AR&D), APH - Aging & Later Life, ACS - Heart failure & arrhythmias
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Diabetic medicine, 34(11), 1623-1628. Wiley-Blackwell
Diabetic Medicine, 34(11), 1623-1628. Wiley
Diabetic Medicine, 34(11), 1623-1628. Wiley-Blackwell Publishing Ltd
Rutte, A, Rauh, S P, Schram, M T, Nijpels, G, DeVries, J H, Holleman, F, Pijl, H, Dekkers, O M, Özcan, B, Sijbrands, E J G, Tack, C J, Abbink, E J, de Valk, H W, Silvius, B, Wolffenbuttel, B H R, Stehouwer, C D A, Schaper, N C, Dekker, J M, Beulens, J W, Elders, P J M, Rutters, F & the Diabetes Pearl from the Parelsnoer Initiative 2017, ' Individual and partner's level of occupation and the association with HbA 1c levels in people with Type 2 diabetes mellitus : the Dutch Diabetes Pearl cohort ', Diabetic Medicine, vol. 34, no. 11, pp. 1623-1628 . https://doi.org/10.1111/dme.13422
Diabetic Medicine, 34, 1623-1628
Diabetic Medicine, 34, 11, pp. 1623-1628
Diabetic Medicine, 34(11), 1623-1628
Diabetic Medicine, 34(11), 1623-1628. Wiley-Blackwell
ISSN: 0742-3071
Popis: Aims: Individual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner’s socio-economic status and HbA1c levels. We therefore examined the cross-sectional association between individual and partner’s level of occupation on HbA1c levels in people with Type 2 diabetes in the Netherlands. Methods: We included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. Results: In total, 3257 participants (59.8% men, mean 62.2±9.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA1c levels [e.g. ISCO level 3: –2 mmol/mol (95% CI –4;–1) or -0.2% (95% CI –0.4;–0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA1c levels [14 mmol/mol (95% CI 6; 22) or 1.3% (95% CI 0.6; 2.0)], compared with having a partner of the highest occupational level. Conclusions: Partner's occupational status provided additional information on the association between socio-economic status and HbA1c levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.
Databáze: OpenAIRE
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