| Titre : | Lower educational level is a predictor of incident type 2 diabetes in European countries : The EPIC-InterAct study. (2012) |
| Auteurs : | Carlotta SACERDOTE ; et al. ; Fulvio RICCERI ; Olov ROLANDSSON |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 41, n° 4, 2012) |
| Pagination : | 1162-1173 |
| Langues: | Anglais |
| Mots-clés : | Niveau enseignement ; Facteur sociodémographique ; Incidence ; Europe ; Education ; Enseignement ; Facteur socioéconomique ; Epidémiologie ; Glande endocrine [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS C98IjR0x. Diffusion soumise à autorisation]. Background Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases worldwide. In high-income countries, low socio-economic status seems to be related to a high incidence of T2DM, but very little is known about the intermediate factors of this relationship. Method We performed a case-cohort study in eight Western European countries nested in the EPIC study (n=340 234,3.99 million person-years of follow-up). A random sub-cohort of 16835 individuals and a total of 12 403 incident cases of T2DM were identified. Crude and multivariate-adjusted hazard ratios (HR) were estimated for each country and pooled across countries using meta-analytical methods. Age-gender-and country-specific relative indices of inequality (RII) were used as the measure of educational level and RII tertiles were analysed. Results Compared with participants with a high educational level (RII tertile 1), participants with a low educational level (RII tertile 3) had a higher risk of T2DM [HR : 1.77,95% confidence interval (CI) : 1.69-1.85 ; P-trend |
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