ArticlePloS one2017
Socioeconomic status and type 2 diabetes complications among young adult patients in Japan.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Prevalence and Progression of Microvascular Complications and the Interaction With Ethnicity and Socioeconomic Status in People With Type 2 Diabetes: A Systematic Review and Meta-Analysis.Journal of diabetes research · 2025Pooled it
- From Trials to Practice: Implementing a Clinical Intervention in Community Settings.Journal of primary care & community healthTrial
- Trends in self-reported current diabetes care use, socioeconomic inequalities, and associated factors in Japan: evidence from the Comprehensive Survey of Living Conditions (1986-2022).BMJ open diabetes research & care · 2026Article
- Association between health literacy and the need for hemodialysis in patients with type 2 diabetes: a case-control study.Scientific reports · 2026Article
- The difference in type 2 diabetes care between the National Health Insurance beneficiaries and public assistance recipients in Japan: A retrospective cohort study based on claims data in a municipality.Journal of diabetes investigation · 2026Observational
- Socioeconomic inequalities and diabetes complications: an analysis of administrative data from Hungary.European journal of public health · 2025Article
- Social determinants of health and type 2 diabetes in Asia.Journal of diabetes investigation · 2025Review
- Association Between Socio-Economic Status (SES) and the Traditional Risk Factors of Cardiovascular Diseases (CVD): A Cross-Sectional MASHAD Cohort Study Results.Health science reports · 2025Article
- Association of socioeconomic status with diabetic microvascular complications: a UK Biobank prospective cohort study.Diabetology & metabolic syndrome · 2025Article
- Recipients of public assistance with advanced chronic kidney disease: insights into receiving a presentation of kidney replacement therapy options and polypharmacy from Japanese investigators with innovative network about kidney disease study.Clinical and experimental nephrology · 2025Article
- Associations between income/employment status and diabetes care processes, health behaviors, and health outcomes in Japan: A cross-sectional study using claims data linked to a questionnaire survey.Journal of diabetes investigation · 2024Article
- Young-onset type 2 diabetes mellitus enhances proteinuria, but not glomerular filtration rate decline: A Japanese cohort study.Journal of diabetes investigation · 2024Article
- The relationship between loneliness and blood glucose: a cross-sectional survey among Japanese.BMC research notes · 2024Article
- Health Statuses of People in Poverty Receiving Public Assistance in Japan: A Scoping Review.JMA journal · 2024Article
- Association between the Decrease in Medical Visit Frequency and Chronic Disease Worsening in the Early Stages of COVID-19 - A Longitudinal Study.Internal medicine (Tokyo, Japan) · 2024Article
- Diabetes control in public assistance recipients and free/low-cost medical care program beneficiaries in Japan: a retrospective cross-sectional study.BMJ public health · 2024Article
- Social deprivation and diabetic kidney disease: A European view.Journal of diabetes investigation · 2024Review
- The impact of social deprivation on development and progression of diabetic kidney disease.HRB open research · 2024Article
- Building a multistate model from electronic health records data for modeling long-term diabetes complications.Journal of clinical and translational science · 2024Article
- The burden of type 2 diabetes in adolescents and young adults in Mexico: analysis from the Global Burden of Disease Study, 1990 to 2019.Journal of diabetes and metabolic disorders · 2023Article
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Authors and funding
13 authors.
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Abstract
objectiveTo assess the relationship between socioeconomic status (SES) and complications of type 2 diabetes among young adults in Japan.
designA cross-sectional study.
settingOutpatient wards of 96 member hospitals and clinics of the Japan Federation of Democratic Medical Institutions.
participantsA total of 782 outpatients with type 2 diabetes (525 males, 257 females), aged 20-40 years as of March 31, 2012. After excluding 110 participants whose retinopathy diagnosis was in question, 672 participants were analyzed. MEASUREMENTS: We examined the relations between SES (educational level, income, type of public healthcare insurance, and employment status) and diabetes complications (retinopathy and nephropathy) using a multivariate logistic regression analysis.
resultsThe prevalence of type 2 diabetic retinopathy was 23.2%, while that of nephropathy was 8.9%. The odds of having retinopathy were higher among junior high school graduates (OR 1.91, 95% CI 1.09-3.34), patients receiving public assistance (OR 2.19, 95% CI 1.20-3.95), and patients with irregular (OR 1.72, 95% CI 1.03-2.86) or no employment (OR 2.23, 95% CI 1.36-3.68), compared to those with a higher SES, even after covariate adjustment (e.g., age, gender, body mass index). Similarly, the odds of having nephropathy were higher among patients with middle (OR 3.61, 95% CI 1.69-8.27) or low income levels (OR 2.53, 95% CI 1.11-6.07), even after covariate adjustment.
conclusionsLow SES was associated with a greater likelihood of type 2 diabetes complications in young adults. These findings suggest the necessity of health policies that mitigate socioeconomic disparity and thereby reduce the prevalence of diabetic complications.
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