Abstract
A clear socioeconomic gradient in mortality emerged among diabetic people in Finland from the early 1980s to the early 1990s. The present study examines whether this development continued between 1991 and 2003. People with diabetes aged 30-79 in 1991-2002 were identified in the national registers, and followed up for mortality until 31 December 2003. The data comprised 1,407,025 person years and 59,917 deaths. From 1991-1994 to 1995-1999, the all-cause mortality among diabetic people decreased 20% for men and 26% for women among non-manual workers compared with 14% and 19% respectively among manual workers. The socioeconomic differences increased particularly in mortality from coronary heart disease and causes related to smoking and excessive alcohol use. From 1995-1999 to 2000-2003 the socioeconomic mortality disparity remained stable except for emerging socioeconomic differences in neoplasm deaths among women. Persons with type 1 diabetes showed much larger socioeconomic differences in deaths from alcohol related diseases (RR: men 1.97, women 2.13) compared to persons with type 2 diabetes (RR: men 1.20, women 1.05). During the 1990s disparities in mortality between socioeconomic groups among diabetic people increased due to a...Continue Reading
References
Jan 1, 1990·Social Science & Medicine·E Lahelma, T Valkonen
Oct 19, 1996·BMJ : British Medical Journal·S V KoskinenT Valkonen
Jul 26, 1997·BMJ : British Medical Journal·P MäkeläT Martelin
Feb 14, 1998·BMJ : British Medical Journal·N ChaturvediJ H Fuller
Apr 17, 1998·Diabetic Medicine : a Journal of the British Diabetic Association·N RobinsonL K Stevens
Apr 17, 1998·Diabetic Medicine : a Journal of the British Diabetic Association·P M NilssonJ Sundquist
Apr 29, 1998·Forensic Science International : Synergy·R A LahtiA Penttilä
Jul 23, 1998·The New England Journal of Medicine·S M HaffnerM Laakso
Apr 4, 2001·Journal of Internal Medicine·L WibellG Sundkvist
Jun 9, 2001·BMJ : British Medical Journal·N A RoperV M Connolly
Sep 13, 2002·Journal of the American College of Cardiology·Eunyoung ChoFrank B Hu
Jan 1, 2003·European Journal of Public Health·Orjan Hemström
Feb 19, 2003·BMC Health Services Research·M C GullifordA J Pearce
Apr 8, 2003·European Journal of Public Health·Erja ForssasSeppo Koskinen
May 8, 2004·International Journal of Epidemiology·Roberto GnaviGiuseppe Costa
May 8, 2004·International Journal of Epidemiology·N Chaturvedi
Nov 17, 2006·Journal of Epidemiology and Community Health·Mohammad SiahpushJohn Powles
Jul 10, 2008·Journal of the National Cancer Institute·Tracy KinseyMichael Thun
Citations
Apr 19, 2011·European Journal of Public Health·Erja ForssasIlmo Keskimäki
Oct 1, 2011·BMC Public Health·Kristiina ManderbackaPekka Martikainen
Apr 5, 2011·Annals of Epidemiology·Aaron M SecrestTrevor J Orchard
May 11, 2017·PloS One·Anne ScottAlicia O'Cathain
Jan 23, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·R A S CampbellUNKNOWN Scottish Diabetes Research Network Epidemiology Group
Jul 8, 2020·Diabetologia·Lei ChenJonathan E Shaw
Sep 2, 2018·Diabetologia·Jessica L HardingEdward W Gregg
Mar 7, 2021·International Journal of Environmental Research and Public Health·Justyna Grudziąż-SękowskaKuba Sękowski
Nov 24, 2019·Diabetes & Metabolism·S TatulashviliH Bihan