| アブストラクト | OBJECTIVE: To evaluate the associations between socioeconomic deprivation and sight-threatening diabetic retinopathy (STDR) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: Data from 175,628 individuals with diabetes in the Health Improvement Network were used to assess the risk of STDR across Townsend Deprivation Index quantiles using Cox proportional hazard regression. RESULTS: Among individuals with T1D, the risk of STDR was three times higher (adjusted hazard ratio [aHR] 2.67, 95% CI 1.05-7.78) in the most deprived quintile compared with the least deprived quintile. In T2D, the most deprived quintile had a 28% higher risk (aHR 1.28; 95% CI 1.15-1.43) than the least deprived quintile. CONCLUSIONS: Increasing socioeconomic deprivation is associated with a higher risk of developing STDR in people with diabetes. This underscores persistent health disparities linked to poverty, even within a country offering free universal health care. Further research is needed to address health equity concerns in socioeconomically deprived regions. |
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| ジャーナル名 | Diabetes care |
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| 投稿日 | 2024/2/22 |
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| 投稿者 | Tan, Luyuan; Wang, Jingya; Han, Jieun; Sainsbury, Christopher; Denniston, Alastair K; Crowe, Francesca L; Toulis, Konstantinos A; Karamat, Muhammad Ali; Yao, Mi; Nirantharakumar, Krishnarajah |
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| 組織名 | Institute of Applied Health Research, University of Birmingham, Birmingham, U.K.;Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University;of Birmingham, Birmingham, U.K.;National Institute for Health Research Birmingham Biomedical Research Centre,;Birmingham, U.K.;Diabetes and Endocrinology Specialist Training Committee, Health Education West;Midlands, Birmingham, U.K.;Department of General Practice, Peking University First Hospital, Beijing, China. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38387082/ |
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