IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i8p1435-d225030.html
   My bibliography  Save this article

Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study

Author

Listed:
  • Yuwei Qi

    (Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands)

  • Annemarie Koster

    (Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands)

  • Martin van Boxtel

    (Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, 6200 MD Maastricht, The Netherlands)

  • Sebastian Köhler

    (School for Mental Health and Neuroscience (MHeNS), Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Miranda Schram

    (Department of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands
    Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Nicolaas Schaper

    (CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands
    Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands
    Department of Internal Medicine, Maastricht University Medical Centre, Randwycksingel 35, 6229 EG Maastricht, The Netherlands)

  • Coen Stehouwer

    (Department of Medicine, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands
    Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Hans Bosma

    (Department of Social Medicine, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    CAPHRI School for Public Health and Primary Care, Maastricht University, 6200 MD Maastricht, The Netherlands)

Abstract

In an effort to better quantify the impact of adulthood socioeconomic circumstances on prediabetes and type 2 diabetes (T2DM), we set out to examine the relative importance of four adulthood socioeconomic indicators. Using cross-sectional data from The Maastricht Study on 2011 middle-aged older men and women, our findings indicate that low educational level (OR = 1.81, 95% CI = 1.24–2.64), low occupational level (OR = 1.42, 95% CI = 0.98–2.05), and material deprivation (OR = 1.78, 95% CI = 1.33–2.38) were independently associated with T2DM. Low income (OR = 1.28, 95% CI = 0.88–1.87) was the strongest, albeit not significant, SEP (socioeconomic position) correlate of prediabetes. This association confirms SEP as a multifaceted concept and indicates the need to measure SEP accordingly. In order to tackle the social gradient in prediabetes and T2DM, one should, therefore, address multiple SEP indicators and their possible pathways.

