Department of Clinical Research, Nordsjællands Hospital, Denmark.
Department of Cardiology, Nephrology and Endocrinology, Nordsjællands Hospital, Denmark.
Scand J Public Health. 2020 Dec;48(8):847-854. doi: 10.1177/1403494819885727. Epub 2019 Dec 6.
The aim was to investigate the association between socioeconomic position (SEP) and physical activity, alcohol consumption and smoking, motivation to change lifestyle and health advices from general practitioners (GPs) in individuals with diabetes. Data were provided by the Danish National Health Survey 2013 and 7504 adults (⩾ 40 years) with diabetes were included. Educational level was used as SEP indicator and categorized into low, middle and high SEP. Dependent variables included physical activity, alcohol consumption, smoking, motivation to change lifestyle and GP lifestyle advices. Multiple logistic regression analyses adjusted for age, body mass index and ethnic background were performed. Higher SEP were associated with reduced odds of being physically inactive (middle SEP odds ratio (OR) men 0.58 (95% confidence intervals 0.47-0.72) and women 0.59 (0.47-0.75)) and non-smoking (middle SEP OR men 0.74 (0.59-0.93) and high SEP OR women 0.54 (0.38-0.77)) compared to participants with a low SEP. Alcohol consumption above the recommended maximum was associated with high SEP in men, OR 1.83 (1.30-2.61). Elevated SEP was associated with a motivation to increase physical activity levels (middle SEP OR men 1.45 (1.19-1.76) and women 1.35 (1.09-1.67)), high SEP was associated with none advice from GPs regarding smoking cessation among women, OR 0.47 (0.25-0.89).
目的在于探究社会经济地位(SEP)与体力活动、饮酒和吸烟、改变生活方式的动机以及全科医生(GP)健康建议在糖尿病患者中的相关性。数据来源于 2013 年丹麦国家健康调查,共纳入 7504 名(年龄≥40 岁)糖尿病患者。教育水平被用作 SEP 指标,并分为低、中、高 SEP 三个等级。因变量包括体力活动、饮酒、吸烟、改变生活方式的动机以及 GP 生活方式建议。采用多因素逻辑回归分析,调整年龄、体重指数和种族背景等因素。结果显示,较高的 SEP 与体力活动减少(中 SEP 男性 OR 0.58(95%置信区间 0.47-0.72),女性 OR 0.59(0.47-0.75))和不吸烟(中 SEP 男性 OR 0.74(0.59-0.93),高 SEP 女性 OR 0.54(0.38-0.77))的可能性降低相关,与低 SEP 参与者相比。男性饮酒量超过推荐上限与高 SEP 相关,OR 1.83(1.30-2.61)。SE 较高与增加体力活动水平的动机相关(中 SEP 男性 OR 1.45(1.19-1.76),女性 OR 1.35(1.09-1.67)),而 GP 对于女性戒烟建议,高 SEP 与低 SEP 相关,OR 0.47(0.25-0.89)。