PMID- 20869343
OWN - NLM
STAT- MEDLINE
DCOM- 20110325
LR  - 20221207
IS  - 1878-0210 (Electronic)
IS  - 1878-0210 (Linking)
VI  - 4
IP  - 4
DP  - 2010 Dec
TI  - The relationship between socioeconomic deprivation and metabolic/cardiovascular 
      risk factors in a cohort of patients with type 2 diabetes mellitus.
PG  - 241-9
LID - 10.1016/j.pcd.2010.08.004 [doi]
AB  - AIM: There is conflicting information on the impact of socioeconomic deprivation 
      on outcomes in diabetes. Our aim was to study the relationship between 
      socioeconomic deprivation and clinical outcome indicators in a patient cohort 
      with type 2 diabetes mellitus [T2DM]. METHODS: We recruited a random sample of 
      446 patients with T2DM [57% male] stratified by Income Deprivation Measure. Data 
      on patient specific socioeconomic status, educational attainment, behaviour and 
      attitudes were gathered by patient interview. Data analysis was by logistic and 
      linear regression with correction for age, gender and duration of diabetes. 
      RESULTS: The study cohort showed high levels of deprivation with 80% reporting a 
      household annual income of < pound20,000 and 69.5% having no formal educational 
      qualification. The cohort was actively managed with high usage of lipid lowering 
      [90.1%], antihypertensive [80.6%] and antiplatelet agents [78%] and 
      correspondingly good control of modifiable risk factors: HbA1c 7.6 [1.4]%, 
      systolic blood pressure 134.2 [20.6], diastolic blood pressure 72.7 [11.2]mmHg, 
      total cholesterol 4.0 [0.9]mmol/L. Socioeconomic disadvantage was strongly 
      related to measures of integration and attitude to diabetes. Despite this there 
      were no significant or consistent relationships between Income Deprivation 
      Measure/self-reported annual household income/educational attainment on metabolic 
      or cardiovascular risk factors. CONCLUSIONS: Successful management of modifiable 
      risk factors can be achieved in a way that is independent of socioeconomic 
      position.
CI  - Copyright (c) 2010 Primary Care Diabetes Europe. Published by Elsevier Ltd. All 
      rights reserved.
FAU - O'Kane, Maurice J
AU  - O'Kane MJ
AD  - Diabetes Clinic, Altnagelvin Hospital, Londonderry, Northern Ireland, United 
      Kingdom. Maurice.OKane@westerntrust.hscni.net
FAU - McMenamin, Mary
AU  - McMenamin M
FAU - Bunting, Brendan P
AU  - Bunting BP
FAU - Moore, Adrian
AU  - Moore A
FAU - Coates, Vivien E
AU  - Coates VE
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Prim Care Diabetes
JT  - Primary care diabetes
JID - 101463825
RN  - 0 (Antihypertensive Agents)
RN  - 0 (Biomarkers)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (Hypoglycemic Agents)
RN  - 0 (Hypolipidemic Agents)
RN  - 0 (Platelet Aggregation Inhibitors)
RN  - 0 (hemoglobin A1c protein, human)
RN  - 97C5T2UQ7J (Cholesterol)
SB  - IM
MH  - Antihypertensive Agents/therapeutic use
MH  - Biomarkers/blood
MH  - Blood Pressure
MH  - Cardiovascular Diseases/blood/epidemiology/physiopathology/*prevention & control
MH  - Cholesterol/blood
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/blood/*drug therapy/epidemiology/physiopathology
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Hypoglycemic Agents/therapeutic use
MH  - Hypolipidemic Agents/therapeutic use
MH  - Linear Models
MH  - Logistic Models
MH  - Male
MH  - Metabolic Syndrome/blood/*drug therapy/epidemiology/physiopathology
MH  - Northern Ireland/epidemiology
MH  - Outpatient Clinics, Hospital
MH  - Platelet Aggregation Inhibitors/therapeutic use
MH  - *Poverty
MH  - Registries
MH  - Risk Assessment
MH  - Risk Factors
MH  - *Socioeconomic Factors
EDAT- 2010/09/28 06:00
MHDA- 2011/03/26 06:00
CRDT- 2010/09/28 06:00
PHST- 2010/04/01 00:00 [received]
PHST- 2010/08/13 00:00 [revised]
PHST- 2010/08/19 00:00 [accepted]
PHST- 2010/09/28 06:00 [entrez]
PHST- 2010/09/28 06:00 [pubmed]
PHST- 2011/03/26 06:00 [medline]
AID - S1751-9918(10)00115-4 [pii]
AID - 10.1016/j.pcd.2010.08.004 [doi]
PST - ppublish
SO  - Prim Care Diabetes. 2010 Dec;4(4):241-9. doi: 10.1016/j.pcd.2010.08.004.