Evidence map›Paper›PMID 29170882›Full record

SynthesisInternational journal of public health2018

The association of unemployment with glucose metabolism: a systematic review and meta-analysis.

Tuulia Varanka-Ruuska, Nina Rautio, Heli Lehtiniemi, Jouko Miettunen, Sirkka Keinänen-Kiukaanniemi, Sylvain Sebert, Leena Ala-Mursula

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Social determinants of health and type 2 diabetes in Asia.Journal of diabetes investigation · 2025
    Review
  13. Observational
  14. Article
  15. [Socio-medical assessment: an inventory of the Medical Service of the Federal Employment Agency].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Article
  16. Article
  17. Review
  18. Perspective: Acknowledging a Hierarchy of Social Needs in Diabetes Clinical Care and Prevention.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
  19. Article
  20. Article
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

7 authors at 3 institutions in 2 countries.

Tuulia Varanka-RuuskaCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland. tuulia.varanka-ruuska@oulu.fi.
Nina RautioCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
Heli LehtiniemiCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
Jouko MiettunenCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
Sirkka Keinänen-KiukaanniemiCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
Sylvain SebertCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
Leena Ala-MursulaCenter for Life Course Health Research, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.
University of Oulu · FIOulu University Hospital · FIImperial College London · GB

Funding

Academy of Finland #268336Horizon 2020 633595Horizon 2020 No 633595
6 · The paper itself

Abstract

objectivesUnemployment has been linked with poor health. We hypothesized that being unemployed is associated with disorders of glucose metabolism and performed a systematic review and meta-analysis of the literature to ascertain the relationship.

methodsWe searched the databases of Scopus, Medline Ovid and Web of Science for population-based original studies for past 20 years. Random effects meta-analyses were used to estimate odds ratios (OR) with 95% confidence intervals (CI) for prediabetes and type 2 diabetes among the unemployed as compared to those employed, separately for men and women when possible.

resultsOut of 981 articles found, 12 articles were included in the systematic review and eight articles in the meta-analyses. Unemployment was associated with 1.6-fold odds for prediabetes (OR 1.58; 95% CI 1.07-2.35), and 1.7-fold odds for type 2 diabetes (OR 1.72; 95% CI 1.14-2.58) in the total sample. The corresponding associations for type 2 diabetes were also found stratified for men (OR 1.53; 95% CI 1.47-1.60) and women (OR 1.60; 95% CI 1.33-1.92).

conclusionsUnemployment is associated with prediabetes and type 2 diabetes, global concerns of public health with potential for prevention.

Indexed as

AdultDiabetes Mellitus, Type 2EmploymentFemaleGlucoseGlucose Metabolism DisordersHumansMaleMiddle AgedOdds RatioUnemploymentGlucoseGlucose metabolismMeta-analysisPrediabetesSystematic reviewType 2 diabetesUnemployment

Identifiers

PMID29170882
OpenAlexW2769240676

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.