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. EldersF. Rutters, the Diabetes Pearl from the Parelsnoer Initiative

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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

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