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Effect of income level on stroke incidence and the mediated effect of simultaneous diagnosis of metabolic syndrome diseases; a nationwide cohort study in South Korea
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jeong, Seungmin | - |
dc.contributor.author | Cho, Sung-il | - |
dc.contributor.author | Kong, So Yeon | - |
dc.date.accessioned | 2022-09-16T11:14:40Z | - |
dc.date.available | 2022-09-16T20:15:53Z | - |
dc.date.issued | 2022-08-08 | - |
dc.identifier.citation | Diabetology & Metabolic Syndrome, 14(1):110 | ko_KR |
dc.identifier.issn | 1758-5996 | - |
dc.identifier.uri | https://doi.org/10.1186/s13098-022-00882-1 | - |
dc.identifier.uri | https://hdl.handle.net/10371/184476 | - |
dc.description.abstract | Background : This study aimed to determine whether a simultaneous diagnosis of main components of metabolic syndrome (MetS) (hypertension, diabetes mellitus, and dyslipidemia) plays a mediator between income level and stroke.
Methods : We used the National Health Insurance Service National Sample Cohort database from 2006 to 2015. The mediator variables were the number of main MetS components diagnosed simultaneously (two or more/three or more). We used a weighting approach method of causal mediation analysis to apply counterfactual frameworks to the Cox proportional hazards regression model. Results : A total of 213,526 people were included with 1,690,665.3 person-years of followed up. Compared with the high-income group, the risk of being diagnosed with two or more components of MetS significantly increased in all other income groups [middle-income OR 1.05 (95% CI 1.02–1.08); low-income OR 1.09 (95% CI 1.05–1.12); Medical Aid beneficiaries OR 1.39 (95% CI 1.32–1.47)]. A lower level of income was significantly associated with a higher risk of stroke compared with the high-income group [middle-income HR 1.15 (95% CI 1.07–1.25); low-income HR 1.19 (95% CI 1.10–1.29); Medical Aid beneficiaries HR 1.63 (95% CI 1.48–1.80)]. In the Medical Aid beneficiaries, simultaneous diagnosis of the main metabolic components acted as a significant mediator between income levels and stroke incidence, with 26.6% mediated when diagnosed with two or more diseases and 21.1% when diagnosed with all three. Conclusions : Co-diagnosis of MetS components played a significant mediator role between income level and stroke incidence. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Stroke | - |
dc.subject | Metabolic syndrome | - |
dc.subject | Socioeconomic factors | - |
dc.subject | Healthcare disparities | - |
dc.subject | Mediation analysis | - |
dc.title | Effect of income level on stroke incidence and the mediated effect of simultaneous diagnosis of metabolic syndrome diseases; a nationwide cohort study in South Korea | ko_KR |
dc.type | Article | ko_KR |
dc.identifier.doi | 10.1186/s13098-022-00882-1 | ko_KR |
dc.citation.journaltitle | Diabetology & Metabolic Syndrome | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2022-08-14T03:14:45Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 110 | ko_KR |
dc.citation.volume | 14 | ko_KR |
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