ArticleJournal of epidemiology2019
Socioeconomic Disparity in the Prevalence of Objectively Evaluated Diabetes Among Older Japanese Adults: JAGES Cross-Sectional Data in 2010.
Article in Journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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22 citing papers in PubMed, 34 citations in OpenAlex.
- Socioeconomic Inequalities in Oral Frailty Among Older Adults: A Causal Mediation Analysis on the Role of Prevention From Tooth Loss.Journal of oral rehabilitation · 2025Article
- Association of diabetes mellitus and social isolation with loneliness among older Japanese adults: a cross-sectional study.Endocrine · 2025Article
- The Longitudinal Relationship between Educational Level and Arterial Stiffness: The Toon Health Study.Journal of atherosclerosis and thrombosis · 2025Article
- Association between equivalized annual household income and regular medical visits for hypertensive patients since the COVID-19 outbreak.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- (Not So) Lost in Translation: Considering the GA4GH Diversity in Datasets Policy in the Japanese Context.Asian bioethics review · 2025Article
- The relationship between loneliness and blood glucose: a cross-sectional survey among Japanese.BMC research notes · 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
- Epidemiology of type 2 diabetes mellitus and treatment utilization patterns among the elderly from the first wave of Longitudinal Aging study in India (2017-18)using a Heckman selection model.BMC public health · 2023Article
- Association between diabetes and adjuvant chemotherapy implementation in patients with stage III colorectal cancer.Journal of diabetes investigation · 2022Article
- Household Income Is Related to Dietary Fiber Intake and Dietary Acid Load in People with Type 2 Diabetes: A Cross-Sectional Study.Nutrients · 2022Article
- Mortality risk in older Japanese people based on self-reported dyslipidemia treatment and socioeconomic status: The JAGES cohort study.Preventive medicine reports · 2022Article
- Impact of Income and Industry on New-Onset Diabetes among Employees: A Retrospective Cohort Study.International journal of environmental research and public health · 2022Article
- Impact of income and eating speed on new-onset diabetes among men: a retrospective cohort study.BMJ open · 2021Article
- Sex differences in the association between fatty liver and type 2 diabetes incidence in non-obese Japanese: A retrospective cohort study.Journal of diabetes investigation · 2021Article
- Non-financial social determinants of diabetes among public assistance recipients in Japan: A cohort study.Journal of diabetes investigation · 2021Article
- Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar.PloS one · 2021Article
- Health Inequalities Among Elderly Type 2 Diabetes Mellitus Patients in Japan.Population health management · 2020Article
- Influence of Occupational Background on Smoking Prevalence as a Health Inequality Among Employees of Medium- and Small-Sized Companies in Japan.Population health management · 2020Article
- Area-based socioeconomic status and mortality: the Ludwigshafen Risk and Cardiovascular Health study.Clinical research in cardiology : official journal of the German Cardiac Society · 2020Article
- Dementia risk by combinations of metabolic diseases and body mass index: Japan Gerontological Evaluation Study Cohort Study.Journal of diabetes investigation · 2020Article
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies on sex-specific socioeconomic gradients in objectively evaluated diabetes among older adults are scarce.
methodsWe used cross-sectional data of 9,893 adults aged 65 years and older in Aichi Prefecture without long-term care insurance from the Japan Gerontological Evaluation Study (JAGES) in 2010 (Response rate: 66.3%). We collected demographic, socioeconomic (income, years of education, and longest occupation) and behavioral information using a mail-in self-reported survey. Blood samples for the objectively evaluated diabetes and self-reported medical history were collected at annual municipal health checkups. Poisson regression analysis stratified by sex with multiple imputations was conducted to calculate prevalence ratio and 95% confidence interval.
resultsA clear income gradient in diabetes prevalence was observed among women, from 11.7% in the lowest income quartile (Q1) to 7.8% in the highest (Q4). Among men, the findings were 17.6% in Q1 to 15.1% in Q4. The prevalence ratios for diabetes with incomes Q1 to Q4 were 1.43 (95% confidence interval [CI], 1.07-1.90) for women and 1.16 (95% CI, 0.90-1.50) for men after adjusting for age and other socioeconomic factors. Even after adjusting for marital status, body mass index, other metabolic risk factors, and lifestyle factors, the income-based gradient remained among women. Education and occupation were not significantly associated with diabetes in the study population.
conclusionsOnly women showed an income-based gradient in diabetes. Monitoring income gradient in diabetes is important in public health actions, even in older populations. Future longitudinal and intervention studies should evaluate the causal link of income to diabetes onset, determine the mechanisms of the potential sex differences in the income/diabetes association, and identify ways to mitigate the income-based inequality.
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