Low Socioeconomic Status and Increased Risk of Severe Hypoglycemia in Type 1 Diabetes: A Systematic Literature Review

2007 ◽  
Vol 31 (3) ◽  
pp. 233-241 ◽  
Author(s):  
Anna M. Sawka ◽  
Pauline Boulos ◽  
Ashnoor S. Talib ◽  
Amiram Gafni ◽  
Lehana Thabane ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Type 1 Diabetes ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Low Socioeconomic Status ◽  
Severe Hypoglycemia ◽  
Low Socioeconomic ◽  
Increased Risk

scholarly journals Socioeconomic Status and Health Behavior in Children and Adolescents: A Systematic Literature Review

2021 ◽  
Author(s):  
Nirmal Gautam ◽  
Getenet Dessie ◽  
Mohammad Mafizur Rahman ◽  
Rasheda Khanam
Keyword(s):  
Socioeconomic Status ◽  
Literature Review ◽  
Health Behavior ◽  
Health Behaviors ◽  
Children And Adolescents ◽  
Systematic Literature Review ◽  
Low Socioeconomic Status ◽  
Study Objective ◽  
Low Socioeconomic ◽  
Socioeconomic Status And Health

Abstract Background:Socioeconomic status (SES) is an important determinant of health behaviors in individuals and contributes to a complex relationship with health. Because of this complexity, the relationship between SES and health behavior is still unclear. Thus, this literature review aims to assess the association between socioeconomic inequalities and health behaviors in children and adolescents from both developed and developing countries.Methods:Preferred Reporting for Systematic Review and Meta-Analysis protocol (PRISMA-P) guideline was used to conduct a systematic literature review. The electronic online databases EBSCO Host, PubMed, Web of Science, and Science Direct were utilized to systematically search the published articles. Joanna Briggs Institute of critical appeal tool was deployed to assess the quality of included studies. Eligibilities criteria such as study population, study design, study type, study objective, language, and publication date were used to identify the relevant literature that measured the association between socioeconomic status and health behaviors.Results:Out of 1483 articles, only 31 met the final eligibility criteria and were assessed in this paper. Out of these studies: ten, nine, seven and five studies identified a positive association between socioeconomic status (SES) and (a) drinking alcohol; (b) physical activity; (c) fruits and vegetable consumption; (d) consumption of a healthy diet respectively. On the other hand, a negative association between SES and smoking and SES and consumption of cannabis were found by eleven and one study respectively among the children and adolescents. Conclusions:This review study found that the problem of health behaviors is continuing to be a major concern in children and adolescents, particularly those who are of low socioeconomic status. The findings of this study revealed that some specific intervention packages are needed for reducing these damaging health behaviors and enhancing the protective health behaviors in those children and adolescents from a low socioeconomic status.

Systematic literature review and network meta‐analysis of sodium‐glucose co‐transporter inhibitors vs metformin as add‐on to insulin in type 1 diabetes

2019 ◽  
Vol 22 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Bryony E. Langford ◽  
Marc Evans ◽  
Tao Haskins‐Coulter ◽  
Molly O'Connor ◽  
Harriet E. O. Cant ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Meta Analysis

scholarly journals Relation of Sociodemographics and Personal Hygiene on Different Childhood Dermatoses

2015 ◽  
Vol 13 (1) ◽  
pp. 29-33
Author(s):  
E Gauchan ◽  
A Kumar ◽  
G BK ◽  
P Thapa ◽  
J Pun
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Skin Disease ◽  
Skin Diseases ◽  
Public Health Problem ◽  
Personal Hygiene ◽  
Cross Sectional ◽  
Dermatology Department ◽  
Low Socioeconomic ◽  
Increased Risk

Background Skin diseases in children contribute to significant morbidity and psychological distress. Infective dermatoses are one of the major dermatoses in children. Low socioeconomic status, overcrowding and poor personal hygiene has been linked to skin diseases.Objective To find out the prevalence of infectious skin disease in children, rate of transmissible skin disease and association of sociodemographic factors and personal hygiene on infective childhood dermatoses.Method This was a cross-sectional study conducted in the Pediatric and Dermatology Department, Manipal Teaching Hospital, Pokhara, Nepal. A total of 226 patients were examined over a period of one year. Relation of sociodemographics, crowding and personal hygiene on skin disease were assessed.Result The most common category was Infections and Infestations (51.3%) followed by Dermatitis (27.9%) . Transmissible skin disease was seen in 49.6%. Low socioeconomic status and overcrowding were associated with increased risk for infective dermatoses.Conclusion Skin disease in children constitutes a public health problem. Improving the socioeconomic status and personal hygiene can help to reduce the incidence of skin disease in children.Kathmandu University Medical Journal Vol.13(1) 2015; 29-33

