IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0050766.html
   My bibliography  Save this article

Impact of Individual and Environmental Socioeconomic Status on Peritoneal Dialysis Outcomes: A Retrospective Multicenter Cohort Study

Author

Listed:
  • Rong Xu
  • Qing-Feng Han
  • Tong-Ying Zhu
  • Ye-Ping Ren
  • Jiang-Hua Chen
  • Hui-Ping Zhao
  • Meng-Hua Chen
  • Jie Dong
  • Yue Wang
  • Chuan-Ming Hao
  • Rui Zhang
  • Xiao-Hui Zhang
  • Mei Wang
  • Na Tian
  • Hai-Yan Wang

Abstract

Objectives: We aimed to explore the impacts of individual and environmental socioeconomic status (SES) on the outcome of peritoneal dialysis (PD) in regions with significant SES disparity, through a retrospective multicenter cohort in China. Methods: Overall, 2,171 incident patients from seven PD centers were included. Individual SES was evaluated from yearly household income per person and education level. Environmental SES was represented by regional gross domestic product (GDP) per capita and medical resources. Undeveloped regions were defined as those with regional GDP lower than the median. All-cause and cardiovascular death and initial peritonitis were recorded as outcome events. Results: Poorer PD patients or those who lived in undeveloped areas were younger and less-educated and bore a heavier burden of medical expenses. They had lower hemoglobin and serum albumin at baseline. Low income independently predicted the highest risks for all-cause or cardiovascular death and initial peritonitis compared with medium and high income. The interaction effect between individual education and regional GDP was determined. In undeveloped regions, patients with an elementary school education or lower were at significantly higher risk for all-cause death but not cardiovascular death or initial peritonitis compared with those who attended high school or had a higher diploma. Regional GDP was not associated with any outcome events. Conclusion: Low personal income independently influenced all-cause and cardiovascular death, and initial peritonitis in PD patients. Education level predicted all-cause death only for patients in undeveloped regions. For PD patients in these high risk situations, integrated care before dialysis and well-constructed PD training programs might be helpful.

Suggested Citation

  • Rong Xu & Qing-Feng Han & Tong-Ying Zhu & Ye-Ping Ren & Jiang-Hua Chen & Hui-Ping Zhao & Meng-Hua Chen & Jie Dong & Yue Wang & Chuan-Ming Hao & Rui Zhang & Xiao-Hui Zhang & Mei Wang & Na Tian & Hai-Ya, 2012. "Impact of Individual and Environmental Socioeconomic Status on Peritoneal Dialysis Outcomes: A Retrospective Multicenter Cohort Study," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.
  • Handle: RePEc:plo:pone00:0050766
    DOI: 10.1371/journal.pone.0050766
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0050766
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0050766&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0050766?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Merkin, Sharon Stein & Diez Roux, Ana V. & Coresh, Josef & Fried, Linda F. & Jackson, Sharon A. & Powe, Neil R., 2007. "Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: The Cardiovascular Health Study," Social Science & Medicine, Elsevier, vol. 65(4), pages 809-821, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hyo Jin Kim & Joongyub Lee & Miseon Park & Yuri Kim & Hajeong Lee & Dong Ki Kim & Kwon Wook Joo & Yon Su Kim & Eun Jin Cho & Curie Ahn & Kook-Hwan Oh, 2017. "Lower Education Level Is a Risk Factor for Peritonitis and Technique Failure but Not a Risk for Overall Mortality in Peritoneal Dialysis under Comprehensive Training System," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-13, January.
    2. Zhi-Kai Yang & Qing-Feng Han & Tong-Ying Zhu & Ye-Ping Ren & Jiang-Hua Chen & Hui-Ping Zhao & Meng-Hua Chen & Jie Dong & Yue Wang & Chuan- Ming Hao & Rui Zhang & Xiao-Hui Zhang & Mei Wang & Na Tian & , 2014. "The Associations between the Family Education and Mortality of Patients on Peritoneal Dialysis," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yasuo Imanishi & Shingo Fukuma & Angelo Karaboyas & Bruce M Robinson & Ronald L Pisoni & Takanobu Nomura & Takashi Akiba & Tadao Akizawa & Kiyoshi Kurokawa & Akira Saito & Shunichi Fukuhara & Masaaki , 2017. "Associations of employment status and educational levels with mortality and hospitalization in the dialysis outcomes and practice patterns study in Japan," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-11, March.
    2. Bakshi, Sanjeev & Pathak, Prasanta, 2008. "A statistical analysis of various factors associated with selected health problems among older adults in India," MPRA Paper 40539, University Library of Munich, Germany.
    3. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0050766. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.