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首页> 外文期刊>Patient Preference and Adherence >A socioeconomic and behavioral survey of patients with difficult-to-control type 2 diabetes mellitus reveals an association between diabetic retinopathy and educational attainment
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A socioeconomic and behavioral survey of patients with difficult-to-control type 2 diabetes mellitus reveals an association between diabetic retinopathy and educational attainment

机译：一项对难以控制的2型糖尿病患者的社会经济和行为调查显示，糖尿病性视网膜病变与教育程度之间存在关联

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Background: We have recently reported that the attitude of patients toward risk could be a factor in the progression of diabetic complications. In general, risk preference is closely related to socioeconomic status (SES), which includes factors such as age, sex, income, and educational attainment. Objective: We aimed to determine the effect of SES and behavioral propensity on the progress of diabetic complications in patients with type 2 diabetes mellitus (T2DM). Methods: We conducted a survey of 238 patients with difficult-to-control T2DM treated at a hospital in Japan using a modified behavioral economics questionnaire that included questions related to SES. The patients had been referred by general practitioners or other departments in the hospital because of poor metabolic control or unstable complications. Results: Educational attainment was significantly associated with progression of retinopathy in patients <65 years of age. Educational attainment of a high school diploma (12 years of education) or lower was a significant risk factor, but there were no differences among levels of attainment beyond high school (13–16 years or more of education). Behavioral propensities were also weakly associated with complications, but not as much as educational attainment. Personal income level and economic status did not show an association with the retinopathy levels. Conclusion: Lower educational attainment is a strong risk factor for diabetic retinopathy, and it is independent of the economic status. The result suggests that cognitive function may play an important role in the progression of diabetic retinopathy in patients with T2DM.
机译：背景：我们最近报道，患者对风险的态度可能是糖尿病并发症进展的一个因素。一般而言，风险偏好与社会经济地位（SES）密切相关，其中包括年龄，性别，收入和受教育程度等因素。目的：我们旨在确定SES和行为倾向对2型糖尿病（T2DM）患者糖尿病并发症进展的影响。方法：我们对日本某医院治疗的238例难以控制的T2DM患者进行了调查，使用的行为经济学调查表经过修改，其中包括与SES相关的问题。由于代谢控制不良或并发症不稳定，患者已被全科医生或医院其他部门推荐。结果：65岁以下患者的教育程度与视网膜病变的进展显着相关。高中文凭（12年教育）或更低的教育程度是一个重要的风险因素，但高中以上（13-16年或更高教育程度）的受教育程度之间没有差异。行为倾向与并发症之间的关系也较弱，但与受教育程度无关。个人收入水平和经济状况与视网膜病变水平没有关联。结论：受教育程度低是糖尿病性视网膜病的重要危险因素，并且与经济状况无关。结果表明，认知功能可能在2型糖尿病患者的糖尿病性视网膜病变的进展中起重要作用。

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