Evidence map›Paper›PMID 30665896›Full record

ArticleCMAJ open

Individual- and area-level socioeconomic inequalities in diabetes mellitus in Saskatchewan between 2007 and 2012: a cross-sectional analysis.

Daniel Fuller, Joshua Neudorf, Stuart Lockhart, Charles Plante, Hazel Roberts, Thilina Bandara, Cory Neudorf

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

7 authors.

Daniel FullerSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Joshua NeudorfSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Stuart LockhartSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Charles PlanteSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Hazel RobertsSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Thilina BandaraSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland.
Cory NeudorfSchool of Human Kinetics and Recreation (Fuller), Memorial University of Newfoundland, St. John's, Nfld.; Department of Community Health and Epidemiology (J. Neudorf, Plante, Roberts, Bandara, C. Neudorf), University of Saskatchewan, Saskatoon, Sask.; School of Medicine (Lockhart), Trinity College, Dublin, Ireland cory.neudorf@usask.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving our understanding of social inequalities may improve prevention and treatment efforts for diabetes mellitus. We examined the association between individual- and area-level socioeconomic measures and physician-diagnosed diabetes in Saskatchewan over time.

methodsIn this cross-sectional study, we linked health administrative data with individual-level socioeconomic data from the Canadian Community Health Survey and area-level data from the 2006 Canadian census. We used general linear mixed-models regression to analyze the effect of each factor, controlling for geographic and demographic measures.

resultsArea-level deprivation was associated with medically diagnosed type 2 diabetes mellitus after adjustment for the individual-level factors of age, sex, household income and education. Individuals residing in areas ranked in the least deprived quintile had a lower likelihood of diabetes than those in the most deprived quintile (odds ratio 0.40, 95% confidence interval 0.18-0.88). However, this disparity existed only in urban areas. This result may reflect less pronounced health inequalities in rural areas, greater socioeconomic heterogeneity, larger geographic units or some combination of these factors.

interpretationIndividual- and area-level socioeconomic factors were associated with the likelihood of medically diagnosed diabetes; however, the strength of this association varied between urban and rural communities. Acknowledgement of area-level deprivation as a modifiable risk factor related to the prevalence of diabetes is important in the development of effective interventions for urban, but not rural, areas.

Identifiers

PMID30665896
PMCPMC6342700

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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.