Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 426827
Title Lower educational level is a predictor of incident type 2 diabetes in European countries: the EPIC-InterAct study
Author(s) Sacerdote, C.; Ricceri, F.; Rolandsson, O.; Baldi, I.; Chirlaque, M.D.; Feskens, E.J.M.
Source International Journal of Epidemiology 41 (2012)4. - ISSN 0300-5771 - p. 1162 - 1173.
DOI http://dx.doi.org/10.1093/ije/dys091
Department(s) Chair Nutrition and Disease
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2012
Keyword(s) course socioeconomic position - nutrition examination survey - 3rd national-health - life-style factors - of-the-literature - risk-factors - cardiovascular-disease - social-class - adult mortality - data-collection
Abstract Background Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases worldwide. In high-income countries, low socioeconomic status seems to be related to a high incidence of T2DM, but very little is known about the intermediate factors of this relationship. Method We performed a case-cohort study in eight Western European countries nested in the EPIC study (n¿=¿340¿234, 3.99 million person-years of follow-up). A random sub-cohort of 16¿835 individuals and a total of 12¿403 incident cases of T2DM were identified. Crude and multivariate-adjusted hazard ratios (HR) were estimated for each country and pooled across countries using meta-analytical methods. Age-, gender- and country-specific relative indices of inequality (RII) were used as the measure of educational level and RII tertiles were analysed. Results Compared with participants with a high educational level (RII tertile 1), participants with a low educational level (RII tertile 3) had a higher risk of T2DM [HR: 1.77, 95% confidence interval (CI): 1.69–1.85; P-trend¿
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