Albert Espelt1, Carme Borrell, Laia Palència, Alberto Goday, Teresa Spadea, Roberto Gnavi, Laia Font-Ribera, Anton E Kunst. 1. Agència de Salut Pública de Barcelona, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain; Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain; Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Bellaterra (Barcelona), Spain. Electronic address: aespelt@aspb.cat.
Abstract
OBJECTIVE: The aim of this study was to analyze socioeconomic position (SEP) inequalities in the prevalence and incidence of type 2 diabetes mellitus (T2DM) in people aged 50 years and over in Europe and to describe the contribution of body mass index (BMI) and other possible mediators. METHODS: This was a cross-sectional and longitudinal study including men and women ≥ 50 years old in 11 European countries in 2004 and 2006 (n = 21,323). The prevalence and cumulative incidence of T2DM were calculated with self-reported T2DM or when the individual took drugs for diabetes. Prevalence ratio (PR) and relative risk (RR) of prevalent and incident T2DM were calculated according to educational level and adjusted by BMI and other possible mediators. RESULTS: The age-adjusted and country-adjusted prevalence of T2DM in 2004 was 10.2% in men and 8.5% in women. Compared to those with higher education, men and women with lower education had a PR [95% CI] of T2DM of 1.29 [1.12-1.50] and 1.61 [1.39-1.86], respectively. SEP-related inequalities in incidence (RR [95%CI]) were 1.88 [1.35-2.62] in women and 1.04 [0.78-1.40] in men. Adjusting for potential mediators reduced inequalities in the prevalence and incidence of T2DM among women by 26.2% and 21.6%, respectively, and inequalities in prevalence among men by 44.8%. CONCLUSIONS: We observed significant inequalities in the prevalence and incidence (women only) of T2DM as a function of socioeconomic position. These inequalities were mediated by BMI.
OBJECTIVE: The aim of this study was to analyze socioeconomic position (SEP) inequalities in the prevalence and incidence of type 2 diabetes mellitus (T2DM) in people aged 50 years and over in Europe and to describe the contribution of body mass index (BMI) and other possible mediators. METHODS: This was a cross-sectional and longitudinal study including men and women ≥ 50 years old in 11 European countries in 2004 and 2006 (n = 21,323). The prevalence and cumulative incidence of T2DM were calculated with self-reported T2DM or when the individual took drugs for diabetes. Prevalence ratio (PR) and relative risk (RR) of prevalent and incident T2DM were calculated according to educational level and adjusted by BMI and other possible mediators. RESULTS: The age-adjusted and country-adjusted prevalence of T2DM in 2004 was 10.2% in men and 8.5% in women. Compared to those with higher education, men and women with lower education had a PR [95% CI] of T2DM of 1.29 [1.12-1.50] and 1.61 [1.39-1.86], respectively. SEP-related inequalities in incidence (RR [95%CI]) were 1.88 [1.35-2.62] in women and 1.04 [0.78-1.40] in men. Adjusting for potential mediators reduced inequalities in the prevalence and incidence of T2DM among women by 26.2% and 21.6%, respectively, and inequalities in prevalence among men by 44.8%. CONCLUSIONS: We observed significant inequalities in the prevalence and incidence (women only) of T2DM as a function of socioeconomic position. These inequalities were mediated by BMI.
Authors: M Asadi-Lari; A Khosravi; S Nedjat; M A Mansournia; R Majdzadeh; K Mohammad; M R Vaez-Mahdavi; S Faghihzadeh; A A Haeri Mehrizi; B Cheraghian Journal: J Endocrinol Invest Date: 2015-09-10 Impact factor: 4.256
Authors: Hadewijch Vandenheede; Patrick Deboosere; Albert Espelt; Matthias Bopp; Carme Borrell; Giuseppe Costa; Terje Andreas Eikemo; Roberto Gnavi; Rasmus Hoffmann; Ivana Kulhanova; Margarete Kulik; Mall Leinsalu; Pekka Martikainen; Gwenn Menvielle; Maica Rodriguez-Sanz; Jitka Rychtarikova; Johan P Mackenbach Journal: Int J Public Health Date: 2015-03-07 Impact factor: 3.380
Authors: María J Roig-Revert; Antonio Lleó-Pérez; Vicente Zanón-Moreno; Bárbara Vivar-Llopis; Juan Marín-Montiel; Rosa Dolz-Marco; Luis Alonso-Muñoz; Mara Albert-Fort; María I López-Gálvez; David Galarreta-Mira; María F García-Esparza; Carmen Galbis-Estrada; Carla Marco-Ramirez; Kian Shoaie-Nia; Silvia M Sanz-González; Vicente Vila-Bou; Elena Bendala-Tufanisco; José J García-Medina; Carlo Nucci; Roberto Gallego-Pinazo; J Fernando Arévalo; Maria D Pinazo-Durán Journal: Biomed Res Int Date: 2015-11-04 Impact factor: 3.411