Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey.

作者: Young-Hoon Lee

DOI: 10.1371/JOURNAL.PONE.0191496

关键词: Socioeconomic statusYoung adultDiabetes mellitusConfidence intervalDemographyMedicineCommunity healthPublic healthOdds ratioDiabetic retinopathy

摘要: We investigated the association between socioeconomic status (SES) and screening for diabetic retinopathy (DR) nephropathy (DN) in community-dwelling diabetics. analyzed data from 22,134 people with diabetes aged ≥19 years at time of nationwide 2015 Korean Community Health Survey. Multiple logistic regression analysis was used to explore relationship SES DR DN both before after adjustment health behaviors, comorbidities, educational level. Of all subjects, 33.9% 38.1% underwent screening, respectively. In fully adjusted model, extent trended significantly lower as level fell. Monthly household income positively associated but a odds ratio (OR) evident only when lowest highest groups were compared. Compared managers/professionals, agricultural/forestry/fishery workers (OR 0.81, 95% confidence interval [CI] 0.69-0.96) mechanical/manual laborers 0.83, CI 0.71-0.97) had ORs screening. Residents rural (compared urban) areas widows/widowers members couples) less likely undergo DN. Similar findings obtained limited those who been educated about diabetes. conclusion, inequalities terms diabetics, regardless whether they reported receiving education. Tailored public policies (and societal attention) are required aid socioeconomically disadvantaged.

参考文章(34)
Lina Balluz, Ann Ussery-Hall, Danyael Garcia, Alyssa Easton, William Garvin, Justin Vigeant, Goldie McDonald, Fred Ramsey, Maisha Kambon, Prevalence of selected risk behaviors and chronic diseases--Behavioral Risk Factor Surveillance System (BRFSS), 39 steps communities, United States, 2005. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002). ,vol. 57, pp. 1- 20 ,(2008)
Wayne J. Katon, Siobhan Everson-Stewart, Paul Ciechanowski, Edward J. Boyko, Evette J. Ludman, Michael Von Korff, Elizabeth Lin, Greg Simon, Malia Oliver, Leslie Kinder, Bessie Ann Young, Diabetes complications severity index and risk of mortality, hospitalization, and healthcare utilization. The American Journal of Managed Care. ,vol. 14, pp. 15- 23 ,(2008)
Edgar V. Lerma, Armand Krikorian, Andrew Kowalski, Diabetic Nephropathy for the Primary Care Provider: New Understandings on Early Detection and Treatment The Ochsner journal. ,vol. 14, pp. 369- 379 ,(2014)
Maria A. Woodward, Patricia Ple-plakon, Taylor Blachley, David C. Musch, Paula Anne Newman-Casey, Lindsey B. De Lott, Paul P. Lee, Eye Care Providers' Attitudes Towards Tele-ophthalmology Telemedicine Journal and E-health. ,vol. 21, pp. 271- 273 ,(2015) , 10.1089/TMJ.2014.0115
Jennifer R Evans, Manuele Michelessi, Gianni Virgili, Laser photocoagulation for proliferative diabetic retinopathy. Cochrane Database of Systematic Reviews. ,vol. 2014, ,(2014) , 10.1002/14651858.CD011234.PUB2
Ki Dong Ko, Bo Hyun Kim, Sang Min Park, Soo In Oh, Chun Sik Um, Dong Wook Shin, Hae Won Lee, None, What are patient factors associated with the quality of diabetes care?: results from the Korean National Health and Nutrition Examination Survey. BMC Public Health. ,vol. 12, pp. 689- 689 ,(2012) , 10.1186/1471-2458-12-689
Seong-Woo Choi, Jung-Ae Rhee, Jun-Ho Shin, Min-Ho Shin, [The comparison of health behaviors between widowed women and married women in Jeollanamdo Province, Korea]. Journal of Preventive Medicine and Public Health. ,vol. 41, pp. 272- 278 ,(2008) , 10.3961/JPMPH.2008.41.4.272
K Venkataraman, HL Wee, MKS Leow, ES Tai, J Lee, SC Lim, S Tavintharan, TY Wong, S Ma, D Heng, J Thumboo, None, Associations between complications and health-related quality of life in individuals with diabetes. Clinical Endocrinology. ,vol. 78, pp. 865- 873 ,(2013) , 10.1111/J.1365-2265.2012.04480.X
Norman J Johnson, Eric Backlund, Paul D Sorlie, Catherine A Loveless, Marital status and mortality: the national longitudinal mortality study. Annals of Epidemiology. ,vol. 10, pp. 224- 238 ,(2000) , 10.1016/S1047-2797(99)00052-6