Socioeconomic Deprivation and Risk of Sight-Threatening Diabetic Retinopathy
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This study examined the associations between socioeconomic deprivation and sight-threatening diabetic retinopathy (STDR) in people with type 1 and type 2 diabetes. Risk of STDR was higher in individuals with type 1 (HR, 2.67) and type 2 diabetes (HR, 1.28) in the most deprived quintile, compared with the least deprived quintile.
- Higher socioeconomic deprivation is associated with a higher risk of STDR in people with type 1 and type 2 diabetes.
abstract
This abstract is available on the publisher's site.
Access this abstract nowOBJECTIVE
To evaluate the associations between socioeconomic deprivation and sight-threatening diabetic retinopathy (STDR) in individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D).
RESEARCH DESIGN AND METHODS
Data from 175,628 individuals with diabetes in the Health Improvement Network were used to assess the risk of STDR across Townsend Deprivation Index quantiles using Cox proportional hazard regression.
RESULTS
Among individuals with T1D, the risk of STDR was three times higher (adjusted hazard ratio [aHR] 2.67, 95% CI 1.05-7.78) in the most deprived quintile compared with the least deprived quintile. In T2D, the most deprived quintile had a 28% higher risk (aHR 1.28; 95% CI 1.15-1.43) than the least deprived quintile.
CONCLUSIONS
Increasing socioeconomic deprivation is associated with a higher risk of developing STDR in people with diabetes. This underscores persistent health disparities linked to poverty, even within a country offering free universal health care. Further research is needed to address health equity concerns in socioeconomically deprived regions.
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Additional Info
Socioeconomic Deprivation and the Risk of Sight-Threatening Diabetic Retinopathy: A Population-Based Cohort Study in the U.K
Diabetes Care 2024 May 01;47(5)844-848, L Tan, J Wang, J Han, C Sainsbury, AK Denniston, FL Crowe, KA Toulis, MA Karamat, M Yao, K NirantharakumarFrom MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.