دورية أكاديمية
أعرض في EDS

Sex-dependent effect of socioeconomic status on cardiovascular event risk in a population-based cohort of patients with type 2 diabetes.

التفاصيل البيبلوغرافية
العنوان: Sex-dependent effect of socioeconomic status on cardiovascular event risk in a population-based cohort of patients with type 2 diabetes.
المؤلفون: Enguita-Germán M; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain., Tamayo I; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain., Librero J; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain., Ballesteros-Domínguez A; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain., Oscoz-Villanueva I; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain., Galbete A; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain.; Departamento de Estadística, UPNA, Pamplona, Spain., Arnedo L; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain., Cambra K; Dirección de Salud Pública y Adicciones, Departamento de Sanidad del Gobierno Vasco, Vitoria-Gasteiz, Spain., Gorricho J; Servicio de Evaluación y Difusión de resultados en Salud, Servicio Navarro de Salud (SNS-O), Pamplona, Spain., Moreno-Iribas C; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. Instituto de Salud Pública, Pamplona, Spain., Millán-Ortuondo E; Osakidetza-Servicio Vasco de Salud, Bilbao, Spain., Ibáñez-Beroiz B; Unidad de Metodología, Navarrabiomed-HUN-UPNA, Pamplona, Spain.; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.; Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Pamplona, Spain.
المصدر: European journal of public health [Eur J Public Health] 2024 Jun 07; Vol. 34 (3), pp. 441-448.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Oxford University Press
Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-
مواضيع طبية MeSH: Diabetes Mellitus, Type 2*/epidemiology , Cardiovascular Diseases*/epidemiology , Social Class*, Humans ; Male ; Female ; Middle Aged ; Aged ; Sex Factors ; Cohort Studies ; Risk Factors ; Adult ; Socioeconomic Factors
مستخلص: Background: Socioeconomic status (SES) factors often result in profound health inequalities among populations, and their impact may differ between sexes. The aim of this study was to estimate and compare the effect of socioeconomic status indicators on incident cardiovascular disease (CVD)-related events among males and females with type 2 diabetes (T2D).
Methods: A population-based cohort from a southern European region including 24,650 patients with T2D was followed for five years. The sex-specific associations between SES indicators and the first occurring CVD event were modeled using multivariate Fine-Gray competing risk models. Coronary Heart Disease (CHD) and stroke were considered secondary outcomes.
Results: Patients without a formal education had a significantly higher risk of CVD than those with a high school or university education, with adjusted hazard ratios (HRs) equal to 1.24 (95%CI: 1.09-1.41) for males and 1.50 (95%CI: 1.09-2.06) for females. Patients with <18 000€ income had also higher CVD risk than those with ≥18 000€, with HRs equal to 1.44 (95%CI: 1.29-1.59) for males and 1.42 (95%CI: 1.26-1.60) for females. Being immigrant showed a HR equal to 0.81 (95%CI: 0.66-0.99) for males and 1.13 (95%CI: 0.68-1.87) for females. Similar results were observed for stroke, but differed for CHD when income is used, which had higher effect in females.
Conclusion: Socioeconomic inequalities in CVD outcomes are present among T2D patients, and their magnitude for educational attainment is sex-dependent, being higher in females, suggesting the need to consider them when designing tailored primary prevention and management strategies.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
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معلومات مُعتمدة: PI19/00154 Instituto de Salud Carlos III; Research Network on Health Services in Chronic Diseases; European Regional Development Funding; PI15/02196 Instituto de Salud Carlos III; RD16/0001/0014 Research Network on Health Services in Chronic Diseases-REDISSEC
تواريخ الأحداث: Date Created: 20240314 Date Completed: 20240607 Latest Revision: 20240609
رمز التحديث: 20240609
مُعرف محوري في PubMed: PMC11161156
DOI: 10.1093/eurpub/ckae048
PMID: 38484146
قاعدة البيانات: MEDLINE
الوصف
تدمد:1464-360X
DOI:10.1093/eurpub/ckae048