Prolonged elevations in haemostatic and rheological responses following psychological stress in low socioeconomic status men and women

2003 ◽  
Vol 89 (01) ◽  
pp. 83-90 ◽  
Author(s):  
Sabine Kunz-Ebrecht ◽  
Ann Rumley ◽  
Gordon Lowe ◽  
Andrew Steptoe
Keyword(s):  
Socioeconomic Status ◽  
Factor Viii ◽  
Psychological Stress ◽  
Low Socioeconomic Status ◽  
Stress Responses ◽  
Blood Viscosity ◽  
Stress Reactivity ◽  
Plasma Viscosity ◽  
Low Socioeconomic ◽  
Increased Risk

SummaryLow socioeconomic status (SES) and psychological stress are associated with increased risk of coronary heart disease, and both may influence haemostatic responses. Von Willebrand factor (vWF), Factor VIII, plasma viscosity, haematocrit, blood viscosity, tissue plasminogen activator (t-PA) and fibrin D-dimer were measured at rest and following stressful tasks in 238 middle-aged British civil servants. SES was defined by grade of employment. Lower SES was associated with higher resting vWF, Factor VIII and plasma viscosity. Psychological stress stimulated increases in haemostatic and rheological factors. Initial stress responses did not vary with SES, but Factor VIII, plasma viscosity and blood viscosity remained more elevated 45 minutes post-stress in lower SES participants. High blood pressure stress reactivity was also associated with greater haemostatic responses. We conclude that lower SES is characterised by more prolonged elevations in procoagulant responses following psychological stress, and that these processes might contribute to increased cardiac risk.

scholarly journals Association of socioeconomic status and DKA readmission in adults with type 1 diabetes: analysis of the US National Readmission Database

2019 ◽  
Vol 7 (1) ◽  
pp. e000621 ◽  
Author(s):  
Estelle Everett ◽  
Nestoras Nicolas Mathioudakis
Keyword(s):  
Socioeconomic Status ◽  
Type 1 Diabetes ◽  
Private Insurance ◽  
National Level ◽  
Multivariable Logistic Regression Analysis ◽  
High Risk Population ◽  
Increased Risk ◽  
The Usa ◽  
National Readmission Database

ObjectiveTo identify patient and hospital predictors of recurrent diabetic ketoacidosis (DKA) admissions in adults in the USA with type 1 diabetes, focusing on socioeconomic indicators.Research design and methodsThis cross-sectional study used the National Readmission Database to identify adult patients with type 1 diabetes admitted for DKA between 2010 and 2015. The index DKA admission was defined as the first admission within the calendar year and the primary outcome was recurrent DKA admission(s) within the same calendar year. Multivariable logistic regression analysis was performed using covariates of patient and hospital factors at the index admission to determine the odds of DKA readmission(s).ResultsAmong 181 284 index DKA admissions, 39 693 (22%) had at least one readmission within the calendar year, of which 33 931 (86%) and 5762 (14%) had 1–3 and ≥4 DKA readmissions, respectively. When compared with the highest income quartile, patients in the first and second income quartiles had 46% (95% CI 30% to 64%) and 34% (95% CI 19% to 51%) higher odds of four or more DKA readmissions, respectively. Medicaid and Medicare insurance were both associated with a 3.3-fold adjusted risk (95% CI 3.0 to 3.7) for ≥4 readmissions compared with private insurance, respectively. Younger age, female sex, and discharge against medical advice were also predictive.ConclusionsLower socioeconomic status and Medicaid insurance are strong predictors of DKA readmissions in adults with type 1 diabetes in the USA. Further studies are needed to understand the mediators of this association to inform multilevel interventions for this high-risk population.Significance of the studyThe association of socioeconomic status (SES) and hospital admission for DKA has been studied in pediatrics with type 1 diabetes, but the data in adults are limited, and studies evaluating recurrent DKA admissions are scarcer. To our knowledge, this is the first study to describe predictors of recurrent DKA admissions in adults with type 1 diabetes on a national level in the USA. We found that those at highest risk of recurrent DKA are young women with low SES who had Medicaid or Medicare insurance. These findings should prompt further studies to explore the mediators of these disparities in patients with type 1 diabetes, as recurrent DKA results in high healthcare utilization and increased risk of long-term complications.

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