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The association between self-rated health and impaired glucose tolerance in Swedish adults: A cross-sectional study

Andersson, Susanne ; Ekman, Inger ; Friberg, Febe ; Daka, Bledar ; Lindblad, Ulf and Larsson, Charlotte A LU (2013) In Scandinavian Journal of Primary Health Care 31(2). p.111-118
Abstract
Objective. To investigate gender differences in the association between self-rated health (SRH) and impaired glucose tolerance (IGT) in subjects unaware of their glucose tolerance. Design. A cross-sectional population-based study. Setting. The two municipalities of Vara and Skovde in south-western Sweden. Subjects. A total of 2502 participants (1301 women and 1201 men), aged 30-75, were randomly selected from the population. Main outcome measures. IGT was regarded as the outcome measure and SRH as the main risk factor. Results. The prevalence of IGT was significantly higher in women (11.9%) than in men (10.1%), (p = 0.029), as was the prevalence of low SRH (women: 35.4%; men: 22.1%, p = 0.006). Both men and women with low SRH had a poorer... (More)
Objective. To investigate gender differences in the association between self-rated health (SRH) and impaired glucose tolerance (IGT) in subjects unaware of their glucose tolerance. Design. A cross-sectional population-based study. Setting. The two municipalities of Vara and Skovde in south-western Sweden. Subjects. A total of 2502 participants (1301 women and 1201 men), aged 30-75, were randomly selected from the population. Main outcome measures. IGT was regarded as the outcome measure and SRH as the main risk factor. Results. The prevalence of IGT was significantly higher in women (11.9%) than in men (10.1%), (p = 0.029), as was the prevalence of low SRH (women: 35.4%; men: 22.1%, p = 0.006). Both men and women with low SRH had a poorer risk factor profile than those with high SRH, and a statistically significant crude association between SRH and IGT was found in both men (OR = 2.8, 95% CI 1.8-4.4) and women (OR = 1.5, 95% CI 1.0-2.2, p = 0.033). However, after controlling for several lifestyle factors and biomedical variables, the association was attenuated and remained statistically significant solely in men (OR = 2.3, 95% CI 1.2-4.3). Conclusion. The gender-specific associations found between SRH and IGT suggest that SRH may be a better indicator of IGT in men than in women. Future studies should evaluate the utility of SRH in comparison with objective health measures as a potential aid to health practitioners when deciding whether to screen for IGT and T2DM. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Gender, general practice, impaired glucose tolerance, self-rated health, Sweden
in
Scandinavian Journal of Primary Health Care
volume
31
issue
2
pages
111 - 118
publisher
Taylor & Francis
external identifiers
  • wos:000318643200010
  • scopus:84877659337
  • pmid:23621319
ISSN
0281-3432
DOI
10.3109/02813432.2013.784541
language
English
LU publication?
yes
id
691f094b-5940-458a-9ff3-39db0bd98d1b (old id 3815317)
date added to LUP
2016-04-01 10:56:19
date last changed
2022-04-04 22:41:54
@article{691f094b-5940-458a-9ff3-39db0bd98d1b,
  abstract     = {{Objective. To investigate gender differences in the association between self-rated health (SRH) and impaired glucose tolerance (IGT) in subjects unaware of their glucose tolerance. Design. A cross-sectional population-based study. Setting. The two municipalities of Vara and Skovde in south-western Sweden. Subjects. A total of 2502 participants (1301 women and 1201 men), aged 30-75, were randomly selected from the population. Main outcome measures. IGT was regarded as the outcome measure and SRH as the main risk factor. Results. The prevalence of IGT was significantly higher in women (11.9%) than in men (10.1%), (p = 0.029), as was the prevalence of low SRH (women: 35.4%; men: 22.1%, p = 0.006). Both men and women with low SRH had a poorer risk factor profile than those with high SRH, and a statistically significant crude association between SRH and IGT was found in both men (OR = 2.8, 95% CI 1.8-4.4) and women (OR = 1.5, 95% CI 1.0-2.2, p = 0.033). However, after controlling for several lifestyle factors and biomedical variables, the association was attenuated and remained statistically significant solely in men (OR = 2.3, 95% CI 1.2-4.3). Conclusion. The gender-specific associations found between SRH and IGT suggest that SRH may be a better indicator of IGT in men than in women. Future studies should evaluate the utility of SRH in comparison with objective health measures as a potential aid to health practitioners when deciding whether to screen for IGT and T2DM.}},
  author       = {{Andersson, Susanne and Ekman, Inger and Friberg, Febe and Daka, Bledar and Lindblad, Ulf and Larsson, Charlotte A}},
  issn         = {{0281-3432}},
  keywords     = {{Gender; general practice; impaired glucose tolerance; self-rated health; Sweden}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{111--118}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Primary Health Care}},
  title        = {{The association between self-rated health and impaired glucose tolerance in Swedish adults: A cross-sectional study}},
  url          = {{http://dx.doi.org/10.3109/02813432.2013.784541}},
  doi          = {{10.3109/02813432.2013.784541}},
  volume       = {{31}},
  year         = {{2013}},
}