Associations between income/employment status and diabetes care processes, health behaviors, and health outcomes in Japan: A cross-sectional study using claims data linked to a questionnaire survey

被引：0

作者：

Yamaoka, Takuya ^{[1
,2
,3
]}

Sugiyama, Takehiro ^{[2
,3
,4
,5
]}

Ihana-Sugiyama, Noriko ^{[3
,4
,6
]}

Kimura, Akiko ^{[3
,4
]}

Yamamoto, Kouko ^{[1
,2
,3
]}

Imai, Kenjiro ^{[3
,4
]}

Kuroda, Naoaki ^{[4
,7
,8
]}

Ohsugi, Mitsuru ^{[3
,6
]}

Ueki, Kohjiro ^{[6
,9
]}

Yamauchi, Toshimasa ^{[10
]}

Tamiya, Nanako ^{[2
,4
]}

机构：

[1] Univ Tsukuba, Grad Sch Comprehens Human Sci, Dept Hlth Serv Res, Ibaraki, Japan

[2] Univ Tsukuba, Inst Med, Dept Hlth Serv Res, Ibaraki, Japan

[3] Natl Ctr Global Hlth & Med, Diabet & Metab Informat Ctr, Res Inst, Tokyo, Japan

[4] Univ Tsukuba, Hlth Serv Res & Dev Ctr, Ibaraki, Japan

[5] Natl Ctr Global Hlth & Med, Inst Global Hlth Policy Res, Bur Int Hlth Cooperat, Tokyo, Japan

[6] Natl Ctr Global Hlth & Med, Dept Diabet Endocrinol & Metab, Tokyo, Japan

[7] Hlth Dept Tsukuba City, Ibaraki, Japan

[8] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Publ Mental Hlth Res, Tokyo, Japan

[9] Natl Ctr Global Hlth & Med, Diabet Res Ctr, Res Inst, Tokyo, Japan

[10] Univ Tokyo, Grad Sch Med, Dept Diabet & Metab Dis, Tokyo, Japan

来源：

JOURNAL OF DIABETES INVESTIGATION | 2024年 / 15卷 / 11期

关键词：

Claims analysis; Healthcare quality assessment; Socioeconomic status; SOCIOECONOMIC-STATUS; MORTALITY; EXERCISE; MELLITUS;

D O I：

10.1111/jdi.14301

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims/Introduction: We aimed to explore the associations between income/ employment status and diabetes care processes, health behaviors and health outcomes. Materials and Methods: This cross-sectional study used health insurance claims data between April 2021 and March 2022, and a questionnaire survey between December 2022 and January 2023 in Tsukuba City. The study analyzed the participants with diabetes (other than type 1) from those selected by stratified random sampling. We evaluated diabetes care processes, health behaviors and health outcomes by calculating weighted proportions among the groups. We also assessed the associations between income/ employment status and these variables using multivariable modified Poisson regression models. Results: Of the 264 identified participants, 161 (64.2%) were men and 168 (72.8%) were aged >= 65 years old. Compared with the low-income groups, the high-income group had a higher proportion of sodium-glucose - glucose cotransporter 2 inhibitors or glucagon-like peptide-1 receptor agonists use (adjusted risk ratio [aRR] 1.70, 95% confidence interval (CI) 1.07-2.72), - 2.72), a higher proportion of attendance to annual health checkups for >= 2 years (aRR 1.68, 95% CI 1.07-2.64) - 2.64) and a lower proportion of all-cause hospitalization (aRR 0.15, 95% CI 0.04-0.48); - 0.48); additionally, the middle-income group had a lower proportion of high total outpatient medical expenses (aRR 0.57, 95% CI 0.35-0.92). - 0.92). Compared to the no work time group, the full-time work group had a lower proportion of exercise habits (aRR 0.59, 95% CI 0.35-0.99) - 0.99) and a higher proportion of good self-reported health (aRR 2.08, 95% CI 1.22- - 3.55). Conclusions: Several variables were associated with income/employment status. Policy intervention should focus on high-risk groups identified by considering these associations.

引用

页码：1684 / 1695

页数：12