{"id":2188,"date":"2021-06-04T11:03:48","date_gmt":"2021-06-04T02:03:48","guid":{"rendered":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/?p=2188"},"modified":"2021-06-04T11:03:48","modified_gmt":"2021-06-04T02:03:48","slug":"new-paper-non-financial-social-determinants-of-diabetes-among-public-assistance-recipients-in-japan-a-cohort-study-2","status":"publish","type":"post","link":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/en\/blogs\/2188","title":{"rendered":"New paper: Non-financial social determinants of diabetes among public assistance recipients in Japan: A cohort study."},"content":{"rendered":"<p>We publshed a paper from <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdi.13435\">J Diabetes Investig<\/a>.<\/p>\n<p>Nishioka D, Saito J, Ueno K, Kondo N. Non-financial social determinants of diabetes among public assistance recipients in Japan: A cohort study. J Diabetes Investig. 2021 Jun;12(6):1104-1111. doi: 10.1111\/jdi.13435. Epub 2020 Nov 18. PMID: 33047513.<\/p>\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Aims\/introduction:\u00a0<\/strong>Poverty is an important social determinant of diabetes. Poverty is a multidimensional concept including non-financial difficulties, such as social isolation and exclusion from communities. Many countries provide financial social assistance programs for those in need. This study aimed to explore non-financial social determinants of diabetes among public assistance recipients in Japan, by using linkage data of two municipal public assistance databases and medical assistance claim data.<\/p>\n<p><strong class=\"sub-title\">Materials and methods:\u00a0<\/strong>We carried out a retrospective cohort study. Public assistance is provided to households below the poverty line to ensure their income security. We extracted recipients&#8217; sociodemographic factors of January 2016 (household number and employment status as non-financial social determinants of diabetes) and identified the incidence of diabetes diagnosis until December 2016 as the outcome.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong>We included the data of 2,698 younger individuals (aged &lt;65 years) and 3,019 older individuals (aged &gt;65 years). A multivariable Poisson regression, with a robust standard error estimator, showed that among 2,144 younger recipients at risk, unemployment and living alone were slightly associated with 1-year cumulative incidence of diabetes diagnosis (adjusted incidence ratio 1.20, 95% confidence interval 0.93-1.54 and adjusted incidence ratio 1.15, 95% confidence interval 0.89-1.48, respectively). Among 2,181 older recipients at risk, there was no strong association between their sociodemographic factors and incidence of diabetes diagnosis.<\/p>\n<p><strong class=\"sub-title\">Conclusions:\u00a0<\/strong>Unemployment and living alone might be additional risk factors for diabetes among younger public assistance recipients. Multidimensional supports assuring financial and non-financial securities are required to prevent diabetes among people living in poverty.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>Poverty; Public assistance; Social determinants of health.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We publshed a paper from J Diabetes Investig. Nishioka D, Saito J, Ueno K, Kondo N. Non-financial social deter &hellip; <a href=\"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/en\/blogs\/2188\" class=\"more-link\"><span class=\"screen-reader-text\">&#8220;New paper: Non-financial social determinants of diabetes among public assistance recipients in Japan: A cohort study.&#8221; \u306e<\/span>\u7d9a\u304d\u3092\u8aad\u3080<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[17],"tags":[],"_links":{"self":[{"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/posts\/2188"}],"collection":[{"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/comments?post=2188"}],"version-history":[{"count":1,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/posts\/2188\/revisions"}],"predecessor-version":[{"id":2189,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/posts\/2188\/revisions\/2189"}],"wp:attachment":[{"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/media?parent=2188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/categories?post=2188"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/plaza.umin.ac.jp\/~naoki_kondo\/wp-json\/wp\/v2\/tags?post=2188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}