ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2010
Income-related differences in mortality among people with diabetes mellitus.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Pooled it
- Material need support interventions for diabetes prevention and control: a systematic review.Current diabetes reports · 2015Pooled it
- Rurality and Neighborhood Socioeconomic Status are Associated With Overall and Cause-Specific Mortality and Hepatic Decompensation in Type 2 Diabetes.The American journal of medicine · 2025Article
- Unveiling inequalities: Racial, ethnic, and socioeconomic disparities in diabetes: Findings from the 2007-2020 NHANES data among U.S. adults.Preventive medicine reports · 2025Article
- Income-Related Disparities in Mortality Among Young Adults With Type 2 Diabetes.JAMA network open · 2024Article
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- Preventive care recommendations to promote health equity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Insulin Secretory Actions of Ethanol Extract ofMetabolites · 2022Article
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- Cardiometabolic comorbidities and epidemiological features among rural Chinese elderly people.Aging clinical and experimental research · 2020Article
- Article
- Assessing the performance of the generalized propensity score for estimating the effect of quantitative or continuous exposures on binary outcomes.Statistics in medicine · 2018Article
- Socioeconomic Status and Glycemic Control in Type 2 Diabetes; Race by Gender Differences.Healthcare (Basel, Switzerland) · 2017Article
- Observational
- The influence of diabetes distress on digital interventions for diabetes management in vulnerable people with type 2 diabetes: A qualitative study of patient perspectives.Journal of clinical & translational endocrinology · 2017Article
- Article
- Relative and combined effects of socioeconomic status and diabetes on mortality: A nationwide cohort study.Medicine · 2016Article
- Increasing incidence of anogenital warts with an urban-rural divide among males in Manitoba, Canada, 1990-2011.BMC public health · 2016Article
- The social determinants of health for people with type 1 diabetes that progress to end-stage renal disease.Health expectations : an international journal of public participation in health care and health policy · 2015Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
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Abstract
backgroundMortality has declined substantially among people with diabetes mellitus over the last decade. Whether all income groups have benefited equally, however, is unclear. We examined the impact of income on mortality trends among people with diabetes.
methodsIn this population-based, retrospective cohort study, we compared changes in mortality from Apr. 1, 1994, to Mar. 31, 2005, by neighbourhood income strata among people with diabetes aged 30 years or more in the province of Ontario, Canada.
resultsOverall, the annual age- and sex-adjusted mortality declined, from 4.05% in 1994/95 (95% confidence interval [CI] 3.98%-4.11%) to 2.69% in 2005/06 (95% CI 2.66%-2.73%). The decrease was significantly greater in the highest income group (by 36%) than in the lowest income group (by 31%; p < 0.001). This trend was most pronounced in the younger group (age 30-64 years): the mortality rate ratio widened by more than 40% between the lowest and highest income groups, from 1.12 to 1.59 among women and from 1.14 to 1.60 among men. Income had a much smaller effect on mortality trends in the older group, whose drug costs are subsidized: the income-related difference rose by only 0.9% over the study period.
interpretationMortality declined overall among people with diabetes from 1994 to 2005; however, the decrease was substantially greater in the highest income group than in the lowest, particularly among those aged 30-64 years. These findings illustrate the increasing impact of income on the health of people with diabetes even in a publicly funded health care setting. Further studies are needed to explore factors responsible for these income-related differences in mortality.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.