Socio-economic differences in dysglycemia and lifestyle-related risk factors in the Finnish middle-aged population

被引:20
|
作者
Wikstrom, Katja [1 ,2 ]
Lindstrom, Jaana [1 ]
Tuomilehto, Jaakko [2 ]
Saaristo, Timo E. [3 ,4 ]
Korpi-Hyovalti, Eeva [5 ]
Oksa, Heikki [4 ]
Vanhala, Mauno [6 ,7 ,8 ,9 ]
Niskanen, Leo [7 ,9 ,10 ]
Keinanen-Kiukaanniemi, Sirkka [11 ,12 ]
Uusitupa, Matti [8 ]
Peltonen, Markku [1 ]
机构
[1] Natl Inst Hlth & Welf, Dept Chron Dis Prevent, Helsinki 00271, Finland
[2] Univ Helsinki, Hjelt Inst, Dept Publ Hlth, Helsinki, Finland
[3] Finnish Diabet Assoc, Tampere, Finland
[4] Pirkanmaa Hosp Dist, Tampere, Finland
[5] S Ostrobothnia Hosp Dist, Seinajoki, Finland
[6] Cent Finland Cent Hosp, Unit Family Practice, Jyvaskyla, Finland
[7] Kuopio Univ Hosp, Dept Med, SF-70210 Kuopio, Finland
[8] Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland
[9] No Savo Hosp Dist, Kuopio, Finland
[10] Univ Eastern Finland, Clin Med Unit, Kuopio, Finland
[11] Univ Oulu, Inst Hlth Sci Gen Pract, Oulu, Finland
[12] Hlth Ctr Oulu, Oulu, Finland
来源
EUROPEAN JOURNAL OF PUBLIC HEALTH | 2011年 / 21卷 / 06期
基金
芬兰科学院;
关键词
Socio-economic status; dysglycemia; type; 2; diabetes; risk factors; TYPE-2; DIABETES-MELLITUS; PHYSICAL-ACTIVITY; GLUCOSE-TOLERANCE; PREVALENCE; WEIGHT; WOMEN; INDIVIDUALS; MORTALITY; OBESITY; DIET;
D O I
10.1093/eurpub/ckq164
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The aim of this study was to investigate the association of socio-economic status (SES) with dysglycemia and the lifestyle-related risk factors, and to analyze to which extent known risk factors explain socio-economic differences in diabetes risk. Methods: Two population-based cross-sectional surveys in Finland including 1696 men and 1946 women aged 45-64 years who participated in a health examination in 2004 or 2007. Dysglycemia was determined by an oral glucose tolerance test. Total type 2 diabetes (including previously known and screen-detected type 2 diabetes), impaired glucose tolerance and impaired fasting glucose formed the category of total dysglycemia. Questionnaires and clinical examination were completed to assess risk factors for dysglycemia. SES was defined by education and household income. Results: In both genders, the prevalence of total dysglycemia differed statistically significantly between educational groups. Low education was statistically significantly associated with higher risk of total type 2 diabetes in women. The household income level was inversely associated with total type 2 diabetes in women and with total dysglycemia in men. Obesity, unhealthy diet and smoking were all inversely related to SES in both men and women. The observed association between education and dysglycemia was slightly attenuated after adjustment for obesity and other risk factors for diabetes. Conclusions: Low education was associated with an increased risk of dysglycemia more strongly than the low household income. Risk factors, especially obesity, explained only partly the observed associations between dysglycemia and education.
引用
收藏
页码:768 / 774
页数:7
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