Socioeconomic Deprivation and the Risk of Sight-Threatening Diabetic Retinopathy : A Population-Based Cohort Study in the U.K
© 2024 by the American Diabetes Association..
OBJECTIVE: To evaluate the associations between socioeconomic deprivation and sight-threatening diabetic retinopathy (STDR) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D).
RESEARCH DESIGN AND METHODS: Data from 175,628 individuals with diabetes in the Health Improvement Network were used to assess the risk of STDR across Townsend Deprivation Index quantiles using Cox proportional hazard regression.
RESULTS: Among individuals with T1D, the risk of STDR was three times higher (adjusted hazard ratio [aHR] 2.67, 95% CI 1.05-7.78) in the most deprived quintile compared with the least deprived quintile. In T2D, the most deprived quintile had a 28% higher risk (aHR 1.28; 95% CI 1.15-1.43) than the least deprived quintile.
CONCLUSIONS: Increasing socioeconomic deprivation is associated with a higher risk of developing STDR in people with diabetes. This underscores persistent health disparities linked to poverty, even within a country offering free universal health care. Further research is needed to address health equity concerns in socioeconomically deprived regions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
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| Enthalten in: |
Diabetes care - 47(2024), 5 vom: 01. Apr., Seite 844-848 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tan, Luyuan [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 22.04.2024 Date Revised 22.04.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.2337/dc23-1626 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368770753 |
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| 245 | 1 | 0 | |a Socioeconomic Deprivation and the Risk of Sight-Threatening Diabetic Retinopathy |b A Population-Based Cohort Study in the U.K |
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| 500 | |a Date Revised 22.04.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 by the American Diabetes Association. | ||
| 520 | |a OBJECTIVE: To evaluate the associations between socioeconomic deprivation and sight-threatening diabetic retinopathy (STDR) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D) | ||
| 520 | |a RESEARCH DESIGN AND METHODS: Data from 175,628 individuals with diabetes in the Health Improvement Network were used to assess the risk of STDR across Townsend Deprivation Index quantiles using Cox proportional hazard regression | ||
| 520 | |a RESULTS: Among individuals with T1D, the risk of STDR was three times higher (adjusted hazard ratio [aHR] 2.67, 95% CI 1.05-7.78) in the most deprived quintile compared with the least deprived quintile. In T2D, the most deprived quintile had a 28% higher risk (aHR 1.28; 95% CI 1.15-1.43) than the least deprived quintile | ||
| 520 | |a CONCLUSIONS: Increasing socioeconomic deprivation is associated with a higher risk of developing STDR in people with diabetes. This underscores persistent health disparities linked to poverty, even within a country offering free universal health care. Further research is needed to address health equity concerns in socioeconomically deprived regions | ||
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| 700 | 1 | |a Han, Jieun |e verfasserin |4 aut | |
| 700 | 1 | |a Sainsbury, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Denniston, Alastair K |e verfasserin |4 aut | |
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| 700 | 1 | |a Toulis, Konstantinos A |e verfasserin |4 aut | |
| 700 | 1 | |a Karamat, Muhammad Ali |e verfasserin |4 aut | |
| 700 | 1 | |a Yao, Mi |e verfasserin |4 aut | |
| 700 | 1 | |a Nirantharakumar, Krishnarajah |e verfasserin |4 aut | |
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