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Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)
Introduction Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sampl...
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Published in: | Journal of endocrinological investigation 2016-05, Vol.39 (5), p.515-522 |
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creator | Asadi-Lari, M. Khosravi, A. Nedjat, S. Mansournia, M. A. Majdzadeh, R. Mohammad, K. Vaez-Mahdavi, M. R. Faghihzadeh, S. Haeri Mehrizi, A. A. Cheraghian, B. |
description | Introduction
Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011.
Methods
In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis.
Results
The estimated prevalence of self-reported diabetes was 4.98 % overall, 4.76 %in men and 5.19 % in women (
P
|
doi_str_mv | 10.1007/s40618-015-0384-6 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1781539310</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1781539310</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-13e1c134a991be3ca6e0932b9d909a9d84b808c430fadc574c91ec53bb8b9c103</originalsourceid><addsrcrecordid>eNp9kctu1TAQhiNERS_wAGyQl-3CYMdOYrOrql6QKiGV07U1tieHVI4d7ASpj8ObknNOQaxY2Zr55rc8X1W95-wjZ6z7VCRruaKMN5QJJWn7qjrhXc2oEqp9_c_9uDot5Ykx0QnVvamO61Y0msvmpPr1LbkhoUsxjYMjZYZ5KQSiJ1PGnxAwOiSpJwVDTzNOKc_oiR_A4owrOKa4JeCXMBcyRLLB7xniZ5Kx7Et9TiMBEiBvkUxpWgLMQ4rUQlljXE6l0IJuV4Owvr74Z3L-mC1Ecnd9-bCh9cXb6qiHUPDdy3lWPd5cb67u6P3X2y9Xl_fUCSlnygVyx4UErblF4aBFpkVttddMg_ZKWsWUk4L14F3TSac5ukZYq6x2nImz6vyQO-X0Y8Eym3EoDkOAiGkphneKN0KLPcoP6P4DGXsz5WGE_Gw4Mzsz5mDGrGbMzoxp15kPL_GLHdH_nfijYgXqA1DWVtxiNk9pyetayn9SfwPDNJuV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781539310</pqid></control><display><type>article</type><title>Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)</title><source>Springer Nature</source><creator>Asadi-Lari, M. ; Khosravi, A. ; Nedjat, S. ; Mansournia, M. A. ; Majdzadeh, R. ; Mohammad, K. ; Vaez-Mahdavi, M. R. ; Faghihzadeh, S. ; Haeri Mehrizi, A. A. ; Cheraghian, B.</creator><creatorcontrib>Asadi-Lari, M. ; Khosravi, A. ; Nedjat, S. ; Mansournia, M. A. ; Majdzadeh, R. ; Mohammad, K. ; Vaez-Mahdavi, M. R. ; Faghihzadeh, S. ; Haeri Mehrizi, A. A. ; Cheraghian, B.</creatorcontrib><description>Introduction
Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011.
Methods
In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis.
Results
The estimated prevalence of self-reported diabetes was 4.98 % overall, 4.76 %in men and 5.19 % in women (
P
< 0.003). In multivariate analysis, age, marital status (married and divorced/widow) and BMI were positively associated with the prevalence of self-reported diabetes. Of the socioeconomic variables, educational level and wealth status were negatively and Townsend Index was positively associated with diabetes.
Conclusion
Our study findings highlight low reported prevalence of diabetes among adults in Tehran. Subjects with low socioeconomic status (SES) had a higher prevalence of type 2 diabetes. Weight gain and obesity were the most important risk factors associated with type 2 diabetes. Wealth index and educational level were better socioeconomic indicators for presenting the inequality in diabetes prevalence in relation to Townsend deprivation index.</description><identifier>ISSN: 1720-8386</identifier><identifier>EISSN: 1720-8386</identifier><identifier>DOI: 10.1007/s40618-015-0384-6</identifier><identifier>PMID: 26359145</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 - epidemiology ; Endocrinology ; Female ; Humans ; Iran - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Original Article ; Prevalence ; Risk Factors ; Self Report ; Social Class ; Young Adult</subject><ispartof>Journal of endocrinological investigation, 2016-05, Vol.39 (5), p.515-522</ispartof><rights>Italian Society of Endocrinology (SIE) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-13e1c134a991be3ca6e0932b9d909a9d84b808c430fadc574c91ec53bb8b9c103</citedby><cites>FETCH-LOGICAL-c344t-13e1c134a991be3ca6e0932b9d909a9d84b808c430fadc574c91ec53bb8b9c103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26359145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asadi-Lari, M.</creatorcontrib><creatorcontrib>Khosravi, A.</creatorcontrib><creatorcontrib>Nedjat, S.</creatorcontrib><creatorcontrib>Mansournia, M. A.</creatorcontrib><creatorcontrib>Majdzadeh, R.</creatorcontrib><creatorcontrib>Mohammad, K.</creatorcontrib><creatorcontrib>Vaez-Mahdavi, M. R.</creatorcontrib><creatorcontrib>Faghihzadeh, S.</creatorcontrib><creatorcontrib>Haeri Mehrizi, A. A.</creatorcontrib><creatorcontrib>Cheraghian, B.</creatorcontrib><title>Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)</title><title>Journal of endocrinological investigation</title><addtitle>J Endocrinol Invest</addtitle><addtitle>J Endocrinol Invest</addtitle><description>Introduction
Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011.
Methods
In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis.
