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Int J Environ Res Public Health. 2019 Apr 23;16(8). pii: E1435. doi: 10.3390/ijerph16081435.

Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus-A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study.

Author information

1
Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. y.qi@umcg.nl.
2
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands. y.qi@umcg.nl.
3
Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. a.koster@maastrichtuniversity.nl.
4
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands. a.koster@maastrichtuniversity.nl.
5
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, 6200 MD Maastricht, The Netherlands. m.vanboxtel@maastrichtuniversity.nl.
6
School for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands. s.koehler@maastrichtuniversity.nl.
7
Department of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands. m.schram@mumc.nl.
8
Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands. m.schram@mumc.nl.
9
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands. n.schaper@mumc.nl.
10
Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands. n.schaper@mumc.nl.
11
Department of Internal Medicine, Maastricht University Medical Centre, Randwycksingel 35, 6229 EG Maastricht, The Netherlands. n.schaper@mumc.nl.
12
Department of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands. cda.stehouwer@mumc.nl.
13
Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands. cda.stehouwer@mumc.nl.
14
Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. hans.bosma@maastrichtuniversity.nl.
15
CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands. hans.bosma@maastrichtuniversity.nl.

Abstract

In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educational level (OR = 1.81, 95% CI = 1.24-2.64), low occupational level (OR = 1.42, 95% CI = 0.98-2.05), and material deprivation (OR = 1.78, 95% CI = 1.33-2.38) were independently associated with T2DM. Low income (OR = 1.28, 95% CI = 0.88-1.87) was the strongest, albeit not significant, SEP (socioeconomic position) correlate of prediabetes. This association confirms SEP as a multifaceted concept and indicates the need to measure SEP accordingly. In order to tackle the social gradient in prediabetes and T2DM, one should, therefore, address multiple SEP indicators and their possible pathways.

KEYWORDS:

epidemiology; prediabetes; socioeconomic position; type 2 diabetes mellitus

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