Individual and partner's level of occupation and the association with HbA(1c) levels in people with Type 2 diabetes mellitus:the Dutch Diabetes Pearl cohort

AimsIndividual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner's socio-economic status and HbA(1c) levels. We therefore examined the cross-sectional association between individual and partner's level of occupation on HbA(1c) levels in people with Type 2 diabetes in the Netherlands. MethodsWe included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to... Mehr ...

Verfasser: Rutte, A.
Rauh, S. P.
Schram, M. T.
Nijpels, G.
DeVries, J. H.
Holleman, F.
Pijl, H.
Dekkers, O. M.
Ozcan, B.
Sijbrands, E. J. G.
Tack, C. J.
Abbink, E. J.
de Valk, H. W.
Silvius, B.
Wolffenbuttel, B. H. R.
Stehouwer, C. D. A.
Schaper, N. C.
Dekker, J. M.
Beulens, J. W.
Elders, P. J. M.
Rutters, F.
Dokumenttyp: Artikel
Erscheinungsdatum: 2017
Reihe/Periodikum: Rutte , A , Rauh , S P , Schram , M T , Nijpels , G , DeVries , J H , Holleman , F , Pijl , H , Dekkers , O M , Ozcan , B , Sijbrands , E J G , Tack , C J , Abbink , E J , de Valk , H W , Silvius , B , Wolffenbuttel , B H R , Stehouwer , C D A , Schaper , N C , Dekker , J M , Beulens , J W , Elders , P J M , Rutters , F & Diabet Pearl Parelsnoer Initiative 2017 , ' Individual and partner's level of occupation and the association with HbA(1c) levels in people with Type 2 diabetes mellitus : the Dutch Diabetes Pearl cohort ' , Diabetic Medicine , vol. 34 , no. 11 , pp. 1623-1628 . https://doi.org/10.1111/dme.13422
Schlagwörter: SOCIOECONOMIC POSITION / GLYCEMIC CONTROL / HEALTH RESEARCH / PRIMARY-CARE / CHINA
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27440575
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/f2802dc7-5d02-452a-ae85-8eba4232046f

AimsIndividual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner's socio-economic status and HbA(1c) levels. We therefore examined the cross-sectional association between individual and partner's level of occupation on HbA(1c) levels in people with Type 2 diabetes in the Netherlands. MethodsWe included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. ResultsIn total, 3257 participants (59.8% men, mean 62.29.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA(1c) levels [e.g. ISCO level 3: -2 mmol/mol (95% CI -4;-1) or-0.2% (95% CI -0.4;-0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA(1c) levels [14 mmol/mol (95% CI 6; 22) or 1.3% (95% CI 0.6; 2.0)], compared with having a partner of the highest occupational level. ConclusionsPartner's occupational status provided additional information on the association between socio-economic status and HbA(1c) levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.