BMJ 1995;311:188 (15 July)

Letters

Risk factors for diabetes in men

Risk factors are closely linked with socioeconomic status

EDITOR,--The association between risk factors and diabetes described by Eric B Rimm and colleagues1 is unlikely to be simple, and both smoking and obesity are linked to socioeconomic status. Our studies on diabetic subjects in Glasgow2 and Middlesbrough3 have shown that low socioeconomic status is associated with a high prevalence of smoking and higher body mass indices. The increased smoking and obesity in low socioeconomic groups remain unexplained, although intrauterine, genetic, and psychological factors have been proposed. Ivan J Perry and colleagues include socioeconomic status in their study by including manual occupation as a variable, but this alone did not predict diabetes.4

We suggest that measures of socioeconomic status based on areas5 6 could be used, combined with measures of smoking, obesity, and physical activity. We are performing a study to investigate these factors. It may then be possible to identify high risk . . . [Full text of this article]


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Relevant Article

Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men
Eric B Rimm, June Chan, Meir J Stampfer, Graham A Colditz, and Walter C Willett
BMJ 1995 310: 555-559. [Abstract] [Full Text]

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