Evidence map›Paper›PMID 28277046›Full record

ArticleScandinavian journal of primary health care2017

Social disparities in diabetes care: a general population study in Denmark.

Andreas Heltberg, John Sahl Andersen, Jakob Kragstrup, Volkert Siersma, Håkon Sandholdt, Christina Ellervik

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  11. Racial/Ethnic and Educational Disparities in the Impact of Diabetes on Population Health Among the U.S.-Born Population.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  12. Modernizing Diabetes Care Quality Measures.Health affairs (Project Hope) · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Andreas Heltberga Section of General Practice, Department of Public Health and Research Unit for General Practice , Copenhagen University , Copenhagen , Denmark.
John Sahl Andersena Section of General Practice, Department of Public Health and Research Unit for General Practice , Copenhagen University , Copenhagen , Denmark.
Jakob Kragstrupa Section of General Practice, Department of Public Health and Research Unit for General Practice , Copenhagen University , Copenhagen , Denmark.
Volkert Siersmaa Section of General Practice, Department of Public Health and Research Unit for General Practice , Copenhagen University , Copenhagen , Denmark.
Håkon Sandholdta Section of General Practice, Department of Public Health and Research Unit for General Practice , Copenhagen University , Copenhagen , Denmark.
Christina Ellervikb The General Population Study , Nykøbing Falster Hospital , Nykøbing Falster, Denmark.
University of Copenhagen · DKBoston Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the association between socioeconomic factors and the attainment of treatment goals and pharmacotherapy in patients with type 2 diabetes in Denmark.

designA cross-sectional population study.

settingThe municipality of Naestved, Denmark. SUBJECTS: We studied 907 patients with type 2 diabetes identified from a random sample of 21,205 Danish citizens.

main outcome measuresThe proportion of patients who were not achieving goals for diabetes care based on their HbA

methodsWe investigated the association of the socioeconomic factors such as age, gender, education, occupation, income, and civil status and attainment of treatment goals and pharmacotherapy in logistic regression analyses. We investigated effect modification of cardiovascular disease and kidney disease.

resultsMiddle age (40-65 years), low education level (i.e. basic schooling), and low household income (i.e. less than 21,400 € per year) were associated with nonattainment of goals for diabetes care. The association of socioeconomic factors with attainment of individual treatment goals varied. Patients with low socioeconomic status were more often obese, physically inactive, smoking, and had elevated blood pressure. Socioeconomic factors were not associated with treatment goals for hyperglycemia. Socioeconomic factors were inconsistently associated with pharmacotherapy. There was no difference in contacts to general practitioners according to SES.

conclusionsIn a country with free access to health care, the socioeconomic factors such as middle age, low education, and low income were associated with nonattainment of goals for diabetes care. KEY POINTS Middle age, low education, and low income were associated with nonattainment of goals for diabetes care, especially for lifestyle goals. Patients with low socioeconomic status were more often obese, physically inactive, smoking, and had elevated blood pressure. Association of socioeconomic factors with pharmacotherapy was inconsistent.

Indexed as

Educational StatusGoalsHealthcare DisparitiesIncomeLife StyleSocial ClassAdultAgedAged, 80 and overAge FactorsAnticholesteremic AgentsAntihypertensive AgentsBlood PressureCardiovascular DiseasesCross-Sectional StudiesDenmarkAnticholesteremic AgentsAntihypertensive AgentsGlycated HemoglobinHypoglycemic AgentsDenmarkgeneral practicehealth carelifestylesocioeconomic statusType 2 diabetes mellitus

Identifiers

PMID28277046
PMCPMC5361420
OpenAlexW2592516204

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LicenceCC BY-NC
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Registered trials

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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.