Social inequality in type 2 diabetes mellitus in the Faroe Islands: a cross-sectional study
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Social inequality in type 2 diabetes mellitus in the Faroe Islands : a cross-sectional study. / Honnudottir, Var; Hansen, Louise; Veyhe, Anna Sofia; Andersen, Ingelise; Weihe, Pal; Strom, Marin; Mohr, Magni.
In: Scandinavian Journal of Public Health, Vol. 50, No. 5, 2022, p. 638-645.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Social inequality in type 2 diabetes mellitus in the Faroe Islands
T2 - a cross-sectional study
AU - Honnudottir, Var
AU - Hansen, Louise
AU - Veyhe, Anna Sofia
AU - Andersen, Ingelise
AU - Weihe, Pal
AU - Strom, Marin
AU - Mohr, Magni
PY - 2022
Y1 - 2022
N2 - Aims: The Faroe Islands is considered a homogeneous society and has a low Gini coefficient, but the knowledge about the social distribution of health and disease is sparse. In a large population-based sample we investigated: (a) the association between socioeconomic position defined by level of education and the prevalence of type 2 diabetes mellitus by self-report in the Faroe Islands; and (b) to what degree lifestyle factors mediate the association. Methods: We used cross-sectional data from the population-based Public Health Survey Faroes 2015 (n=1095). We present odds ratios for type 2 diabetes mellitus by socioeconomic position from logistic regression models. In our main model we adjusted for potential confounders and in a secondary model we additionally adjusted for potential mediating lifestyle factors. Results: Individuals with middle and low levels of education display higher odds ratios of type 2 diabetes mellitus of 2.80 (95% confidence interval 1.32-5.92) and 4.65 (95% confidence interval 1.93-11.17) in adjusted analysis, respectively, compared to their counterparts with high education. After adjustment for potentially mediating lifestyle factors the estimates were attenuated slightly, but a significant statistical association remained, with lifestyle-related mediating factors in total explaining 21% for middle education and 34% for low education participants. Conclusions: Our results demonstrate that there may be a social gradient in the distribution of type 2 diabetes mellitus in the Faroe Islands, and that the association is partly mediated by lifestyle factors.
AB - Aims: The Faroe Islands is considered a homogeneous society and has a low Gini coefficient, but the knowledge about the social distribution of health and disease is sparse. In a large population-based sample we investigated: (a) the association between socioeconomic position defined by level of education and the prevalence of type 2 diabetes mellitus by self-report in the Faroe Islands; and (b) to what degree lifestyle factors mediate the association. Methods: We used cross-sectional data from the population-based Public Health Survey Faroes 2015 (n=1095). We present odds ratios for type 2 diabetes mellitus by socioeconomic position from logistic regression models. In our main model we adjusted for potential confounders and in a secondary model we additionally adjusted for potential mediating lifestyle factors. Results: Individuals with middle and low levels of education display higher odds ratios of type 2 diabetes mellitus of 2.80 (95% confidence interval 1.32-5.92) and 4.65 (95% confidence interval 1.93-11.17) in adjusted analysis, respectively, compared to their counterparts with high education. After adjustment for potentially mediating lifestyle factors the estimates were attenuated slightly, but a significant statistical association remained, with lifestyle-related mediating factors in total explaining 21% for middle education and 34% for low education participants. Conclusions: Our results demonstrate that there may be a social gradient in the distribution of type 2 diabetes mellitus in the Faroe Islands, and that the association is partly mediated by lifestyle factors.
KW - Social inequality
KW - health
KW - type 2 diabetes
KW - socioeconomic position
KW - cross-sectional study
KW - SOCIOECONOMIC POSITION
KW - LIFE-STYLE
KW - RISK
KW - PREVALENCE
U2 - 10.1177/14034948211013267
DO - 10.1177/14034948211013267
M3 - Journal article
C2 - 34058890
VL - 50
SP - 638
EP - 645
JO - Scandinavian Journal of Public Health, Supplement
JF - Scandinavian Journal of Public Health, Supplement
SN - 1403-4956
IS - 5
ER -
ID: 271869163