Low Household Income Status and Death from Pneumonia in People with Type 2 Diabetes Mellitus: A Nationwide Studyopen access
- Authors
- Lee, You-Bin; Park, So Hee; Lee, Kyu-Na; Kim, Bongsung; Kwon, So Yoon; Park, Jiyun; Kim, Gyuri; Jin, Sang-Man; Hur, Kyu Yeon; Han, Kyungdo; Kim, Jae Hyeon
- Issue Date
- Sep-2023
- Publisher
- KOREAN DIABETES ASSOC
- Keywords
- Diabetes mellitus; type 2; Income; Mortality; Pneumonia; Social class
- Citation
- DIABETES & METABOLISM JOURNAL, v.47, no.5, pp 682 - 692
- Pages
- 11
- Journal Title
- DIABETES & METABOLISM JOURNAL
- Volume
- 47
- Number
- 5
- Start Page
- 682
- End Page
- 692
- URI
- https://scholarworks.bwise.kr/ssu/handle/2018.sw.ssu/49197
- DOI
- 10.4093/dmj.2022.0184
- ISSN
- 2233-6079
2233-6087
- Abstract
- Background: We explored the risk of death from pneumonia according to cumulative duration in low household income state (LHIS) among adults with type 2 diabetes mellitus (T2DM). Methods: Using Korean National Health Insurance Service data (2002 to 2018), the hazards of mortality from pneumonia were analyzed according to duration in LHIS (being registered to Medical Aid) during the 5 years before baseline (0, 1-4, and 5 years) among adults with T2DM who underwent health examinations between 2009 and 2012 (n= 2,503,581). Hazards of outcomes were also compared in six groups categorized by insulin use and duration in LHIS. Results: During a median 7.18 years, 12,245 deaths from pneumonia occurred. Individuals who had been exposed to LHIS had higher hazards of death from pneumonia in a dose-response manner (hazard ratio [HR], 1.726; 95% confidence interval [CI], 1.568 to 1.899 and HR, 4.686; 95% CI, 3.948 to 5.562 in those exposed for 1-4 and 5 years, respectively) compared to the non-exposed reference. Insulin users exposed for 5 years to LHIS exhibited the highest outcome hazard among six groups categorized by insulin use and duration in LHIS. Conclusion: Among adults with T2DM, cumulative duration in LHIS may predict increased risks of mortality from pneumonia in a graded dose-response manner. Insulin users with the longest duration in LHIS might be the group most vulnerable to death from pneumonia among adults with T2DM.
- Files in This Item
-
Go to Link
- Appears in
Collections - ETC > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.