Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.18/7826 |
Resumo: | Aims: This study aims to estimate the associations between area-level deprivation and individual-level socio-economic factors, as well as their interaction, with glycated haemoglobin (HbA1c ) levels. Methods: We conducted a gamma multilevel regression analysis using individual-level data from the Portuguese National Health Examination Survey and a deprivation index built through factor analysis, at municipality level, with census variables. Results: Living in a municipality with high material deprivation and having a low level of education were independently associated with an increase of 2.3% (95% confidence interval [CI] 0.6, 4.0) and of 1.6% (95% CI 0.6, 2.7) in the mean levels of HbA1c , respectively. The interaction between area material deprivation and individual-level education was not associated with the levels of HbA1c (0.5%, 95% CI -1.3, 2.3). Conclusions: Our findings support the collective resources model that argues that people in less deprived areas have better health because there are more collective resources. The results suggest that to reduce socio-economic inequalities associated with the levels of HbA1c and, consequently, with diabetes, will require attention to the area material deprivation and individual-level education. Upstream social determinants of health are thus highlighted. |
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Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based studyChronic DiseaseDeprivationDiabetesEpidemiologyGlycated haemoglobinPublic HealthSocio-economic FactorsObservação em Saúde e VigilânciaDeterminantes da Saúde e da DoençaSaúde PúblicaPortugalAims: This study aims to estimate the associations between area-level deprivation and individual-level socio-economic factors, as well as their interaction, with glycated haemoglobin (HbA1c ) levels. Methods: We conducted a gamma multilevel regression analysis using individual-level data from the Portuguese National Health Examination Survey and a deprivation index built through factor analysis, at municipality level, with census variables. Results: Living in a municipality with high material deprivation and having a low level of education were independently associated with an increase of 2.3% (95% confidence interval [CI] 0.6, 4.0) and of 1.6% (95% CI 0.6, 2.7) in the mean levels of HbA1c , respectively. The interaction between area material deprivation and individual-level education was not associated with the levels of HbA1c (0.5%, 95% CI -1.3, 2.3). Conclusions: Our findings support the collective resources model that argues that people in less deprived areas have better health because there are more collective resources. The results suggest that to reduce socio-economic inequalities associated with the levels of HbA1c and, consequently, with diabetes, will require attention to the area material deprivation and individual-level education. Upstream social determinants of health are thus highlighted.This work was supported by Portuguese funds through Portuguese Foundation for Science and Technology (FCT) (project FCT/UID/Multi/04562/2013 and grant SFRH/ BPD/110426/2015).Wiley/ Diabetes UKRepositório Científico do Instituto Nacional de SaúdeSousa-Uva, MafaldaBarreto, MartaRoquette, RitaMatias-Dias, CarlosRibeiro, RogérioBoavida, José ManuelNunes, Baltazar2021-12-20T16:48:01Z2021-052021-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/7826engDiabet Med. 2021 May;38(5):e14542. doi: 10.1111/dme.14542. Epub 2021 Feb 27.10.1111/dme.14542metadata only accessinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:42:16Zoai:repositorio.insa.pt:10400.18/7826Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:42:32.832471Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
title |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
spellingShingle |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study Sousa-Uva, Mafalda Chronic Disease Deprivation Diabetes Epidemiology Glycated haemoglobin Public Health Socio-economic Factors Observação em Saúde e Vigilância Determinantes da Saúde e da Doença Saúde Pública Portugal |
title_short |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
title_full |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
title_fullStr |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
title_full_unstemmed |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
title_sort |
Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study |
author |
Sousa-Uva, Mafalda |
author_facet |
Sousa-Uva, Mafalda Barreto, Marta Roquette, Rita Matias-Dias, Carlos Ribeiro, Rogério Boavida, José Manuel Nunes, Baltazar |
author_role |
author |
author2 |
Barreto, Marta Roquette, Rita Matias-Dias, Carlos Ribeiro, Rogério Boavida, José Manuel Nunes, Baltazar |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Nacional de Saúde |
dc.contributor.author.fl_str_mv |
Sousa-Uva, Mafalda Barreto, Marta Roquette, Rita Matias-Dias, Carlos Ribeiro, Rogério Boavida, José Manuel Nunes, Baltazar |
dc.subject.por.fl_str_mv |
Chronic Disease Deprivation Diabetes Epidemiology Glycated haemoglobin Public Health Socio-economic Factors Observação em Saúde e Vigilância Determinantes da Saúde e da Doença Saúde Pública Portugal |
topic |
Chronic Disease Deprivation Diabetes Epidemiology Glycated haemoglobin Public Health Socio-economic Factors Observação em Saúde e Vigilância Determinantes da Saúde e da Doença Saúde Pública Portugal |
description |
Aims: This study aims to estimate the associations between area-level deprivation and individual-level socio-economic factors, as well as their interaction, with glycated haemoglobin (HbA1c ) levels. Methods: We conducted a gamma multilevel regression analysis using individual-level data from the Portuguese National Health Examination Survey and a deprivation index built through factor analysis, at municipality level, with census variables. Results: Living in a municipality with high material deprivation and having a low level of education were independently associated with an increase of 2.3% (95% confidence interval [CI] 0.6, 4.0) and of 1.6% (95% CI 0.6, 2.7) in the mean levels of HbA1c , respectively. The interaction between area material deprivation and individual-level education was not associated with the levels of HbA1c (0.5%, 95% CI -1.3, 2.3). Conclusions: Our findings support the collective resources model that argues that people in less deprived areas have better health because there are more collective resources. The results suggest that to reduce socio-economic inequalities associated with the levels of HbA1c and, consequently, with diabetes, will require attention to the area material deprivation and individual-level education. Upstream social determinants of health are thus highlighted. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-20T16:48:01Z 2021-05 2021-05-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.18/7826 |
url |
http://hdl.handle.net/10400.18/7826 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Diabet Med. 2021 May;38(5):e14542. doi: 10.1111/dme.14542. Epub 2021 Feb 27. 10.1111/dme.14542 |
dc.rights.driver.fl_str_mv |
metadata only access info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
metadata only access |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Wiley/ Diabetes UK |
publisher.none.fl_str_mv |
Wiley/ Diabetes UK |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799132170749476864 |