Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina

Autores
Rodríguez López, Santiago; Tumas, Natalia
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Low socio-economic status is linked to a higher probability of having type 2 diabetes mellitus in adulthood, including body mass index as a mediation factor in such association. However, the evidence from low- and middle-income countries is scarce and the mechanisms beyond this relationship are not yet completely acknowledge. Objective: The purposes of this study are to i) evaluate the potential mediating role of body mass index in the relationship between educational background and diabetes mellitus; ii) assess whether these associations vary by gender and age. Methods: Cross-sectional study. Data came from the Argentine National Health Survey of Risk Factors 2013 (n=30,119, 18-years-old and older). Age-adjusted genderspecific simple mediation modeling was conducted to estimate the potential mediation role of body mass index, in the association between educational level and self-reported diabetes mellitus. Results: In women there was a positive direct (OR 1.11; 95% CI 1.09, 1.13) and indirect -through body mass indexassociations (OR 1.12; 95% CI 1.09, 1.36) between low education and diabetes mellitus. The associations were also significant for older women (50 years +), directly (OR 1.28; 95% CI 1.12, 1.44) and indirectly (OR 1.09; 95% CI 1.07, 1.13). In men, low education was associated with lower odds of diabetes mellitus (OR 0.86, 95% CI 0.76, 0.98). Conclusion: Decreasing body mass index might be an intermediate target to reduce the occurrence of diabetes mellitus among Argentinean adults, particularly among socially disadvantaged women.
Fil: Rodríguez López, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Materia
BMI
MEDIATION
DIABETES
EDUCATIONAL LEVEL
ARGENTINA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/116855
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/116855
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repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Educational disparities in diabetes: A mediation analysis through BMI among urban adults from ArgentinaRodríguez López, SantiagoTumas, NataliaBMIMEDIATIONDIABETESEDUCATIONAL LEVELARGENTINAhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Low socio-economic status is linked to a higher probability of having type 2 diabetes mellitus in adulthood, including body mass index as a mediation factor in such association. However, the evidence from low- and middle-income countries is scarce and the mechanisms beyond this relationship are not yet completely acknowledge. Objective: The purposes of this study are to i) evaluate the potential mediating role of body mass index in the relationship between educational background and diabetes mellitus; ii) assess whether these associations vary by gender and age. Methods: Cross-sectional study. Data came from the Argentine National Health Survey of Risk Factors 2013 (n=30,119, 18-years-old and older). Age-adjusted genderspecific simple mediation modeling was conducted to estimate the potential mediation role of body mass index, in the association between educational level and self-reported diabetes mellitus. Results: In women there was a positive direct (OR 1.11; 95% CI 1.09, 1.13) and indirect -through body mass indexassociations (OR 1.12; 95% CI 1.09, 1.36) between low education and diabetes mellitus. The associations were also significant for older women (50 years +), directly (OR 1.28; 95% CI 1.12, 1.44) and indirectly (OR 1.09; 95% CI 1.07, 1.13). In men, low education was associated with lower odds of diabetes mellitus (OR 0.86, 95% CI 0.76, 0.98). Conclusion: Decreasing body mass index might be an intermediate target to reduce the occurrence of diabetes mellitus among Argentinean adults, particularly among socially disadvantaged women.Fil: Rodríguez López, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; ArgentinaFil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; ArgentinaSociedad Española de Dietética y Ciencias de la Alimentación2020-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/116855Rodríguez López, Santiago; Tumas, Natalia; Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina; Sociedad Española de Dietética y Ciencias de la Alimentación; Nutrición clínica y dietética hospitalaria; 40; 2; 8-2020; 128-1340211-60571989-208XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.12873/402rodriguezinfo:eu-repo/semantics/altIdentifier/url/https://revista.nutricion.org/index.php/ncdh/article/view/19info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:39:06Zoai:ri.conicet.gov.ar:11336/116855instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:39:06.854CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
title Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
spellingShingle Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
Rodríguez López, Santiago
BMI
MEDIATION
DIABETES
EDUCATIONAL LEVEL
ARGENTINA
title_short Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
title_full Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
