ArticleSSM - population health2020
Socioeconomic inequalities in type 2 diabetes in employed individuals, nonworking spouses and pensioners.
Article in SSM - population health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Socioeconomic Inequalities and Type 2 Diabetes Comorbidities: A Systematic Review and Meta-Analysis on Observational Studies.Endocrinology, diabetes & metabolism · 2026Pooled it
- Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study).BMC public health · 2023Trial
- Is educational expansion beneficial for health? A counterfactual mediation analysis of its impact on trends of daily activity limitations among different age groups in Germany.Archives of public health = Archives belges de sante publique · 2026Article
- Socioeconomic inequalities in healthcare access among patients with type 2 diabetes in Iran: a cross-sectional study.BMJ open · 2026Article
- A vertical-horizontal approach to examine social inequalities in early onset type 2 diabetes in the German workforce through occupational sector, education and income.Scientific reports · 2025Article
- From inequalities to solutions: an explanatory sequential study on type 2 diabetes health services utilization.BMC health services research · 2025Article
- Socioeconomic differences in limited lung function: a cross-sectional study of middle-aged and older adults in Germany.International journal for equity in health · 2024Article
- Type 2 diabetes in the employed population: do rates and trends differ among nine occupational sectors? An analysis using German health insurance claims data.BMC public health · 2024Article
- Intersectional analysis of social disparities in type 2 diabetes risk among adults in Germany: results from a nationwide population-based survey.BMC public health · 2024Article
- Type 2 diabetes severity in the workforce: An occupational sector analysis using German claims data.PloS one · 2024Article
- A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus.International journal of preventive medicine · 2024Article
- Trends in Activity Limitations From an International Perspective: Differential Changes Between Age Groups Across 30 Countries.Journal of aging and health · 2023Article
- Socioeconomic inequalities in type 2 diabetes comorbidities in different population subgroups: trend analyses using German health insurance data.Scientific reports · 2023Article
- Article
- Prevalence of prediabetes, diabetes, diabetes awareness, treatment, and its socioeconomic inequality in west of Iran.Scientific reports · 2022Article
- Estimating trends in working life expectancy based on health insurance data from Germany - Challenges and advantages.SSM - population health · 2022Article
- Health and study dropout: health aspects differentially predict attrition.BMC medical research methodology · 2022Article
- Development of comorbidities in type 2 diabetes between 2005 and 2017 using German claims data.Scientific reports · 2021Article
- Social inequalities in mild and severe myocardial infarction: how large is the gap in health expectancies?BMC public health · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Type 2 diabetes (T2D) is a rising global epidemic with lower socioeconomic groups being more affected. Considering specific population subgroups to examine prevalence and socioeconomic inequalities in T2D is rare. Moreover, using one indicator to depict socioeconomic inequalities in health is a common practice despite evidence on differences in what different socioeconomic indicators ought to measure. This study has two aims: 1. Examine the prevalence of T2D in employed individuals, nonworking spouses and pensioners. 2. Examine socioeconomic inequalities in T2D in the three population subgroups and determine the explanatory power of income, education and occupation in employed individuals and nonworking spouses. This study is based on claims data from a statutory health insurance provider in Lower Saxony, Germany. T2D prevalence in the period between 2013 and 2017 was examined in employed individuals, nonworking spouses and pensioners. Multivariate logistic regression analysis was applied to examine socioeconomic inequalities in T2D in the three population subgroups. Explanatory power of the three socioeconomic indicators was determined by deviance analysis. Results showed that T2D prevalence was four times higher in male nonworking spouses (24.2%) and 2.6 times higher in female nonworking spouses (12.7%) compared to employed men (6.4%) and women (4.7%) respectively, while it accounted for 40% of men and 36% of women in pensioners. T2D inequalities emerged for all three socioeconomic indicators and were observed in the three subgroups. School education had the highest explanatory power in employed men and women and male nonworking spouses. Nonworking spouses are an important target group in T2D prevention interventions. The three socioeconomic indicators have independent effects and differ in their explanatory power where low school education appears to be a major risk factor. It can be discussed that health literacy and the associated health behavior play a role in mediating the association between school education and T2D.
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Registered trials
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