Guang-Ran Yang1, Shen-Yuan Yuan2, Han-Jing Fu1, Gang Wan3, Liang-Xiang Zhu1, Ming-Xia Yuan1, Yu-Jie Lv4, Jian-Dong Zhang5, Xue-Ping Du6, Yu-Ling Li7, Yu Ji8, Li Zhou9, Yue Li10. 1. Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. 2. Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. Electronic address: fulvic@126.com. 3. Department of Medical Records and Statistics, Beijing Ditan Hospital, Capital Medical University, Beijing, China. 4. Cuigezhuang Community Health Service Center, Beijing, China. 5. Jinsong Community Health Service Center, Beijing, China. 6. Yuetan Community Health Service Center of Fuxing Hospital, Capital Medical University, Beijing, China. 7. Xinjiekou Community Health Service Center, Beijing, China. 8. Department of Endocrinology, Beijing Aerospace General Hospital, Beijing, China. 9. School Hospital of Central University for Nationalities, Beijing, China. 10. Aerospace Central Hospital, Beijing, China.
Abstract
AIM: To investigate the effects of educational attainment on glucose control and morbid events in patients with type 2 diabetes in Beijing communities. METHODS: In this prospective multi-center study, 2866 type 2 diabetes patients receiving integrated care from 15 Beijing urban communities were investigated. Educational attainment was categorized into three levels: low, medium, and high. After a 42-month management, glucose control parameters and morbid events were analyzed. RESULTS: At baseline, the percentages of patients with good glucose control (HbA1c ≤ 7.0%) in the low, medium and high educational groups were 49.09%, 54.82% and 62.59%, respectively (P<0.001). After the 42-month management, fasting plasma glucose and HbA1c values were the highest in the low educational group (7.51 ± 2.05 mmol/l and 7.20 ± 1.27%, respectively). Percentages of patients with good glucose control in the three groups were 49.6%, 55.83% and 67.23%, respectively, and the incidences of combined morbid events were 4.5%, 2.4% and 1.5%, respectively. Cox regression analysis showed that educational level was related to the incidence of combined morbid events (medium level, HR=0.572; high level, HR=0.351; P<0.05). CONCLUSIONS: Educational level was associated with long-term glucose control, and seemed to be related to the incidence of combined morbid events in people with type 2 diabetes.
AIM: To investigate the effects of educational attainment on glucose control and morbid events in patients with type 2 diabetes in Beijing communities. METHODS: In this prospective multi-center study, 2866 type 2 diabetespatients receiving integrated care from 15 Beijing urban communities were investigated. Educational attainment was categorized into three levels: low, medium, and high. After a 42-month management, glucose control parameters and morbid events were analyzed. RESULTS: At baseline, the percentages of patients with good glucose control (HbA1c ≤ 7.0%) in the low, medium and high educational groups were 49.09%, 54.82% and 62.59%, respectively (P<0.001). After the 42-month management, fasting plasma glucose and HbA1c values were the highest in the low educational group (7.51 ± 2.05 mmol/l and 7.20 ± 1.27%, respectively). Percentages of patients with good glucose control in the three groups were 49.6%, 55.83% and 67.23%, respectively, and the incidences of combined morbid events were 4.5%, 2.4% and 1.5%, respectively. Cox regression analysis showed that educational level was related to the incidence of combined morbid events (medium level, HR=0.572; high level, HR=0.351; P<0.05). CONCLUSIONS: Educational level was associated with long-term glucose control, and seemed to be related to the incidence of combined morbid events in people with type 2 diabetes.
Authors: Shaofan Chen; Bo Burström; Vibeke Sparring; Dongfu Qian; Kristina Burström Journal: Int J Environ Res Public Health Date: 2019-07-26 Impact factor: 3.390