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Independent roles of country of birth and socioeconomic status in the occurrence of type 2 diabetes

机译：出生国家和社会经济地位在2型糖尿病发生中的独立作用

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Background There is strong evidence based on previous studies that ethnicity and socioeconomic status are important determinants of diversity in the occurrence of diabetes. However, the independent roles of socioeconomic status, country of birth and lifestyle factors in the occurrence of type 2 diabetes have not been clearly identified. This study investigated the relationships between socioeconomic status, country of birth and type 2 diabetes in a large diverse sample of residents of New South Wales, Australia, and aged 45?years and over. Methods The analysis used self-reported baseline questionnaire data from 266,848 participants in the 45 and Up Study. Educational attainment, work status and income were used as indicators of socioeconomic status. Logistic regression models were built to investigate associations between socioeconomic status, country of birth and type 2 diabetes. Results The adjusted odds of type 2 diabetes were significantly higher for people born in many overseas countries, compared to Australian-born participants. Compared with participants who had a university degree or higher qualification, the adjusted odds ratio (OR) for diabetes was higher in all other educational categories. Diabetes was more prevalent in people who were retired, unemployed or engaged in other types of work, compared with people who were in paid work. The prevalence of diabetes was higher in people with lower incomes. Compared with people who earned more than $50,000, the adjusted OR for diabetes was 2.05 (95% CI 1.95-2.14) for people who had an income less than $20,000 per annum. The relationships between socioeconomic factors and country of birth and diabetes were attenuated slightly when all were included in the model. Addition of smoking, obesity and physical activity to the model had marked impacts on adjusted ORs for some countries of birth, but relationships between diabetes and all measures of socioeconomic status and country of birth remained strong and significant. Conclusions Country of birth and socioeconomic status are independent predictors of type 2 diabetes. However, in this population, country of birth had a stronger association with type 2 diabetes.
机译：背景技术基于先前的研究，有强有力的证据表明种族和社会经济地位是糖尿病发生多样性的重要决定因素。然而，尚不清楚社会经济状况，出生国家和生活方式因素在2型糖尿病发生中的独立作用。这项研究调查了澳大利亚新南威尔士州，年龄在45岁及以上的大量居民中的社会经济状况，出生国家和2型糖尿病之间的关系。方法该分析使用了45岁及以上研究的266,848名参与者的自我报告的基线调查表数据。受教育程度，工作状态和收入被用作社会经济地位的指标。建立Logistic回归模型以调查社会经济状况，出生国家和2型糖尿病之间的关联。结果与在澳大利亚出生的参与者相比，在许多海外国家出生的人的2型糖尿病调整后几率显着更高。与拥有大学学位或更高学历的参与者相比，在所有其他教育类别中，糖尿病的调整后优势比（OR）更高。与从事有偿工作的人相比，在退休，失业或从事其他类型工作的人中，糖尿病更为普遍。低收入人群的糖尿病患病率较高。与收入超过$ 50,000的人相比，对于收入低于$ 20,000的人，糖尿病的调整后OR为2.05（95％CI 1.95-2.14）。当将所有因素都纳入模型后，社会经济因素与出生国家和糖尿病之间的关系会稍微减弱。模型中还增加了吸烟，肥胖和体育锻炼，从而对某些出生国家的调整后OR产生了显着影响，但糖尿病与所有社会经济地位指标和出生国家之间的关系仍然牢固而重要。结论出生国家和社会经济状况是2型糖尿病的独立预测因子。然而，在这个人口中，出生国与2型糖尿病的关联更强。

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