National Institute of Geriatrics, México City, Mexico.
Mexican Institute of Social Security, México City, Morelos, Mexico.
BMC Public Health. 2019 Jul 29;19(1):1013. doi: 10.1186/s12889-019-7348-2.
Social disadvantages that start during childhood and continue into the later stages in life may be linked to the presence of diabetes during adulthood.
To analyze whether the presence of social disadvantages in childhood and in the present affects the presence of diabetes in older adults.
The present study was based on longitudinal data from the third and fourth Mexican Health and Aging Study (MHAS) waves (2012 and 2015). Data on diabetes diagnosis, past (e.g. "no shoes during childhood") and present (e.g. self-perception of economic status) social disparities, and other covariables were analyzed.
From 8,848 older adults, 21.5% (n = 1903) were classified as prevalent cases (PG), 5.2% (n = 459) as incident cases (IG) and 77.4% (n = 6,486) were free of disease (NDG). The predictor variable "no shoes during childhood" was statistically significant in the model incident versus no diabetes group. Hypertension and body mass index (BMI) were the most relevant covariates as they were statistically significant in the three groups (PG, IG and NDG).
Not having shoes during childhood, an indicator of social disadvantages, is associated with the incidence and prevalence of diabetes in older adults. This suggests that social disadvantages can be a determinant for the presence of chronic diseases in adulthood.
儿童期开始并持续到生命后期的社会劣势可能与成年人患糖尿病有关。
分析儿童期和当前的社会劣势是否会影响老年人的糖尿病患病率。
本研究基于第三次和第四次墨西哥健康与老龄化研究（MHAS）的纵向数据（2012 年和 2015 年）。分析了糖尿病诊断、过去（例如“儿童时期没有鞋子”）和现在（例如“自我感知经济状况”）的社会差距以及其他协变量的数据。
在 8848 名老年人中，21.5%（n=1903）被归类为现患病例（PG），5.2%（n=459）为新发病例（IG），77.4%（n=6486）为无病（NDG）。在病例与无糖尿病组的模型中，预测变量“儿童时期没有鞋子”具有统计学意义。高血压和体重指数（BMI）是最重要的协变量，因为它们在三个组（PG、IG 和 NDG）中均具有统计学意义。
儿童时期没有鞋子，这是社会劣势的一个指标，与老年人糖尿病的发病率和患病率有关。这表明社会劣势可能是成年后慢性病存在的决定因素。
