0 156

Cited 2 times in

Combined effects of diabetes and low household income on mortality: a 12-year follow-up study of 505 677 Korean adults

 W. Y. Shin  ;  H. C. Kim  ;  T. Lee  ;  D.‐H. Jeon  ;  K. H. Ha  ;  D. J. Kim  ;  H.‐J. Chang 
 DIABETIC MEDICINE, Vol.35(10) : 1345-1354, 2018 
Journal Title
Issue Date
Adult ; Cardiovascular Diseases/economics ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/mortality ; Diabetes Mellitus/economics* ; Diabetes Mellitus/epidemiology ; Diabetes Mellitus/mortality* ; Diabetic Angiopathies/economics ; Diabetic Angiopathies/epidemiology ; Diabetic Angiopathies/mortality ; Female ; Follow-Up Studies ; Humans ; Income/statistics & numerical data* ; Male ; Middle Aged ; Mortality ; Republic of Korea/epidemiology ; Risk Factors ; Socioeconomic Factors
AIM: To examine the effects of diabetes, low income and their combination on mortality in the Korean population. METHODS: We analysed a total of 505 677 people (53.9% male) aged 40-79 years old from the National Health Insurance Service-National Health Screening (NHIS-HEALS) cohort. Ten levels of household income were used as indicators of economic status. Diabetes was defined as elevated fasting blood glucose (≥ 6.9 mmol/l) and/or use of glucose-lowering drugs or insulin. Covariates of age, sex, BMI, smoking and Charlson Comorbidity Index were determined at baseline. Outcomes were total and cause-specific mortality over 12 years. Cox's proportional hazard regression models were used to estimate hazard ratios (HRs) for mortality according to the presence of diabetes, household income and their combination. RESULTS: Lower household income was associated with higher mortality from all causes, cardiovascular disease, cancer and non-cancer non-cardiovascular causes. Excessive mortality due to low incomes was observed in both people with and without diabetes. In men, the adjusted HR [95% confidence interval (CI)] of mortality was 1.38 (1.34 to 1.42) for low-income only, 1.48 (1.42 to 1.55) for diabetes only and 1.95 (1.86 to 2.05) for diabetes and low-income combined, relative to the normal glucose and high income group. Corresponding HR (95% CI) in women were 1.19 (1.14 to 1.24), 1.54 (1.44 to 1.64) and 1.87 (1.75 to 2.01), respectively. CONCLUSION: Both low household income and the presence of diabetes independently increase the risk of mortality, but their combined effects on mortality may be different between men and women.
Full Text
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
Chang, Hyuk-Jae(장혁재) ORCID logo https://orcid.org/0000-0002-6139-7545
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.