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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
Main Authors: 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.
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container_title Journal of endocrinological investigation
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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
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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  &lt; 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 &amp; 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  &lt; 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 &amp; 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. 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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  &lt; 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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