title_fullStr Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
title_full_unstemmed Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
title_sort Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina
dc.creator.none.fl_str_mv Rodríguez López, Santiago
Tumas, Natalia
author Rodríguez López, Santiago
author_facet Rodríguez López, Santiago
Tumas, Natalia
author_role author
author2 Tumas, Natalia
author2_role author
dc.subject.none.fl_str_mv BMI
MEDIATION
DIABETES
EDUCATIONAL LEVEL
ARGENTINA
topic BMI
MEDIATION
DIABETES
EDUCATIONAL LEVEL
ARGENTINA
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Low socio-economic status is linked to a higher probability of having type 2 diabetes mellitus in adulthood, including body mass index as a mediation factor in such association. However, the evidence from low- and middle-income countries is scarce and the mechanisms beyond this relationship are not yet completely acknowledge. Objective: The purposes of this study are to i) evaluate the potential mediating role of body mass index in the relationship between educational background and diabetes mellitus; ii) assess whether these associations vary by gender and age. Methods: Cross-sectional study. Data came from the Argentine National Health Survey of Risk Factors 2013 (n=30,119, 18-years-old and older). Age-adjusted genderspecific simple mediation modeling was conducted to estimate the potential mediation role of body mass index, in the association between educational level and self-reported diabetes mellitus. Results: In women there was a positive direct (OR 1.11; 95% CI 1.09, 1.13) and indirect -through body mass indexassociations (OR 1.12; 95% CI 1.09, 1.36) between low education and diabetes mellitus. The associations were also significant for older women (50 years +), directly (OR 1.28; 95% CI 1.12, 1.44) and indirectly (OR 1.09; 95% CI 1.07, 1.13). In men, low education was associated with lower odds of diabetes mellitus (OR 0.86, 95% CI 0.76, 0.98). Conclusion: Decreasing body mass index might be an intermediate target to reduce the occurrence of diabetes mellitus among Argentinean adults, particularly among socially disadvantaged women.
Fil: Rodríguez López, Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Tumas, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
description Low socio-economic status is linked to a higher probability of having type 2 diabetes mellitus in adulthood, including body mass index as a mediation factor in such association. However, the evidence from low- and middle-income countries is scarce and the mechanisms beyond this relationship are not yet completely acknowledge. Objective: The purposes of this study are to i) evaluate the potential mediating role of body mass index in the relationship between educational background and diabetes mellitus; ii) assess whether these associations vary by gender and age. Methods: Cross-sectional study. Data came from the Argentine National Health Survey of Risk Factors 2013 (n=30,119, 18-years-old and older). Age-adjusted genderspecific simple mediation modeling was conducted to estimate the potential mediation role of body mass index, in the association between educational level and self-reported diabetes mellitus. Results: In women there was a positive direct (OR 1.11; 95% CI 1.09, 1.13) and indirect -through body mass indexassociations (OR 1.12; 95% CI 1.09, 1.36) between low education and diabetes mellitus. The associations were also significant for older women (50 years +), directly (OR 1.28; 95% CI 1.12, 1.44) and indirectly (OR 1.09; 95% CI 1.07, 1.13). In men, low education was associated with lower odds of diabetes mellitus (OR 0.86, 95% CI 0.76, 0.98). Conclusion: Decreasing body mass index might be an intermediate target to reduce the occurrence of diabetes mellitus among Argentinean adults, particularly among socially disadvantaged women.
publishDate 2020
dc.date.none.fl_str_mv 2020-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/116855
Rodríguez López, Santiago; Tumas, Natalia; Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina; Sociedad Española de Dietética y Ciencias de la Alimentación; Nutrición clínica y dietética hospitalaria; 40; 2; 8-2020; 128-134
0211-6057
1989-208X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/116855
identifier_str_mv Rodríguez López, Santiago; Tumas, Natalia; Educational disparities in diabetes: A mediation analysis through BMI among urban adults from Argentina; Sociedad Española de Dietética y Ciencias de la Alimentación; Nutrición clínica y dietética hospitalaria; 40; 2; 8-2020; 128-134
0211-6057
1989-208X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.12873/402rodriguez
info:eu-repo/semantics/altIdentifier/url/https://revista.nutricion.org/index.php/ncdh/article/view/19
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedad Española de Dietética y Ciencias de la Alimentación
publisher.none.fl_str_mv Sociedad Española de Dietética y Ciencias de la Alimentación
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.22299

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