Socioeconomic differences in diabetes-related mortality in the Brussels-Capital Region (2001-05)

    Onderzoeksoutput: Meeting abstract (Book)

    Samenvatting

    Objective
    The aim of this study is to identify socio-economic (SE) differences in premature diabetes mortality in men and women aged 25 to 74. To capture the real burden of diabetes, both death certificates with diabetes as underlying (UCOD) and multiple (MCOD) cause of death (any mention of diabetes) are analysed.

    Methods
    The data consist of a cohort study linking the 2001 census to emigration and mortality data for the period 2001-05. The study population comprises all inhabitants of the Brussels-Capital Region aged 25-74 (N=598,578). The total number of diabetes-related deaths is 720. Indicators of socio-economic status (SES) are educational attainment (immaterial dimension) and housing quality (material dimension). Age-adjusted mortality rates are calculated using direct standardisation. Diabetes mortality rate ratios (MRR) are obtained through Poisson regression models.

    Results
    Overall, a lower SES is associated with higher diabetes mortality. According to the indicator of SES used, the strength of the association differs. In men, an inverse educational gradient is observed. Men with primary or no formal education have a MRRMCOD of 2.4 (95% CI 1.8-3.3) compared to those who attained higher education. In women, the lowest educated - primary or no formal education - have a 6 times higher RR of dying from diabetes compared to women with higher education (RRMCOD=6.0; 95% CI 3.2-11.3). However, the relation between education and diabetes mortality is not linear. Further analyses point in the direction of an exclusion mechanism. A linear gradient between housing quality and diabetes mortality is observed for both men and women. In women, the gradient is steeper than in men.

    Conclusion
    The results of this study show considerable SE differences in diabetes mortality. Health interventions targeting both the gradient and the most disadvantaged groups are necessary to avoid premature diabetes mortality
    Originele taal-2English
    TitelPaper presented at the European Population Conference
    StatusPublished - 13 jun 2012
    EvenementEuropean Population Conference 2012 - Stockholm, Sweden
    Duur: 13 jun 201216 jun 2012

    Conference

    ConferenceEuropean Population Conference 2012
    Verkorte titelEPC 2012
    Land/RegioSweden
    StadStockholm
    Periode13/06/1216/06/12
    AnderGender, Politics and Population

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