ArticleJournal of epidemiology and community health2016
Socioeconomic status, comorbidity and mortality in patients with type 2 diabetes mellitus in Scotland 2004-2011: a cohort study.
Article in Journal of epidemiology and community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic Inequalities and Type 2 Diabetes Comorbidities: A Systematic Review and Meta-Analysis on Observational Studies.Endocrinology, diabetes & metabolism · 2026Pooled it
- Associations between multimorbidity, all-cause mortality and glycaemia in people with type 2 diabetes: A systematic review.PloS one · 2018Pooled it
- Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study).BMC public health · 2023Trial
- Socio-demographic determinants and effect of structured personal diabetes care: a 19-year follow-up of the randomized controlled study diabetes Care in General Practice (DCGP).BMC endocrine disorders · 2017Trial
- The Effect of Individual and Neighbourhood Socioeconomic Status on Diabetes Mellitus Survival in Working Age Patients in Taiwan.PloS one · 2017Trial
- Sex differences in the associations between socioeconomic status and all-cause mortality in Chinese adults with abnormal glucose metabolism: a prospective study.BMC public health · 2025Article
- Association between ethnicity and emergency department visits in the last three months of life in England: a retrospective population-based study using electronic health records.BMJ public health · 2024Article
- Retrospective cohort study of the association between socioeconomic deprivation and incidence of gestational diabetes and perinatal outcomes.BMC public health · 2024Article
- Effect of socioeconomic status on survival in patients on the Diabetes Shared Care Program: Finding from a Taiwan nationwide cohort.Journal of the Chinese Medical Association : JCMA · 2022Article
- Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study.Journal of clinical medicine · 2021Article
- Association of peripheral artery disease and chronic limb-threatening ischemia with socioeconomic deprivation in people with diabetes: A population data-linkage and geospatial analysis.Vascular medicine (London, England) · 2021Article
- Access to hip and knee replacement surgery in patients with chronic diseases according to patient-reported pain and functional status.BMC health services research · 2020Article
- Geospatial mapping and data linkage uncovers variability in outcomes of foot disease according to multiple deprivation: a population cohort study of people with diabetes.Diabetologia · 2020Article
- Socioeconomic inequalities in cardiometabolic control in patients with type 2 diabetes.BMC public health · 2018Article
- Development and validation of a Medicines Comorbidity Index for older people.European journal of clinical pharmacology · 2017Article
- Social disparities in diabetes care: a general population study in Denmark.Scandinavian journal of primary health care · 2017Article
- Views on the ethical struggle for universal, high quality, affordable health care and its relevance for gerontology.Experimental gerontology · 2017Review
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Authors and funding
7 authors.
Funding
Abstract
backgroundMortality in people with and without diabetes often exhibits marked social patterning, risk of death being greater in deprived groups. This may reflect deprivation-related differences in comorbid disease (conditions additional to diabetes itself). This study sought to determine whether the social patterning of mortality in a population with type 2 diabetes mellitus (T2DM) is explained by differential comorbidity.
methodsHospital records for 70 197 men and 56 451 women diagnosed with T2DM at 25 years of age and above in Scotland during the period 2004-2011 were used to construct comorbidity histories. Sex-specific logistic models were fitted to predict mortality at 1 year after diagnosis with T2DM, predicted initially by age and socioeconomic status (SES) then extended to incorporate in turn 5 representations of comorbidity (including the Charlson Index). The capacity of comorbidity to explain social mortality gradients was assessed by observing the change in regression coefficients for SES following the addition of comorbidity.
resultsAfter adjustment for age and Charlson Index, the OR for the contrast between the least deprived and most deprived quintiles of SES for men was 0.79 (95% CI 0.67 to 0.94). For women, the OR was 0.81 (0.67 to 0.97). Similar results were obtained for the 4 other comorbidity measures used.
conclusionsThe social patterning of mortality in people with T2DM is not fully explained by differing levels of comorbid disease additional to T2DM itself. Other dimensions of deprivation are implicated in the elevated death rates observed in deprived groups of people with T2DM.
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