Skip to main content

Advertisement

Log in

Social inequalities and outcomes in type 2 diabetes in the German region of Augsburg. A cross-sectional survey.

  • Original article
  • Published:
International Journal of Public Health

Summary

Objectives:

To assess the association of socioeconomic position with health (care) outcomes in type 2 diabetes with a particular focus on glycaemic control.

Methods:

A cross-sectional survey in the region of Augsburg (Germany) on 373 men and women with type 2 diabetes, drawn from representative MONICA surveys and the myocardial infarct register. Analysis of association of socioeconomic position with HbA1c levels, cardiovascular risk factors and long-term macro- and microvascular diabetes complications using logistic regression models.

Results:

Glycaemic control, measured by HbA1c levels, is strongly associated with indicators of socioeconomic position favouring the better off. Comparison of the lowest with the highest socioeconomic group showed an odds ratio of 2.49 (95% CI: 1.22–5.07) for the MI register subgroup and 1.80 (95% CI: 0.80–4.06) for the survey subgroup for failure to achieve the recommended HbA1c target. This association could not be accounted for by differences across social groups in age, sex, diabetes duration, obesity, or physical activity.

Conclusions:

Social inequalities in glycaemic control do exist. This finding may indicate a level of diabetes care that is inappropriate to the need of socially disadvantaged groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to Andreas Mielck.

Additional information

Submitted: 22 June 2005; Revised: 15 September 2006; Accepted: 13 March 2007

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reisig, V., Reitmeir, P., Döring, A. et al. Social inequalities and outcomes in type 2 diabetes in the German region of Augsburg. A cross-sectional survey.. Int J Public Health 52, 158–165 (2007). https://doi.org/10.1007/s00038-007-5077-2

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-007-5077-2

Keywords:

Navigation