The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
We evaluated data from 14,156 baseline participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) collected from 2008 to 2010, to analyze the effect modification of occupational social class on the association between sex and prevalence of type 2 diabetes. The crude and age-adjus...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2023-05-01
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000405008&tlng=en |
| _version_ | 1797783318409773056 |
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| author | Thainá Alves Malhão Valéria Troncoso Baltar Cristiane da Silva Cabral Rosane Harter Griep Rejane Sobrino Pinheiro Dóra Chor Claudia Medina Coeli |
| author_facet | Thainá Alves Malhão Valéria Troncoso Baltar Cristiane da Silva Cabral Rosane Harter Griep Rejane Sobrino Pinheiro Dóra Chor Claudia Medina Coeli |
| author_sort | Thainá Alves Malhão |
| collection | DOAJ |
| description | We evaluated data from 14,156 baseline participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) collected from 2008 to 2010, to analyze the effect modification of occupational social class on the association between sex and prevalence of type 2 diabetes. The crude and age-adjusted prevalence, according to sex and occupational social class, were estimated using generalized linear models with binomial distribution and logarithmic link function. This model was also used to estimate prevalence ratios (PR), adjusting for age group, race/skin color, and maternal education. The effect modification was measured in the multiplicative and additive scales. Males had higher crude and age-adjusted prevalence in all occupational social class strata. As occupational social class increases, the prevalence among males and females decreases. The PR of males to females decreased according to occupational class: 66% (PR = 1.66; 95%CI: 1.44; 1.90), 39% (PR = 1.39; 95%CI: 1.02; 1.89), and 28% (PR = 1.28; 95%CI: 0.94; 1.75) in the high, middle, and low occupational social classes, respectively. We found an inverse effect of the occupational social class on the association between sex and type 2 diabetes on the multiplicative scale, suggesting that it acts as an effect modifier. |
| first_indexed | 2024-03-13T00:24:20Z |
| format | Article |
| id | doaj.art-9a99c8e473514db1a31e798dea3bb205 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-03-13T00:24:20Z |
| publishDate | 2023-05-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-9a99c8e473514db1a31e798dea3bb2052023-07-11T07:50:44ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642023-05-0139410.1590/0102-311xen150322The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)Thainá Alves Malhãohttps://orcid.org/0000-0002-5644-1089Valéria Troncoso Baltarhttps://orcid.org/0000-0002-8152-8565Cristiane da Silva Cabralhttps://orcid.org/0000-0003-3025-2404Rosane Harter Griephttps://orcid.org/0000-0002-6250-2036Rejane Sobrino Pinheirohttps://orcid.org/0000-0002-3361-3626Dóra Chorhttps://orcid.org/0000-0002-3941-5786Claudia Medina Coelihttps://orcid.org/0000-0003-1757-3940We evaluated data from 14,156 baseline participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) collected from 2008 to 2010, to analyze the effect modification of occupational social class on the association between sex and prevalence of type 2 diabetes. The crude and age-adjusted prevalence, according to sex and occupational social class, were estimated using generalized linear models with binomial distribution and logarithmic link function. This model was also used to estimate prevalence ratios (PR), adjusting for age group, race/skin color, and maternal education. The effect modification was measured in the multiplicative and additive scales. Males had higher crude and age-adjusted prevalence in all occupational social class strata. As occupational social class increases, the prevalence among males and females decreases. The PR of males to females decreased according to occupational class: 66% (PR = 1.66; 95%CI: 1.44; 1.90), 39% (PR = 1.39; 95%CI: 1.02; 1.89), and 28% (PR = 1.28; 95%CI: 0.94; 1.75) in the high, middle, and low occupational social classes, respectively. We found an inverse effect of the occupational social class on the association between sex and type 2 diabetes on the multiplicative scale, suggesting that it acts as an effect modifier.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000405008&tlng=enGender and HealthDiabetes MellitusSocioeconomic FactorsPrevalence |
| spellingShingle | Thainá Alves Malhão Valéria Troncoso Baltar Cristiane da Silva Cabral Rosane Harter Griep Rejane Sobrino Pinheiro Dóra Chor Claudia Medina Coeli The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) Cadernos de Saúde Pública Gender and Health Diabetes Mellitus Socioeconomic Factors Prevalence |
| title | The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
| title_full | The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
| title_fullStr | The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
| title_full_unstemmed | The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
| title_short | The effect modification of occupational social class in the association between sex and type 2 diabetes: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) |
| title_sort | effect modification of occupational social class in the association between sex and type 2 diabetes results from the brazilian longitudinal study of adult health elsa brasil |
| topic | Gender and Health Diabetes Mellitus Socioeconomic Factors Prevalence |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000405008&tlng=en |
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