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欧洲老年人中糖尿病与住院及死亡率之间关联的社会经济差异。

Socioeconomic differences in the associations between diabetes and hospital admission and mortality among older adults in Europe.

作者信息

Rodríguez-Sánchez Beatriz, Cantarero-Prieto David

机构信息

Department of Economic Analysis, University of Castilla la Mancha, Toledo, Spain.

Department of Economics and GEN, University of Cantabria. Avenue. Los Castros, s/n, Santander, CP 39005, Spain.

出版信息

Econ Hum Biol. 2019 May;33:89-100. doi: 10.1016/j.ehb.2018.12.007. Epub 2019 Jan 17.

Abstract

The aim of this study is to explain the trends in socioeconomic inequality and diabetes outcomes in terms of hospital admission and death in old European people. The sample includes 73,301 individuals, across 16 European countries taken from the Survey of Health, Ageing and Retirement in Europe (SHARE). People being diagnosed of diabetes were more likely to be admitted to hospital than those without diabetes, although its effect dropped after controlling for clinical and functional complications. Largest asscociations were observed in women, people aged 50-65 years old, with medium educational level and medium household income. Diabetes was significant and positively related to mortality in the whole sample. Diabetes is significantly associated with mortality risk especially in males, oldest old people, low education and medium income people. These findings have important implications for public policies to reduce socioeconomic-related health inequalities.

摘要

本研究的目的是根据欧洲老年人的住院和死亡情况,解释社会经济不平等与糖尿病结局的趋势。样本包括来自欧洲健康、老龄化和退休调查(SHARE)的16个欧洲国家的73301个人。与未患糖尿病的人相比,被诊断患有糖尿病的人更有可能住院,尽管在控制临床和功能并发症后其影响有所下降。在女性、50 - 65岁、中等教育水平和中等家庭收入的人群中观察到最大的关联。在整个样本中,糖尿病与死亡率显著正相关。糖尿病与死亡风险显著相关,尤其是在男性、高龄老人、低教育水平和中等收入人群中。这些发现对减少社会经济相关健康不平等的公共政策具有重要意义。

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