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Poor structural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study.
Diabet Med. 2016 Jan; 33(1):47-54.DM

Abstract

AIMS

Several psychosocial factors have been shown to increase the risk of Type 2 diabetes mellitus. This study investigated the association between structural social support and incidence of Type 2 diabetes mellitus in men and women.

METHODS

Data were derived from three population-based MONICA/KORA surveys conducted in 1984-1995 in the Augsburg region (southern Germany) and followed up by 2009. The study population comprised 8952 participants (4669 men/4283 women) aged 30-74 years without diabetes at baseline. Structural social support was assessed using the Social Network Index. Sex-specific hazard ratios were estimated from Cox proportional hazard models.

RESULTS

Within follow-up, 904 incident Type 2 diabetes mellitus cases (558 men, 346 women) were observed. Crude incidence rates for Type 2 diabetes mellitus per 10 000 person-years were substantially higher in poor compared with good structural social support (men: 94 vs. 69, women: 58 vs. 43). After adjustment for age, survey, parental history of diabetes, smoking status, alcohol intake, physical activity, hypertension, dyslipidaemia, BMI, education, sleep complaints and depressed mood, risk of Type 2 diabetes mellitus for participants with poor compared with good structural social support was 1.31 [95% confidence interval (CI) = 1.11-1.55] in men and 1.10 (95% CI = 0.88-1.37) in women. Stratified analyses revealed a hazard ratio of 1.50 (95% CI = 1.23-1.83) in men with a low level of education and 0.87 (95% CI = 0.62-1.22) in men with a high level of education (P for interaction: 0.0082).

CONCLUSIONS

Poor structural social support is associated with Type 2 diabetes mellitus in men. This association is independent of risk factors at baseline and is particularly pronounced in men with a low level of education.

Authors+Show Affiliations

Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. German Center for Diabetes Research (DZD), partner site Munich, Germany.German Center for Diabetes Research (DZD), partner site Munich, Germany. Department of Psychosomatic Medicine and Psychotherapy, University of Giessen, Augsburg, Germany. Department of Psychosomatic Medicine and Psychotherapy, University of Marburg, Augsburg, Germany.Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. Central Hospital of Augsburg, MONICA/KORA Myocardial Infarction Registry, Augsburg, Germany.Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.Institute of Epidemiology II, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. German Center for Diabetes Research (DZD), partner site Munich, Germany. Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26331457

Citation

Altevers, J, et al. "Poor Structural Social Support Is Associated With an Increased Risk of Type 2 Diabetes Mellitus: Findings From the MONICA/KORA Augsburg Cohort Study." Diabetic Medicine : a Journal of the British Diabetic Association, vol. 33, no. 1, 2016, pp. 47-54.
Altevers J, Lukaschek K, Baumert J, et al. Poor structural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study. Diabet Med. 2016;33(1):47-54.
Altevers, J., Lukaschek, K., Baumert, J., Kruse, J., Meisinger, C., Emeny, R. T., & Ladwig, K. H. (2016). Poor structural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study. Diabetic Medicine : a Journal of the British Diabetic Association, 33(1), 47-54. https://doi.org/10.1111/dme.12951
Altevers J, et al. Poor Structural Social Support Is Associated With an Increased Risk of Type 2 Diabetes Mellitus: Findings From the MONICA/KORA Augsburg Cohort Study. Diabet Med. 2016;33(1):47-54. PubMed PMID: 26331457.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Poor structural social support is associated with an increased risk of Type 2 diabetes mellitus: findings from the MONICA/KORA Augsburg cohort study. AU - Altevers,J, AU - Lukaschek,K, AU - Baumert,J, AU - Kruse,J, AU - Meisinger,C, AU - Emeny,R T, AU - Ladwig,K H, Y1 - 2015/10/06/ PY - 2015/08/28/accepted PY - 2015/9/3/entrez PY - 2015/9/4/pubmed PY - 2016/10/19/medline SP - 47 EP - 54 JF - Diabetic medicine : a journal of the British Diabetic Association JO - Diabet. Med. VL - 33 IS - 1 N2 - AIMS: Several psychosocial factors have been shown to increase the risk of Type 2 diabetes mellitus. This study investigated the association between structural social support and incidence of Type 2 diabetes mellitus in men and women. METHODS: Data were derived from three population-based MONICA/KORA surveys conducted in 1984-1995 in the Augsburg region (southern Germany) and followed up by 2009. The study population comprised 8952 participants (4669 men/4283 women) aged 30-74 years without diabetes at baseline. Structural social support was assessed using the Social Network Index. Sex-specific hazard ratios were estimated from Cox proportional hazard models. RESULTS: Within follow-up, 904 incident Type 2 diabetes mellitus cases (558 men, 346 women) were observed. Crude incidence rates for Type 2 diabetes mellitus per 10 000 person-years were substantially higher in poor compared with good structural social support (men: 94 vs. 69, women: 58 vs. 43). After adjustment for age, survey, parental history of diabetes, smoking status, alcohol intake, physical activity, hypertension, dyslipidaemia, BMI, education, sleep complaints and depressed mood, risk of Type 2 diabetes mellitus for participants with poor compared with good structural social support was 1.31 [95% confidence interval (CI) = 1.11-1.55] in men and 1.10 (95% CI = 0.88-1.37) in women. Stratified analyses revealed a hazard ratio of 1.50 (95% CI = 1.23-1.83) in men with a low level of education and 0.87 (95% CI = 0.62-1.22) in men with a high level of education (P for interaction: 0.0082). CONCLUSIONS: Poor structural social support is associated with Type 2 diabetes mellitus in men. This association is independent of risk factors at baseline and is particularly pronounced in men with a low level of education. SN - 1464-5491 UR - https://www.unboundmedicine.com/medline/citation/26331457/Poor_structural_social_support_is_associated_with_an_increased_risk_of_Type_2_diabetes_mellitus:_findings_from_the_MONICA/KORA_Augsburg_cohort_study_ L2 - https://doi.org/10.1111/dme.12951 DB - PRIME DP - Unbound Medicine ER -