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

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  • 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
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    References listed on IDEAS

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