112 lines
3.8 KiB
YAML
112 lines
3.8 KiB
YAML
abstract: 'While socioeconomic inequalities in the prevalence and management of
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type 2 diabetes (T2D) are well established, little is known about
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whether inequalities exist in the prevalence and the temporal
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development of T2D comorbidities. Previous research points towards
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expansion of morbidity in T2D as depicted mainly by a rising trend of
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T2D comorbidities. Against this background, and using German claims
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data, this study aims to examine whether socioeconomic status (SES)
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inequalities exist in the rates and the temporal development of T2D
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comorbidities. Since previous research indicates varying risk levels for
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T2D prevalence in the population subgroups: working individuals,
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nonworking spouses and pensioners, the analyses are stratified by these
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three population subgroups. The study is done on a large population of
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statutory insured individuals with T2D in three time-periods between
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2005 and 2017. Predicted probabilities of three comorbidity groups and
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the number of comorbidities were estimated using logistic and ordinal
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regression analyses among different income, education and occupation
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groups. Interaction analyses were applied to examine whether potential
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SES inequalities changed over time. The study showed that neither the
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cross-sectional existence, nor the temporal development of T2D
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comorbidities differed significantly among SES groups, ruling out SES
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inequalities in the prevalence and the temporal development of T2D
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comorbidities in Germany. In men and women of all examined population
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subgroups, predicted probabilities for less severe cardiovascular (CVD)
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comorbidities, other vascular diseases and the number of comorbidities
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per individual rose significantly over time regardless of SES, but
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little if any change took place for more severe CVD comorbidities.
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Another important finding is that the population subgroup of nonworking
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spouses had markedly higher predicted probabilities for most of the
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examined outcomes compared to working individuals. The study indicates
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that the expansion of morbidity in T2D in Germany does not appear to be
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SES-dependent, and applies equally to different population subgroups.
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Yet, the study highlights that nonworking spouses are a susceptible
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population subgroup that needs to be focused upon when planning and
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implementing T2D management interventions.'
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affiliation: 'Safieddine, B (Corresponding Author), Hannover Med Sch, Med Sociol Unit,
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Hannover, Germany.
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Safieddine, Batoul; Sperlich, Stefanie; Beller, Johannes; Geyer, Siegfried, Hannover
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Med Sch, Med Sociol Unit, Hannover, Germany.
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Lange, Karin, Hannover Med Sch, Med Psychol Unit, Hannover, Germany.'
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author: Safieddine, Batoul and Sperlich, Stefanie and Beller, Johannes and Lange,
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Karin and Geyer, Siegfried
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author-email: Safieddine.Batoul@mh-hannover.de
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author_list:
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- family: Safieddine
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given: Batoul
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- family: Sperlich
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given: Stefanie
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- family: Beller
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given: Johannes
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- family: Lange
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given: Karin
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- family: Geyer
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given: Siegfried
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da: '2023-09-28'
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doi: 10.1038/s41598-023-37951-y
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files: []
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issn: 2045-2322
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journal: SCIENTIFIC REPORTS
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keywords-plus: 'SELF-CARE BEHAVIORS; MULTIPLE ROLES; MELLITUS; PREVALENCE; COMPRESSION;
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DISPARITIES; CHILDHOOD; MORBIDITY; MORTALITY; EDUCATION'
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language: English
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month: JUL 5
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number: '1'
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number-of-cited-references: '57'
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papis_id: 94a4ba442ea316c10e6f60c2119dcedf
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ref: Safieddine2023socioeconomicinequal
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times-cited: '0'
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title: 'Socioeconomic inequalities in type 2 diabetes comorbidities in different population
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subgroups: trend analyses using German health insurance data'
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type: article
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unique-id: WOS:001024600400028
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '13'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2023'
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