Department of Public Health and Primary Care / Health Campus The Hague, Leiden University Medical Centre, The Hague, The Netherlands
Expert Review
Are social determinants of health linked to the emergence of early problems in type 2 diabetic young adults? a database research with a population focus
Author(s): Ema Neuwen*
Aims: To quantify the impact of social determinants of health (SDOH) on the onset of diabetes-related complications in young adults with type 2 diabetes in addition to medical determinants.
Method: The SDOH (income and origin) and routine primary care data were linked in this observational population-based study. The participants were young adults aged 18 to 45 who developed incident type 2 diabetes between 2007 and 2013. Multivariate Cox regression was used to examine the primary outcome, which was the onset of the first micro- or macrovascular complication. Treatment for diabetes, HbA1c in the year following diagnosis, body mass index, comorbidity, and smoking were all considered medical determinants.
Results: 761 young adults' (median age:) findings 39 (IQR 33–42) years, men: 49%, Western beginning: 36.. View More»
DOI:
: 10.35248/2155-6156.1000995