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Impact of change in job status on mortality for newly onset type II diabetes patients: 7 years follow-up using cohort data of National Health Insurance, Korea.

 Donggyo Shin  ;  Ji Man Kim  ;  Tinyami Erick Tandi  ;  Eun-Cheol Park 
 DIABETOLOGY & METABOLIC SYNDROME, Vol.10(1 Suppl 1) : 1-6, 2016 
Journal Title
Issue Date
Adult ; Aged ; Databases, Factual ; Diabetes Mellitus, Type 2/mortality* ; Employment/psychology* ; Employment/statistics & numerical data* ; Female ; Follow-Up Studies ; Humans ; Life Change Events ; Male ; Middle Aged ; National Health Programs ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Factors
Diabetes ; Economic status ; Hazard ratio ; Job status change ; Mortality
OBJECTIVE: This study investigates the relationship between change in job status and mortality of newly diagnosed type II diabetes patients by gender. METHODS: Newly onset of individuals diagnosed with type II diabetes in the years 2003 and 2004, had 7 years follow-up using National Health Insurance Corporation (NHIC) sample cohort data. The individuals diagnosed with type II diabetes within this period were 14,861. After adjusting for age, initial income group, insulin treatment and medical service utilization, hazard ratio was analyzed using Cox's proportional hazard model. RESULTS: Mortality hazard ratio of continuously unemployed individuals is 3.78 times higher in males and 9.78 times higher in females than in those who keep their jobs. Also, individuals with a change in job status (e.g. from industrial worker to unemployed or self-employed), the mortality hazard ratio is 2.24 times higher in males and 5.23 times higher in females than in those who keep their jobs. The impact of change in job status change is largest for the middle class males. The middle class males has the higher mortality hazard ratio, 6.14 times in maintain unemployed and 4.12 times in change his job (industrial worker to unemployed or self-employer) than maintain one's job. CONCLUSIONS: The continuous unemployment and the loss of job are related to risk of death in diabetic patients. The impact of unemployed is stronger than job change (loss or change). The impact of job status change is largest for the middle class man.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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