更多的学校教育与分布的高风险尾部的较低的血红蛋白A1c有关:无条件定量回归分析
Jillian Hebert1, Amanda Irish1, Aayush Khadka1
1University of California, San Francisco.
Research square
|April 8, 2025
概括
高等教育水平与12年或以上学历的成年人平均血糖 (HbA1c) 的降低有关. 这种关联在HbA1c水平较高的人群中更为强烈,这表明糖尿病风险较高的人群的益处更大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 糖化血红蛋白 (HbA1c) 水平与糖尿病风险呈指数级相关.
- 虽然教育通常与较低的HbA1c有关,但其对整个HbA1c分布的影响尚不清楚.
研究的目的:
- 在HbA1c的完整分布中调查教育成绩和HbA1c水平之间的关联.
- 为了确定教育和HbA1c之间的关系是否根据个人的HbA1c水平不同.
主要方法:
- 利用了健康与退休研究 (2003-2016) 中21,732名参与者的数据.
- 采用了平均HbA1c的线性回归和HbA1c分布量子的无条件定量回归.
- 对包括出生年份,种族,种族,性别和父母教育在内的人口因素进行控制.
主要成果:
- 在不到12年的学历的人群中,没有发现教育和HbA1c之间的关联.
- 对于那些有12年以上教育的人来说,每增加一年都与平均HbA1c的下降有关.
- 教育和HbA1c之间的反向关联在较高的HbA1c量度中更为明显.
结论:
- 在12年或更长的学历的人群中,教育程度与HbA1c相反相关.
- 教育对降低HbA1c的影响在HbA1c水平较高的人群中更大,特别是分布的高风险尾部的人群.
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