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Association between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based study

2021-05Journal article Restricted access
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dc.contributor.authorSousa-Uva, Mafalda
dc.contributor.authorBarreto, Marta
dc.contributor.authorRoquette, Rita
dc.contributor.authorMatias-Dias, Carlos
dc.contributor.authorRibeiro, Rogério
dc.contributor.authorBoavida, José Manuel
dc.contributor.authorNunes, Baltazar
dc.date.accessioned2021-12-20T16:48:01Z
dc.date.available2021-12-20T16:48:01Z
dc.date.issued2021-05
dc.description.abstractAims: This study aims to estimate the associations between area-level deprivation and individual-level socio-economic factors, as well as their interaction, with glycated haemoglobin (HbA1c ) levels. Methods: We conducted a gamma multilevel regression analysis using individual-level data from the Portuguese National Health Examination Survey and a deprivation index built through factor analysis, at municipality level, with census variables. Results: Living in a municipality with high material deprivation and having a low level of education were independently associated with an increase of 2.3% (95% confidence interval [CI] 0.6, 4.0) and of 1.6% (95% CI 0.6, 2.7) in the mean levels of HbA1c , respectively. The interaction between area material deprivation and individual-level education was not associated with the levels of HbA1c (0.5%, 95% CI -1.3, 2.3). Conclusions: Our findings support the collective resources model that argues that people in less deprived areas have better health because there are more collective resources. The results suggest that to reduce socio-economic inequalities associated with the levels of HbA1c and, consequently, with diabetes, will require attention to the area material deprivation and individual-level education. Upstream social determinants of health are thus highlighted.pt_PT
dc.description.sponsorshipThis work was supported by Portuguese funds through Portuguese Foundation for Science and Technology (FCT) (project FCT/UID/Multi/04562/2013 and grant SFRH/ BPD/110426/2015).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDiabet Med. 2021 May;38(5):e14542. doi: 10.1111/dme.14542. Epub 2021 Feb 27.pt_PT
dc.identifier.doi10.1111/dme.14542pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.18/7826
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley/ Diabetes UKpt_PT
dc.relationFCT/UID/Multi/04562/2013pt_PT
dc.relationManaging diabetes in the real world: promoting gains in effectiveness from prevention to treatment
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.14542
dc.subjectChronic Diseasept_PT
dc.subjectDeprivationpt_PT
dc.subjectDiabetespt_PT
dc.subjectEpidemiologypt_PT
dc.subjectGlycated haemoglobinpt_PT
dc.subjectPublic Healthpt_PT
dc.subjectSocio-economic Factorspt_PT
dc.subjectObservação em Saúde e Vigilânciapt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectSaúde Públicapt_PT
dc.subjectPortugalpt_PT
dc.titleAssociation between area- and individual-level socio-economic factors with glycated haemoglobin-Evidence from a Portuguese population-based studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleManaging diabetes in the real world: promoting gains in effectiveness from prevention to treatment
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBPD%2F110426%2F2015/PT
oaire.citation.issue5pt_PT
oaire.citation.startPagee14542pt_PT
oaire.citation.titleDiabetic Medicinept_PT
oaire.citation.volume38pt_PT
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublication71915437-8afa-47b0-81bd-a36b1e5d0e9e
relation.isProjectOfPublication.latestForDiscovery71915437-8afa-47b0-81bd-a36b1e5d0e9e

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