Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort

A. Rutte, S. P. Rauh, M. T. Schram, G. Nijpels, J. H. DeVries, F. Holleman, H. Pijl, O. M. Dekkers, B. Özcan, E. J.G. Sijbrands, C. J. Tack, E. J. Abbink, H. W. de Valk, B. Silvius, B. H.R. Wolffenbuttel, C. D.A. Stehouwer, N. C. Schaper, J. M. Dekker, J. W. Beulens, P. J.M. Elders & 2 others F. Rutters, the Diabetes Pearl from the Parelsnoer Initiative

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aims: Individual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner’s socio-economic status and HbA1c levels. We therefore examined the cross-sectional association between individual and partner’s level of occupation on HbA1c levels in people with Type 2 diabetes in the Netherlands. Methods: We included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. Results: In total, 3257 participants (59.8% men, mean 62.2±9.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA1c levels [e.g. ISCO level 3: –2 mmol/mol (95% CI –4;–1) or -0.2% (95% CI –0.4;–0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA1c levels [14 mmol/mol (95% CI 6; 22) or 1.3% (95% CI 0.6; 2.0)], compared with having a partner of the highest occupational level. Conclusions: Partner's occupational status provided additional information on the association between socio-economic status and HbA1c levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.

Original languageEnglish
Pages (from-to)1623-1628
Number of pages6
JournalDiabetic Medicine
Volume34
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017

Cite this

Rutte, A. ; Rauh, S. P. ; Schram, M. T. ; Nijpels, G. ; DeVries, J. H. ; Holleman, F. ; Pijl, H. ; Dekkers, O. M. ; Özcan, B. ; Sijbrands, E. J.G. ; Tack, C. J. ; Abbink, E. J. ; de Valk, H. W. ; Silvius, B. ; Wolffenbuttel, B. H.R. ; Stehouwer, C. D.A. ; Schaper, N. C. ; Dekker, J. M. ; Beulens, J. W. ; Elders, P. J.M. ; Rutters, F. ; the Diabetes Pearl from the Parelsnoer Initiative. / Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus : the Dutch Diabetes Pearl cohort. In: Diabetic Medicine. 2017 ; Vol. 34, No. 11. pp. 1623-1628.
@article{edc8eb7bfcfd44f48b4d7eeace314628,
title = "Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort",
abstract = "Aims: Individual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner’s socio-economic status and HbA1c levels. We therefore examined the cross-sectional association between individual and partner’s level of occupation on HbA1c levels in people with Type 2 diabetes in the Netherlands. Methods: We included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. Results: In total, 3257 participants (59.8{\%} men, mean 62.2±9.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA1c levels [e.g. ISCO level 3: –2 mmol/mol (95{\%} CI –4;–1) or -0.2{\%} (95{\%} CI –0.4;–0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA1c levels [14 mmol/mol (95{\%} CI 6; 22) or 1.3{\%} (95{\%} CI 0.6; 2.0)], compared with having a partner of the highest occupational level. Conclusions: Partner's occupational status provided additional information on the association between socio-economic status and HbA1c levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.",
author = "A. Rutte and Rauh, {S. P.} and Schram, {M. T.} and G. Nijpels and DeVries, {J. H.} and F. Holleman and H. Pijl and Dekkers, {O. M.} and B. {\"O}zcan and Sijbrands, {E. J.G.} and Tack, {C. J.} and Abbink, {E. J.} and {de Valk}, {H. W.} and B. Silvius and Wolffenbuttel, {B. H.R.} and Stehouwer, {C. D.A.} and Schaper, {N. C.} and Dekker, {J. M.} and Beulens, {J. W.} and Elders, {P. J.M.} and F. Rutters and {the Diabetes Pearl from the Parelsnoer Initiative}",
year = "2017",
month = "11",
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doi = "10.1111/dme.13422",
language = "English",
volume = "34",
pages = "1623--1628",
journal = "Diabetic Medicine",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "11",

}

Rutte, A, Rauh, SP, Schram, MT, Nijpels, G, DeVries, JH, Holleman, F, Pijl, H, Dekkers, OM, Özcan, B, Sijbrands, EJG, Tack, CJ, Abbink, EJ, de Valk, HW, Silvius, B, Wolffenbuttel, BHR, Stehouwer, CDA, Schaper, NC, Dekker, JM, Beulens, JW, Elders, PJM, Rutters, F & the Diabetes Pearl from the Parelsnoer Initiative 2017, 'Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus: the Dutch Diabetes Pearl cohort' Diabetic Medicine, vol. 34, no. 11, pp. 1623-1628. https://doi.org/10.1111/dme.13422

Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus : the Dutch Diabetes Pearl cohort. / Rutte, A.; Rauh, S. P.; Schram, M. T.; Nijpels, G.; DeVries, J. H.; Holleman, F.; Pijl, H.; Dekkers, O. M.; Özcan, B.; Sijbrands, E. J.G.; Tack, C. J.; Abbink, E. J.; de Valk, H. W.; Silvius, B.; Wolffenbuttel, B. H.R.; Stehouwer, C. D.A.; Schaper, N. C.; Dekker, J. M.; Beulens, J. W.; Elders, P. J.M.; Rutters, F.; the Diabetes Pearl from the Parelsnoer Initiative.

In: Diabetic Medicine, Vol. 34, No. 11, 01.11.2017, p. 1623-1628.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Individual and partner's level of occupation and the association with HbA1c levels in people with Type 2 diabetes mellitus

T2 - the Dutch Diabetes Pearl cohort

AU - Rutte, A.

AU - Rauh, S. P.

AU - Schram, M. T.

AU - Nijpels, G.

AU - DeVries, J. H.

AU - Holleman, F.

AU - Pijl, H.

AU - Dekkers, O. M.

AU - Özcan, B.

AU - Sijbrands, E. J.G.

AU - Tack, C. J.

AU - Abbink, E. J.

AU - de Valk, H. W.

AU - Silvius, B.

AU - Wolffenbuttel, B. H.R.

AU - Stehouwer, C. D.A.

AU - Schaper, N. C.

AU - Dekker, J. M.

AU - Beulens, J. W.

AU - Elders, P. J.M.

AU - Rutters, F.

AU - the Diabetes Pearl from the Parelsnoer Initiative

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Aims: Individual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner’s socio-economic status and HbA1c levels. We therefore examined the cross-sectional association between individual and partner’s level of occupation on HbA1c levels in people with Type 2 diabetes in the Netherlands. Methods: We included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. Results: In total, 3257 participants (59.8% men, mean 62.2±9.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA1c levels [e.g. ISCO level 3: –2 mmol/mol (95% CI –4;–1) or -0.2% (95% CI –0.4;–0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA1c levels [14 mmol/mol (95% CI 6; 22) or 1.3% (95% CI 0.6; 2.0)], compared with having a partner of the highest occupational level. Conclusions: Partner's occupational status provided additional information on the association between socio-economic status and HbA1c levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.

AB - Aims: Individual indicators of socio-economic status have been associated with glycaemic control in people with Type 2 diabetes, but little is known about the association between partner’s socio-economic status and HbA1c levels. We therefore examined the cross-sectional association between individual and partner’s level of occupation on HbA1c levels in people with Type 2 diabetes in the Netherlands. Methods: We included people with Type 2 diabetes with a partner who were treated in primary, secondary and tertiary care in the Diabetes Pearl cohort. Occupational level was classified according to International Standard Classification of Occupations (ISCO)-08 skill levels. Linear regression analyses were performed stratified for sex, and corrected for age, recruitment centre and diabetes medication. Results: In total, 3257 participants (59.8% men, mean 62.2±9.4 years) were included. For men, having a partner with an intermediate level of occupation was associated with lower HbA1c levels [e.g. ISCO level 3: –2 mmol/mol (95% CI –4;–1) or -0.2% (95% CI –0.4;–0.1)], compared with having a partner of the highest occupational level (ISCO level 4). In women, having an unemployed partner was associated with higher HbA1c levels [14 mmol/mol (95% CI 6; 22) or 1.3% (95% CI 0.6; 2.0)], compared with having a partner of the highest occupational level. Conclusions: Partner's occupational status provided additional information on the association between socio-economic status and HbA1c levels in people with Type 2 diabetes. Women seemed to benefit from a partner with a higher occupational status, while men seemed to benefit from a partner with a lower status. Because of the cross-sectional nature of the present study, more research is necessary to explore this association.

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U2 - 10.1111/dme.13422

DO - 10.1111/dme.13422

M3 - Article

VL - 34

SP - 1623

EP - 1628

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

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