Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands.
Int J Environ Res Public Health. 2019 Apr 23;16(8):1435. doi: 10.3390/ijerph16081435.
In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educational level (OR = 1.81, 95% CI = 1.24-2.64), low occupational level (OR = 1.42, 95% CI = 0.98-2.05), and material deprivation (OR = 1.78, 95% CI = 1.33-2.38) were independently associated with T2DM. Low income (OR = 1.28, 95% CI = 0.88-1.87) was the strongest, albeit not significant, SEP (socioeconomic position) correlate of prediabetes. This association confirms SEP as a multifaceted concept and indicates the need to measure SEP accordingly. In order to tackle the social gradient in prediabetes and T2DM, one should, therefore, address multiple SEP indicators and their possible pathways.
为了更好地量化成年期社会经济环境对糖尿病前期和 2 型糖尿病（T2DM）的影响，我们着手研究了四个成年期社会经济指标的相对重要性。利用马斯特里赫特研究中 2011 年中年男女的横断面数据，我们的研究结果表明，教育水平低（OR = 1.81，95%CI = 1.24-2.64）、职业水平低（OR = 1.42，95%CI = 0.98-2.05）和物质剥夺（OR = 1.78，95%CI = 1.33-2.38）与 T2DM 独立相关。低收入（OR = 1.28，95%CI = 0.88-1.87）是预测糖尿病前期最强的，尽管没有统计学意义，但仍是社会经济地位（SEP）的相关因素。这种关联证实了 SEP 是一个多方面的概念，并表明需要相应地衡量 SEP。因此，为了解决糖尿病前期和 T2DM 的社会梯度问题，应该解决多个 SEP 指标及其可能的途径。
