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Article: Non‐skilled occupation as a risk factor of diabetes among working population: A population‐based study of community‐dwelling adults in Hong Kong

TitleNon‐skilled occupation as a risk factor of diabetes among working population: A population‐based study of community‐dwelling adults in Hong Kong
Authors
KeywordsAsia
Hong Kong
Chronic disease
Diabetes mellitus
Occupational groups
Issue Date2021
PublisherBlackwell Scientific Publications.
Citation
Health & Social Care in the Community, 2021, v. 30 n. 1, p. e86-e94 How to Cite?
AbstractDiabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other socio-economic status indicators (e.g., education and income), has received less attention. There is some evidence from studies conducted in Europe that occupation is associated with diabetes risk, but less is known in Asia, which has different organisational cultures and management styles from the West. This study examines the association between occupation and diabetes risk in a developed Asian setting, which is experiencing an increasing number of young onset of diabetes and aging working population at the same time. This is a cross-sectional study of working population aged up to 65 with data from a population-based survey collecting demographic, socio-economic, behavioural and metabolic data from Hong Kong residents, through both self-administered questionnaires and clinical health examinations (1,429 participants). Non-skilled occupation was found to be an independent risk factor for diabetes, with an odds ratio (OR) of 3.38 (p < 0.001) and adjusted OR of 2.59 (p = 0.022) after adjusting for demographic, behavioural and metabolic risk factors. Older age (adjusted OR = 1.08, p < 0.001), higher body mass index (adjusted OR = 1.23, p < 0.001) and having hypertriglyceridemia (adjusted OR = 1.93, p = 0.033) were also independently associated with diabetes. Non-skilled workers were disproportionately affected by diabetes with the highest age-standardized prevalence (6.3%) among all occupation groups (4.9%–5.0%). This study provides evidence that non-skilled occupation is an independent diabetes risk factor in a developed Asian setting. Health education on improving lifestyle practices and diabetes screening should prioritise non-skilled workers, in particular through company-based and sector-based diabetes screening programmes. Diabetes health service should respond to the special needs of non-skilled workers, including service at non-office hour and practical health advice in light of their work setting.
DescriptionOpen Access Journal
Persistent Identifierhttp://hdl.handle.net/10722/300950
ISSN
2023 Impact Factor: 2.0
2023 SCImago Journal Rankings: 0.830
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHung, HHY-
dc.contributor.authorChan, EYY-
dc.contributor.authorChow, EYK-
dc.contributor.authorChung, GKK-
dc.contributor.authorLai, TTF-
dc.contributor.authorYeoh, EK-
dc.date.accessioned2021-07-06T03:12:29Z-
dc.date.available2021-07-06T03:12:29Z-
dc.date.issued2021-
dc.identifier.citationHealth & Social Care in the Community, 2021, v. 30 n. 1, p. e86-e94-
dc.identifier.issn0966-0410-
dc.identifier.urihttp://hdl.handle.net/10722/300950-
dc.descriptionOpen Access Journal-
dc.description.abstractDiabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other socio-economic status indicators (e.g., education and income), has received less attention. There is some evidence from studies conducted in Europe that occupation is associated with diabetes risk, but less is known in Asia, which has different organisational cultures and management styles from the West. This study examines the association between occupation and diabetes risk in a developed Asian setting, which is experiencing an increasing number of young onset of diabetes and aging working population at the same time. This is a cross-sectional study of working population aged up to 65 with data from a population-based survey collecting demographic, socio-economic, behavioural and metabolic data from Hong Kong residents, through both self-administered questionnaires and clinical health examinations (1,429 participants). Non-skilled occupation was found to be an independent risk factor for diabetes, with an odds ratio (OR) of 3.38 (p < 0.001) and adjusted OR of 2.59 (p = 0.022) after adjusting for demographic, behavioural and metabolic risk factors. Older age (adjusted OR = 1.08, p < 0.001), higher body mass index (adjusted OR = 1.23, p < 0.001) and having hypertriglyceridemia (adjusted OR = 1.93, p = 0.033) were also independently associated with diabetes. Non-skilled workers were disproportionately affected by diabetes with the highest age-standardized prevalence (6.3%) among all occupation groups (4.9%–5.0%). This study provides evidence that non-skilled occupation is an independent diabetes risk factor in a developed Asian setting. Health education on improving lifestyle practices and diabetes screening should prioritise non-skilled workers, in particular through company-based and sector-based diabetes screening programmes. Diabetes health service should respond to the special needs of non-skilled workers, including service at non-office hour and practical health advice in light of their work setting.-
dc.languageeng-
dc.publisherBlackwell Scientific Publications.-
dc.relation.ispartofHealth & Social Care in the Community-
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License-
dc.subjectAsia-
dc.subjectHong Kong-
dc.subjectChronic disease-
dc.subjectDiabetes mellitus-
dc.subjectOccupational groups-
dc.titleNon‐skilled occupation as a risk factor of diabetes among working population: A population‐based study of community‐dwelling adults in Hong Kong-
dc.typeArticle-
dc.identifier.emailLai, TTF: fttlai@hku.hk-
dc.identifier.authorityLai, TTF=rp02802-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/hsc.13415-
dc.identifier.pmid34169598-
dc.identifier.pmcidPMC9291875-
dc.identifier.scopuseid_2-s2.0-85108410318-
dc.identifier.hkuros323218-
dc.identifier.volume30-
dc.identifier.issue1-
dc.identifier.spagee86-
dc.identifier.epagee94-
dc.identifier.isiWOS:000665637900001-
dc.publisher.placeGreat Britain-

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