Suwannaphant Kritkantorn, Laohasiriwong Wongsa, Puttanapong Nattapong, Saengsuwan Jiamjit, Phajan Teerasak
Student, Faculty of Public Health, Khon Kaen University, Thailand.
Associate Professor, Department of Public Health, Enhancing Quality of Life for Working, Khon Kaen, Thailand.
J Clin Diagn Res. 2017 Jul;11(7):LC18-LC22. doi: 10.7860/JCDR/2017/28221.10286. Epub 2017 Jul 1.
The prevalence of Diabetes Mellitus (DM) is increasing, globally. However, studies on the association between Socioeconomic Status (SES) factors and DM have mostly been conducted in specific areas with rather small sample sizes or not with nationally representative samples. Their results have also been inconclusive regarding whether SES has any influence on DM or not.
To determine the association between SES and DM in Thailand.
This study utilized the data from the National socioeconomics survey, a cross-sectional study conducted by the National Statistical Office (NSO) in 2010 and 2012. A total of 17,045 and 16,903 participants respectively who met the inclusion criteria were included in this study. The information was collected by face-to-face interview with structured questionnaires. Multilevel mixed-effects logistic regression analysis was performed to determine the potential socioeconomic factors associated with DM.
The prevalence of DM was 3.70% (95% CI: 3.36 to 4.05) and 8.11% (95%CI: 6.25 to 9.74) in 2010 and 2012 respectively and the prevalence of DM in 2012 was 1.36 times (95% CI: 1.25 to 1.48) when compared with 2010. The multilevel mixed-effects logistic regression observed that odds of having DM were significantly higher among those who aged 55-64 years old in 2010 and 65 years old or greater in 2012 (OR = 18.13; 95%CI: 9.11 to 36.08, OR 31.69; 95%CI: 20.78 to 48.33, respectively), females (OR = 2.09; 95%CI: 1.66 to 2.62, OR = 1.77; 95%CI: 1.54 to 2.05, respectively), and had lower education attainment (OR = 5.87; 95%CI: 4.70 to 7.33, OR= 1.22; 95%CI: 1.04 to 1.45, respectively) were also found to be associated with DM .
The study indicated that SES has been associated with DM. Those with female gender, old age and low educational attainment were vulnerable to DM.
全球范围内，糖尿病（DM）的患病率正在上升。然而，关于社会经济地位（SES）因素与糖尿病之间关联的研究大多是在特定地区进行的，样本量相对较小，或者并非基于具有全国代表性的样本。关于SES是否对糖尿病有任何影响，其研究结果也尚无定论。
确定泰国SES与DM之间的关联。
本研究利用了国家社会经济调查的数据，这是一项由国家统计局（NSO）在2010年和2012年进行的横断面研究。本研究分别纳入了共17,045名和16,903名符合纳入标准的参与者。信息通过面对面访谈和结构化问卷收集。进行多水平混合效应逻辑回归分析以确定与DM相关的潜在社会经济因素。
2010年和2012年DM的患病率分别为3.70%（95%CI：3.36至4.05）和8.11%（95%CI：6.25至9.74），与2010年相比，2012年DM的患病率为1.36倍（95%CI：1.25至1.48）。多水平混合效应逻辑回归观察到，2010年年龄在55 - 64岁以及2012年年龄在65岁及以上的人群患DM的几率显著更高（OR分别为18.13；95%CI：9.11至36.08，OR为31.69；95%CI：20.78至48.33），女性（OR分别为2.09；95%CI：1.66至2.62，OR = 1.77；95%CI：1.54至2.05），以及受教育程度较低的人群（OR分别为5.87；95%CI：4.70至7.33，OR = 1.22；95%CI：1.04至1.45）也被发现与DM相关。
该研究表明SES与DM有关联。女性、老年和低教育程度人群易患DM。
