| Title: |
Socio-economic status and mortality in people with type 1 diabetes in Scotland 2006-2015:a retrospective cohort study |
| Authors: |
Campbell, R. A. S.; Colhoun, H. M.; Kennon, B.; McCrimmon, R. J.; Sattar, N.; McKnight, J.; Wild, S. H. |
| Source: |
Campbell, R A S, Colhoun, H M, Kennon, B, McCrimmon, R J, Sattar, N, McKnight, J, Wild, S H & Scottish Diabetes Research Network Epidemiology Group 2020, 'Socio-economic status and mortality in people with type 1 diabetes in Scotland 2006-2015 : a retrospective cohort study', Diabetic Medicine, vol. 37, no. 12, pp. 2081-2088. https://doi.org/10.1111/dme.14239 |
| Publication Year: |
2020 |
| Collection: |
Discovery - University of Dundee Online Publications |
| Subject Terms: |
/dk/atira/pure/subjectarea/asjc/1300/1310; name=Endocrinology; /dk/atira/pure/subjectarea/asjc/2700/2724; name=Internal Medicine; /dk/atira/pure/subjectarea/asjc/2700/2712; Diabetes and Metabolism |
| Description: |
Aims : To describe the association between socio-economic status and mortality in a nation-wide cohort of people with type 1 diabetes in Scotland and to compare patterns over time and with the general population. Methods : A retrospective cohort study was performed using data for people with type 1 diabetes from a population-based register linked to mortality records. Socio-economic status was derived from quintiles of an area-based measure: the Scottish Index of Multiple Deprivation. Sex-specific directly age-standardized mortality rates for each Scottish Index of Multiple Deprivation quintile and rate ratios comparing the most vs least deprived quintile were calculated for two time periods: 2006-2010 and 2011-2015. Data for the population without type 1 diabetes between 2011 and 2015 were available for comparison. Results : Data for 3802 deaths among 33 547 people with type 1 diabetes were available. The age-standardized mortality rate per 1000 person-years decreased over time (from 2006-2010 to 2011-2015) for men and women with type 1 diabetes: 24.8 to 20.2 and 22.5 to 17.6, respectively. Mortality in populations with and without type 1 diabetes was generally higher for men than women and was inversely associated with socio-economic status. Rate ratios for the most vs least deprived groups increased over time among people with type 1 diabetes (men: 2.49 to 2.81; women: 1.92 to 2.86) and were higher than among populations without type 1 diabetes in 2011-2015 (men: 2.06; women: 1.66). Conclusions : Socio-economic deprivation was associated with a steeper mortality gradient in people with type 1 diabetes than in the population without type 1 diabetes in Scotland. Age-standardized mortality has decreased over time but socio-economic inequalities may be increasing. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
0742-3071; 1464-5491 |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/31967666; info:eu-repo/semantics/altIdentifier/pissn/0742-3071; info:eu-repo/semantics/altIdentifier/eissn/1464-5491 |
| DOI: |
10.1111/dme.14239 |
| Availability: |
https://discovery.dundee.ac.uk/en/publications/42782fb9-1b29-4ebc-a7c7-0235fecec5a7; https://doi.org/10.1111/dme.14239; https://discovery.dundee.ac.uk/ws/files/41733139/Campbell_et_al_2020_Diabetic_Medicine.pdf; https://www.scopus.com/pages/publications/85078950717 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.E2AB9ADF |
| Database: |
BASE |