File Download
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1111/dme.14343
- Scopus: eid_2-s2.0-85087308995
- PMID: 32531074
- WOS: WOS:000543205000001
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Sociodemographic disparities in non-diabetic hyperglycaemia and the transition to type 2 diabetes: evidence from the English Longitudinal Study of Ageing
Title | Sociodemographic disparities in non-diabetic hyperglycaemia and the transition to type 2 diabetes: evidence from the English Longitudinal Study of Ageing |
---|---|
Authors | |
Issue Date | 2020 |
Citation | Diabetic Medicine, 2020, v. 37, n. 9, p. 1536-1544 How to Cite? |
Abstract | Aim: To explore whether there are social inequalities in non-diabetic hyperglycaemia (NDH) and in transitions to type 2 diabetes mellitus and NDH low-risk status in England. Methods: Some 9143 men and women aged over 50 years were analysed from waves 2, 4, 6 and 8 (2004–2016) of the English Longitudinal Study of Ageing (ELSA). Participants were categorized as: NDH ‘low-risk’ [HbA1c < 42 mmol/mol (< 6.0%)], NDH [HbA1c 42–47 mmol/mol (6.0–6.4%)] and type 2 diabetes [HbA1c > 47 mmol/mol (> 6.4%)]. Logistic regression models estimated the association between sociodemographic characteristics and NDH, and the transitions from NDH to diagnosed or undiagnosed type 2 diabetes and low-risk status in future waves. Results: NDH was more prevalent in older participants, those reporting a disability, those living in deprived areas and in more disadvantaged social classes. Older participants with NDH were less likely to progress to undiagnosed type 2 diabetes [odds ratio (OR) 0.27, 95% confidence interval (CI) 0.08, 0.96]. NDH individuals with limiting long-standing illness (OR 1.72, 95% CI 1.16, 2.53), who were economically inactive (OR 1.60, 95% CI 1.02, 2.51) or from disadvantaged social classes (OR 1.63, 95% CI 1.02, 2.61) were more likely to progress to type 2 diabetes. Socially disadvantaged individuals were less likely (OR 0.64, 95% CI 0.41, 0.98) to progress to NDH low-risk status. Conclusions: There were socio-economic differences in NDH prevalence, transition to type 2 diabetes and transition to NDH low-risk status. Disparities in transitions included the greater likelihood of disadvantaged social groups with NDH developing type 2 diabetes and greater likelihood of advantaged social groups with NDH becoming low-risk. These socio-economic differences should be taken into account when targeting prevention initiatives. |
Persistent Identifier | http://hdl.handle.net/10722/307299 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 1.303 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chatzi, G. | - |
dc.contributor.author | Mason, T. | - |
dc.contributor.author | Chandola, T. | - |
dc.contributor.author | Whittaker, W. | - |
dc.contributor.author | Howarth, E. | - |
dc.contributor.author | Cotterill, S. | - |
dc.contributor.author | Ravindrarajah, R. | - |
dc.contributor.author | McManus, E. | - |
dc.contributor.author | Sutton, M. | - |
dc.contributor.author | Bower, P. | - |
dc.date.accessioned | 2021-11-03T06:22:20Z | - |
dc.date.available | 2021-11-03T06:22:20Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Diabetic Medicine, 2020, v. 37, n. 9, p. 1536-1544 | - |
dc.identifier.issn | 0742-3071 | - |
dc.identifier.uri | http://hdl.handle.net/10722/307299 | - |
dc.description.abstract | Aim: To explore whether there are social inequalities in non-diabetic hyperglycaemia (NDH) and in transitions to type 2 diabetes mellitus and NDH low-risk status in England. Methods: Some 9143 men and women aged over 50 years were analysed from waves 2, 4, 6 and 8 (2004–2016) of the English Longitudinal Study of Ageing (ELSA). Participants were categorized as: NDH ‘low-risk’ [HbA1c < 42 mmol/mol (< 6.0%)], NDH [HbA1c 42–47 mmol/mol (6.0–6.4%)] and type 2 diabetes [HbA1c > 47 mmol/mol (> 6.4%)]. Logistic regression models estimated the association between sociodemographic characteristics and NDH, and the transitions from NDH to diagnosed or undiagnosed type 2 diabetes and low-risk status in future waves. Results: NDH was more prevalent in older participants, those reporting a disability, those living in deprived areas and in more disadvantaged social classes. Older participants with NDH were less likely to progress to undiagnosed type 2 diabetes [odds ratio (OR) 0.27, 95% confidence interval (CI) 0.08, 0.96]. NDH individuals with limiting long-standing illness (OR 1.72, 95% CI 1.16, 2.53), who were economically inactive (OR 1.60, 95% CI 1.02, 2.51) or from disadvantaged social classes (OR 1.63, 95% CI 1.02, 2.61) were more likely to progress to type 2 diabetes. Socially disadvantaged individuals were less likely (OR 0.64, 95% CI 0.41, 0.98) to progress to NDH low-risk status. Conclusions: There were socio-economic differences in NDH prevalence, transition to type 2 diabetes and transition to NDH low-risk status. Disparities in transitions included the greater likelihood of disadvantaged social groups with NDH developing type 2 diabetes and greater likelihood of advantaged social groups with NDH becoming low-risk. These socio-economic differences should be taken into account when targeting prevention initiatives. | - |
dc.language | eng | - |
dc.relation.ispartof | Diabetic Medicine | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Sociodemographic disparities in non-diabetic hyperglycaemia and the transition to type 2 diabetes: evidence from the English Longitudinal Study of Ageing | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1111/dme.14343 | - |
dc.identifier.pmid | 32531074 | - |
dc.identifier.scopus | eid_2-s2.0-85087308995 | - |
dc.identifier.volume | 37 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 1536 | - |
dc.identifier.epage | 1544 | - |
dc.identifier.eissn | 1464-5491 | - |
dc.identifier.isi | WOS:000543205000001 | - |