Socioeconomic status and prevalence of self?reported diabetes among adults in Tehran: results from a large population?based cross?sectional study (Urban HEART?2)

A. A. Haeri Mehrizi | S. Faghihzadeh | Mohammadreza Vaezmahdavi | K. Mohammad | R. Majdzadeh | M. A. Mansournia | S. Nedjat | A. Khosravi | M. Asadilari

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URL :   http://research.shahed.ac.ir/WSR/WebPages/Report/PaperView.aspx?PaperID=85321
Date :  2016/05/08
Publish in :    Journal of Endocrinological Investigation

Link :  https://link.springer.com/content/pdf/10.10072Fs40618-015-0384-6.pdf
Keywords :status, diabetes, adults, large, population, sectional, Urban

Abstract :

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Introduction Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011. Methods In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis. Results The estimated prevalence of self-reported diabetes was 4.98 overall, 4.76 in men and 5.19 in women (P 0.003). In multivariate analysis, age, marital status (married and divorced/widow) and BMI were positively associated with the prevalence of self-reported diabetes. Of the socioeconomic variables, educational level and wealth status were negatively and Townsend Index was positively associated with diabetes. Conclusion Our study findings highlight low reported prevalence of diabetes among adults in Tehran. Subjects with low socioeconomic status (SES) had a higher prevalence of type 2 diabetes. Weight gain and obesity were the most important risk factors associated with type 2 diabetes. Wealth index and educational level were better socioeconomic indicators for presenting the inequality in diabetes prevalence in relation to Townsend deprivation index.