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Titre traduit : Association Among Individual Deprivation, Glycemic Control, and Diabetes Complications : the EPICES score.
Auteurs physiques : BIHAN (H.), LAURENt (S.), SASS (C.), et al.
Titre du périodique : DIABETES CARE
Volume, numéro : 11
Année d'édition : 2005/11
Pagination : 2680-2685
Résumé : OBJECTIVE- Previous studies have related poor glycémie control and/or some diabètes complications to low socioeconomic status. Some aspects of socioeconomic status have not been assessed in thèse studies. In the present study, we used an individual index of deprivation, the Evaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé (Evaluation of Precarity and Inequalities in Health Examination Centers [EPICES]) score, to determine the relationship among glycémie control, diabetes complications, and individual conditions of deprivalion. RESEARCH DESIGN AND METHODS- We conducted a cross-sectional prevalence study in 135 consécutive diabetic patients (age 59.41 ± 13.2 years [mean ± SD]) admitted in the hospilalization unit ol a French endocrine department. Individual deprivation was assessed by the EPICES score, calculated from 11 socioeconomic questions. Glycémie control, lipid levels, blood pressure, retinopathy, neuropathy, and nephropathy were assessed RESULTS- HbA1c level was signiticantly correlated with the EPICES score (r = 0.366, P < 0.001 ). The more deprived patients were more likely than the less deprived patients lo have poor glycémie control (ß = 1.984 [SE 0.4771, P < 0.001), neuropathy (odds ratio 2.39 [95% CI 1.05-5.43], P = 0.037), relinopalhy (3.66 [1.39-9.64], P = 0.009), and being less often admitted for 1-day hospitalization (0.32 [0.14-0.74], P = 0.008). No significant relalionship was observed wilh either nephropathy or cardiovascular risk factors CONCLUSIONS- Deprivation status is associated with poor metabolic control and more frequent microvascular complications, i.e., retinopathy and neuropathy. The médical and economic burden of deprived patients is high.
Mots-clés : Complication, Diabète, Endocrinologie, Facteur socioéconomique, Glycémie, Pauvreté, Surveillance
Localisation : ORSRA : 13066, c, B 102