Cardiovascular Risk Factors in Relation to Socio-Economic Status Among Patients with Type ‎‎2 ‎Diabetes in Urmia, Iran

  • Sima Oshnouei
  • Shaker Salari
  • Vahid Ayogi
  • Davoud Khorasani-Zavareh
Keywords: Socioeconomic status, type 2 diabetes, HbA1c


Purpose: To investigate the effect of socio-economic status (SES) on cardiovascular disease ‎among type 2 ‎diabetic patients in Urmia, Iran.‎

Methods: A cross-sectional study was conducted on 251 patients with type 2 diabetes ‎referred to the Urmia Diabetes Unit over the period September-March 2010‎. ‎A self-administrated questionnaire was employed for data collection. Clinical ‎data of glycemic ‎control and blood pressure were collected from patient records. Multiple logistic regression ‎analysis was used to ‎assess the effect of SES on health outcomes.

Results: Patients with a high socioeconomic status were less likely to have uncontrolled HbA1c ‎‎ (OR=0.87; 95 % CI; 0.79-0.96), ‎uncontrolled systolic blood pressure (OR=0.94; 95 % CI; 0.90-‎‎0.99) and uncontrolled diastolic blood pressure ‎ (OR=0.92; 95 % CI; ‎‎0.87- 0.97) compared to ‎patients with lower socioeconomic scores. Higher amount‎s of fasting blood ‎sugar, HbA1c‎‎, systolic and diastolic blood pressure were correlated with higher SES scores among diabetic patients in ‎linear ‎regression analyses (FBS coefficient = -2.23, HbA1c coefficient‎= -0.079 ‎‎, systolic & diastolic blood pressure coefficient‎=‎ -0.39 and -‎‎0.17‎).

Conclusions: Low socioeconomic status assessed in this Iranian population was associated with higher odds of cardiovascular risk factors predisposing to poor consequences among diabetic patients with low socioeconomic status.


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