Cumulative social risk and type 2 diabetes in US adults: The National Health and Nutrition Examination Survey (NHANES) 1999-2006

European Journal of Preventive Cardiology
Justin B Echouffo-TcheuguiSherita H Golden

Abstract

The cumulative effects of adverse social factors on the diabetes risk remains to be clarified. Cross-sectional analysis of the US National Health and Nutrition Examination Survey (NHANES) 1999-2006. We included 10,276 adults aged ≥20 years. Diabetes mellitus was defined by physician diagnosis or fasting plasma glucose (≥126 mg/dl) or glycated hemoglobin (≥6.5%). Social risk factors (low family income, low education level, minority racial/ethnic group status, and single-living status) and health-related behaviors (physical activity and dietary intake) were self-reported. Social risk factors were combined in a cumulative social risk index (range 0 to ≥3) and logistic regression used to assess the association of cumulative social risk and diabetes, taking into account complex survey design and sampling weights. Of 10,276 participants, 1515 (weighted proportion - 10%) had diabetes, 3295 (32.3%) and 1830 (9.0%) were exposed to ≥1 adverse social risk factor and ≥3 social risk factors, respectively. Diabetes was associated with increasing cumulative social risk in a graded manner (p for trend <0.001). Compared with a cumulative social risk score of 0, the age- and sex-adjusted diabetes odds for a cumulative social risk score of ≥3 was...Continue Reading

References

Sep 24, 2008·Archives of Internal Medicine·Kevin Fiscella, Ronald M Epstein
Oct 29, 2008·Journal of the American Dietetic Association·Patricia M GuentherSusan M Krebs-Smith
Dec 3, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·A F AndersenS Ebrahim
Mar 20, 2009·BMJ : British Medical Journal·Julia Hippisley-CoxPeter Brindle
Mar 6, 2010·Annals of the New York Academy of Sciences·Nancy E Adler, Judith Stewart
Mar 6, 2010·Annals of the New York Academy of Sciences·Gary W Evans, Pilyoung Kim
Sep 30, 2010·Current Diabetes Reports·Shivam ChampaneriSherita Hill Golden
Jan 19, 2011·American Journal of Epidemiology·Brendan T SmithEric B Loucks
Feb 22, 2011·International Journal of Epidemiology·Emilie AgardhAnna Sidorchuk
Mar 23, 2011·Psychological Trauma : Theory, Research, Practice and Policy·Shakira Franco SugliaRosalind J Wright
Jun 4, 2011·Epigenetics : Official Journal of the DNA Methylation Society·Mary Beth TerryRegina M Santella
Jan 19, 2012·International Journal of Epidemiology·Dagmara McGuinnessPaul G Shiels
Jan 19, 2012·Endocrinology·Howard SlomkoFrancine H Einstein
Mar 17, 2012·International Journal of Epidemiology·Nada BorgholMoshe Szyf
Jun 26, 2012·The Journal of Clinical Endocrinology and Metabolism·Sherita Hill GoldenBlair Anton
Jun 28, 2012·International Journal of Epidemiology·Carlotta SacerdoteNicholas Wareham
Oct 10, 2012·Proceedings of the National Academy of Sciences of the United States of America·Nancy AdlerMatthew S Pantell
Oct 17, 2012·Current Diabetes Reports·Hironori WakiTakashi Kadowaki
Sep 17, 2013·Current Diabetes Reports·Elias K Spanakis, Sherita Hill Golden

❮ Previous
Next ❯

Citations

Feb 27, 2017·American Journal of Preventive Medicine·Margaret R SavocaAlain G Bertoni
Dec 7, 2018·The Journal of Clinical Endocrinology and Metabolism·Freja Bach KampmannLouise Groth Grunnet
Apr 23, 2020·Journal of the American Heart Association·Madeline R SterlingParag Goyal

❮ Previous
Next ❯

Software Mentioned

Stata

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.