Results
The estimated prevalence of self-reported diabetes was 4.98 % overall, 4.76 %in men and 5.19 % in women (
P
< 0.003). In multivariate analysis, age, marital status (married and divorced/widow) and BMI were positively associated with the prevalence of self-reported diabetes. Of the socioeconomic variables, educational level and wealth status were negatively and Townsend Index was positively associated with diabetes.
Conclusion
Our study findings highlight low reported prevalence of diabetes among adults in Tehran. Subjects with low socioeconomic status (SES) had a higher prevalence of type 2 diabetes. Weight gain and obesity were the most important risk factors associated with type 2 diabetes. Wealth index and educational level were better socioeconomic indicators for presenting the inequality in diabetes prevalence in relation to Townsend deprivation index.</description><subject>Adult</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Humans</subject><subject>Iran - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Social Class</subject><subject>Young Adult</subject><issn>1720-8386</issn><issn>1720-8386</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhiNERS_wAGyQl-3CYMdOYrOrql6QKiGV07U1tieHVI4d7ASpj8ObknNOQaxY2Zr55rc8X1W95-wjZ6z7VCRruaKMN5QJJWn7qjrhXc2oEqp9_c_9uDot5Ykx0QnVvamO61Y0msvmpPr1LbkhoUsxjYMjZYZ5KQSiJ1PGnxAwOiSpJwVDTzNOKc_oiR_A4owrOKa4JeCXMBcyRLLB7xniZ5Kx7Et9TiMBEiBvkUxpWgLMQ4rUQlljXE6l0IJuV4Owvr74Z3L-mC1Ecnd9-bCh9cXb6qiHUPDdy3lWPd5cb67u6P3X2y9Xl_fUCSlnygVyx4UErblF4aBFpkVttddMg_ZKWsWUk4L14F3TSac5ukZYq6x2nImz6vyQO-X0Y8Eym3EoDkOAiGkphneKN0KLPcoP6P4DGXsz5WGE_Gw4Mzsz5mDGrGbMzoxp15kPL_GLHdH_nfijYgXqA1DWVtxiNk9pyetayn9SfwPDNJuV</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Asadi-Lari, M.</creator><creator>Khosravi, A.</creator><creator>Nedjat, S.</creator><creator>Mansournia, M. A.</creator><creator>Majdzadeh, R.</creator><creator>Mohammad, K.</creator><creator>Vaez-Mahdavi, M. R.</creator><creator>Faghihzadeh, S.</creator><creator>Haeri Mehrizi, A. A.</creator><creator>Cheraghian, B.</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)</title><author>Asadi-Lari, M. ; Khosravi, A. ; Nedjat, S. ; Mansournia, M. A. ; Majdzadeh, R. ; Mohammad, K. ; Vaez-Mahdavi, M. R. ; Faghihzadeh, S. ; Haeri Mehrizi, A. A. ; Cheraghian, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-13e1c134a991be3ca6e0932b9d909a9d84b808c430fadc574c91ec53bb8b9c103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Humans</topic><topic>Iran - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Social Class</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asadi-Lari, M.</creatorcontrib><creatorcontrib>Khosravi, A.</creatorcontrib><creatorcontrib>Nedjat, S.</creatorcontrib><creatorcontrib>Mansournia, M. A.</creatorcontrib><creatorcontrib>Majdzadeh, R.</creatorcontrib><creatorcontrib>Mohammad, K.</creatorcontrib><creatorcontrib>Vaez-Mahdavi, M. R.</creatorcontrib><creatorcontrib>Faghihzadeh, S.</creatorcontrib><creatorcontrib>Haeri Mehrizi, A. A.</creatorcontrib><creatorcontrib>Cheraghian, B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endocrinological investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asadi-Lari, M.</au><au>Khosravi, A.</au><au>Nedjat, S.</au><au>Mansournia, M. A.</au><au>Majdzadeh, R.</au><au>Mohammad, K.</au><au>Vaez-Mahdavi, M. R.</au><au>Faghihzadeh, S.</au><au>Haeri Mehrizi, A. A.</au><au>Cheraghian, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)</atitle><jtitle>Journal of endocrinological investigation</jtitle><stitle>J Endocrinol Invest</stitle><addtitle>J Endocrinol Invest</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>39</volume><issue>5</issue><spage>515</spage><epage>522</epage><pages>515-522</pages><issn>1720-8386</issn><eissn>1720-8386</eissn><abstract>Introduction
Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011.
Methods
In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis.
Results
The estimated prevalence of self-reported diabetes was 4.98 % overall, 4.76 %in men and 5.19 % in women (
P
< 0.003). In multivariate analysis, age, marital status (married and divorced/widow) and BMI were positively associated with the prevalence of self-reported diabetes. Of the socioeconomic variables, educational level and wealth status were negatively and Townsend Index was positively associated with diabetes.
Conclusion
Our study findings highlight low reported prevalence of diabetes among adults in Tehran. Subjects with low socioeconomic status (SES) had a higher prevalence of type 2 diabetes. Weight gain and obesity were the most important risk factors associated with type 2 diabetes. Wealth index and educational level were better socioeconomic indicators for presenting the inequality in diabetes prevalence in relation to Townsend deprivation index.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26359145</pmid><doi>10.1007/s40618-015-0384-6</doi><tpages>8</tpages></addata></record> |
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subjects | Adult Aged Cross-Sectional Studies Diabetes Mellitus, Type 2 - epidemiology Endocrinology Female Humans Iran - epidemiology Male Medicine Medicine & Public Health Metabolic Diseases Middle Aged Original Article Prevalence Risk Factors Self Report Social Class Young Adult |
title | Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2) |
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