Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study
Authors' conclusion
Weaker associations among women with lower socioeconomic status and higher neighborhood deprivation suggests that other factors play a larger role in T2D incidence than diet quality among individuals with low SES.
Study context
- Population
- Sister Study participants aged 35 to 74 years, enrolled 2003–2009
- Participants
- 40,243 participants
- Exposure
- Healthy eating index scores by socioeconomic status
- Outcome
- Incident T2D (self-reported physician's diagnosis or use of anti-diabetic medications)
Methodological detailsmultivariable-adjusted Cox proportional hazards models
- Multivariable-adjusted Cox proportional hazards models
Main finding
As reported in the abstract
Incident T2D by dietary index, stratified by socioeconomic status
Q4 vs Q1Estimate (95% CI)P value
Low ADI
aHR (HEI-2015, low ADI) 0.44(0.35–0.56)
High ADI
aHR (HEI-2015, high ADI) 0.75(0.63–0.90)
pinteraction: 0.0007Observational data: associations, not effects.
Original publication
Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study. Diabetes Res Clin Pract. Published 12 September 2023. doi:10. 1016/ j. diabres. 2023. 110906
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