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The relationship between socioeconomic deprivation and metabolic/cardiovascular risk factors in a cohort of patients with type 2 diabetes mellitus.

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

O'Kane, John Maurice, Bunting, Brendan, McMenamin, Mary, Moore, Adrian and Coates, Vivien (2010) The relationship between socioeconomic deprivation and metabolic/cardiovascular risk factors in a cohort of patients with type 2 diabetes mellitus. Primary care diabetes, 4 (4). pp. 241-249. [Journal article]

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URL: http://www.sciencedirect.com/science/article/pii/S1751991810001154

DOI: doi.org/10.1016/j.pcd.2010.08.004

Abstract

AimThere is conflicting information on the impact of socioeconomic deprivation on outcomes in diabetes. Our aim was to study the relationship between socioeconomic deprivation and clinical outcome indicators in a patient cohort with type 2 diabetes mellitus [T2DM].MethodsWe recruited a random sample of 446 patients with T2DM [57% male] stratified by Income Deprivation Measure. Data on patient specific socioeconomic status, educational attainment, behaviour and attitudes were gathered by patient interview. Data analysis was by logistic and linear regression with correction for age, gender and duration of diabetes.ResultsThe study cohort showed high levels of deprivation with 80% reporting a household annual income of <£20,000 and 69.5% having no formal educational qualification. The cohort was actively managed with high usage of lipid lowering [90.1%], antihypertensive [80.6%] and antiplatelet agents [78%] and correspondingly good control of modifiable risk factors: HbA1c 7.6 [1.4]%, systolic blood pressure 134.2 [20.6], diastolic blood pressure 72.7 [11.2]mm Hg, total cholesterol 4.0 [0.9]mmol/L. Socioeconomic disadvantage was strongly related to measures of integration and attitude to diabetes. Despite this there were no significant or consistent relationships between Income Deprivation Measure/self-reported annual household income/educational attainment on metabolic or cardiovascular risk factors.ConclusionsSuccessful management of modifiable risk factors can be achieved in a way that is independent of socioeconomic position.Keywords: Type 2 diabetes mellitus; Socioeconomic deprivation; Clinical outcomes

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Environmental Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research
Psychology Research Institute
Institute of Nursing and Health Research > Managing Chronic Illness
Psychology Research Institute > The Bamford Centre for Mental Health and Wellbeing
Psychology Research Institute > Psychological Epidemiology and Mental Health
ID Code:20139
Deposited By:Professor Vivien Coates
Deposited On:10 Oct 2011 12:57
Last Modified:09 Apr 2014 16:29

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