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Research Article
Yuqian Li
Zhengzhou University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
The measures of socioeconomic status (SES) differed across divergent researches and rare of them focused on rural population. This research, thus, presented a novel measure of SES among rural population and then estimated its association with type 2 diabetes mellitus (T2DM).
Methods
All participants were farmer and enrolled from the Henan Rural Cohort study. SES of individual was assessed by SES-score, a composite index derived from three SES-related indicators (education level, average monthly income, and marital status). Binary logistic regression was employed to examine the independent association between SES-score and T2DM as well as the combined effects of SES and age on T2DM. To detect the gender differences, all analyses were stratified by gender.
Results
Among 39259 rural participants, the means (SDs) SES-score of total population, men, and women were 3.47 (1.54), 3.72 (1.49), and 3.31 (1.57), respectively. The SES-score decreased with age and men always had a higher score than women. The prevalence of T2DM decreased with increasing SES-score among women (14.87–4.47%, P trend <0.001), while an inverse trend was observed among men (6.59–9.87%, P trend <0.001). Adjusted ORs (95%CIs) for prevalent T2DM, per unit increase, were 1.07 (1.03, 1.12) in men and 0.96 (0.93, 0.99) in women. Old men with high SES and old women with low SES were vulnerable to T2DM.
Conclusions
Men had a higher SES-score than women in rural areas, and this gap increased with age. The association between SES and T2DM was differed by gender.
Trail Registration:
The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375
Keywords
Socioeconomic status, type 2 diabetes mellitus, rural population, gender-based difference
Figure 1
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Figure 3
No competing interests reported.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Yuqian Li
Zhengzhou University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 07 May, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
The measures of socioeconomic status (SES) differed across divergent researches and rare of them focused on rural population. This research, thus, presented a novel measure of SES among rural population and then estimated its association with type 2 diabetes mellitus (T2DM).
Methods
All participants were farmer and enrolled from the Henan Rural Cohort study. SES of individual was assessed by SES-score, a composite index derived from three SES-related indicators (education level, average monthly income, and marital status). Binary logistic regression was employed to examine the independent association between SES-score and T2DM as well as the combined effects of SES and age on T2DM. To detect the gender differences, all analyses were stratified by gender.
Results
Among 39259 rural participants, the means (SDs) SES-score of total population, men, and women were 3.47 (1.54), 3.72 (1.49), and 3.31 (1.57), respectively. The SES-score decreased with age and men always had a higher score than women. The prevalence of T2DM decreased with increasing SES-score among women (14.87–4.47%, P trend <0.001), while an inverse trend was observed among men (6.59–9.87%, P trend <0.001). Adjusted ORs (95%CIs) for prevalent T2DM, per unit increase, were 1.07 (1.03, 1.12) in men and 0.96 (0.93, 0.99) in women. Old men with high SES and old women with low SES were vulnerable to T2DM.
Conclusions
Men had a higher SES-score than women in rural areas, and this gap increased with age. The association between SES and T2DM was differed by gender.
Trail Registration:
The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375
Figure 1
Figure 2
Figure 3
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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