Suggested Citation

  • Yuwei Qi & Annemarie Koster & Martin van Boxtel & Sebastian Köhler & Miranda Schram & Nicolaas Schaper & Coen Stehouwer & Hans Bosma, 2019. "Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1435-:d:225030
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/8/1435/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/8/1435/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tashi Dendup & Xiaoqi Feng & Stephanie Clingan & Thomas Astell-Burt, 2018. "Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review," IJERPH, MDPI, vol. 15(1), pages 1-25, January.
    2. Oakes, J. Michael & Rossi, Peter H., 2003. "The measurement of SES in health research: current practice and steps toward a new approach," Social Science & Medicine, Elsevier, vol. 56(4), pages 769-784, February.
    3. Angelo d’Errico & Fulvio Ricceri & Silvia Stringhini & Cristian Carmeli & Mika Kivimaki & Mel Bartley & Cathal McCrory & Murielle Bochud & Peter Vollenweider & Rosario Tumino & Marcel Goldberg & Marie, 2017. "Socioeconomic indicators in epidemiologic research: A practical example from the LIFEPATH study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-32, May.
    4. Bound, John & Brown, Charles & Mathiowetz, Nancy, 2001. "Measurement error in survey data," Handbook of Econometrics, in: J.J. Heckman & E.E. Leamer (ed.), Handbook of Econometrics, edition 1, volume 5, chapter 59, pages 3705-3843, Elsevier.
    5. Duncan, G.J. & Daly, M.C. & McDonough, P. & Williams, D.R., 2002. "Optimal indicators of socioeconomic status for health research," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1151-1157.
    6. Liu, S.Y. & Walter, S. & Marden, J. & Rehkopf, D.H. & Kubzansky, L.D. & Nguyen, T. & Glymour, M.M., 2015. "Genetic vulnerability to diabetes and obesity: Does education offset the risk?," Social Science & Medicine, Elsevier, vol. 127(C), pages 150-158.
    7. Laaksonen, M. & Rahkonen, O. & Martikainen, P. & Lahelma, E., 2005. "Socioeconomic position and self-rated health: The contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1403-1409.
    8. Duncan, G.J. & Daly, M.C. & McDonogh, P. & Williams, D.R., 2002. "Erratum: Optimal indicators of socioeconomic status for health research (American Journal of Public Health (2002) 92 (1151-1157))," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1212-1212.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Steven Prus, 2007. "Age, SES, and Health: A Population Level Analysis of Health Inequalities over the Life Course," Social and Economic Dimensions of an Aging Population Research Papers 181, McMaster University.
    2. Concepción Moreno-Maldonado & Francisco Rivera & Pilar Ramos & Carmen Moreno, 2018. "Measuring the Socioeconomic Position of Adolescents: A Proposal for a Composite Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(2), pages 517-538, April.
    3. Lockwood, Tony & Coffee, Neil T & Rossini, Peter & Niyonsenga, Theo & McGreal, Stanley, 2018. "Does where you live influence your socio-economic status?," Land Use Policy, Elsevier, vol. 72(C), pages 152-160.
    4. Joseph Wolfe, 2015. "The Effects of Socioeconomic Status on Child and Adolescent Physical Health: An Organization and Systematic Comparison of Measures," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(1), pages 39-58, August.
    5. Emma Beard & Jamie Brown & Robert West & Colin Angus & Alan Brennan & John Holmes & Eileen Kaner & Petra Meier & Susan Michie, 2016. "Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-17, September.
    6. Vanessa Tan & Cynthia Chen & Reshma Aziz Merchant, 2022. "Association of social determinants of health with frailty, cognitive impairment, and self-rated health among older adults," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-18, November.
    7. Theodossiou, I. & Zangelidis, A., 2009. "The social gradient in health: The effect of absolute income and subjective social status assessment on the individual's health in Europe," Economics & Human Biology, Elsevier, vol. 7(2), pages 229-237, July.
    8. Terje A Eikemo & Rasmus Hoffmann & Margarete C Kulik & Ivana Kulhánová & Marlen Toch-Marquardt & Gwenn Menvielle & Caspar Looman & Domantas Jasilionis & Pekka Martikainen & Olle Lundberg & Johan P Mac, 2014. "How Can Inequalities in Mortality Be Reduced? A Quantitative Analysis of 6 Risk Factors in 21 European Populations," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-1, November.
    9. Kino, Shiho & Jang, Soong-nang & Takahashi, Shuko & Ebner, Daniel K. & Kawachi, Ichiro, 2020. "Socioeconomic disparities in self-rated health in two East Asian countries: Comparative study between Japan and Korea," Social Science & Medicine, Elsevier, vol. 253(C).
    10. Klara Gurzo & Bitte Modin & Pekka Martikainen & Olof Östergren, 2022. "Pathways from Childhood Economic Conditions to Adult Mortality in a 1953 Stockholm Cohort: The Intermediate Role of Personal Attributes and Socioeconomic Career," IJERPH, MDPI, vol. 19(12), pages 1-15, June.
    11. Alaina N. English & Jennifer A. Bellingtier & Shevaun D. Neupert, 2019. "It’s “the Joneses”: the influence of objective and subjective socioeconomic status on subjective perceptions of aging," European Journal of Ageing, Springer, vol. 16(1), pages 121-128, March.
    12. Wolfe, Joseph D. & Thomeer, Mieke Beth & Reczek, Rin, 2023. "Age at first birth and women's midlife health: Cohort and race differences across the 20th century," Social Science & Medicine, Elsevier, vol. 331(C).
    13. Garbarski, Dana, 2010. "Perceived social position and health: Is there a reciprocal relationship?," Social Science & Medicine, Elsevier, vol. 70(5), pages 692-699, March.
    14. Prus, Steven G., 2011. "Comparing social determinants of self-rated health across the United States and Canada," Social Science & Medicine, Elsevier, vol. 73(1), pages 50-59, July.
    15. Cunningham, Colleen M. & Hanley, Gillian E. & Morgan, Steve, 2010. "Patterns in the use of benzodiazepines in British Columbia: Examining the impact of increasing research and guideline cautions against long-term use," Health Policy, Elsevier, vol. 97(2-3), pages 122-129, October.
    16. Cleon Tsimbos, 2010. "An assessment of socio-economic inequalities in health among elderly in Greece, Italy and Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(1), pages 5-15, February.
    17. Smith, Kimberly V. & Goldman, Noreen, 2007. "Socioeconomic differences in health among older adults in Mexico," Social Science & Medicine, Elsevier, vol. 65(7), pages 1372-1385, October.
    18. Naz Onel & Avinandan Mukherjee, 2014. "The effects of national culture and human development on environmental health," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 16(1), pages 79-101, February.
    19. Seabright, Paul & Mesnard, Alice, 2008. "Migration and The Equilibrium Prevalence of Infectious Diseases," CEPR Discussion Papers 6651, C.E.P.R. Discussion Papers.
    20. Samuel H. Fishman, 2025. "Occupational Status and Health in Early Midlife," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 44(1), pages 1-27, February.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1435-:d:225030. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.