{"id":1638,"date":"2024-08-28T13:22:59","date_gmt":"2024-08-28T12:22:59","guid":{"rendered":"https:\/\/heliusstudy.nl\/?post_type=publicatie&#038;p=1638"},"modified":"2025-08-20T10:08:34","modified_gmt":"2025-08-20T08:08:34","slug":"socioeconomic-inequalities-in-type-2-diabetes-mediation-through-status-anxiety","status":"publish","type":"publicatie","link":"https:\/\/heliusstudy.nl\/tr\/publicatie\/socioeconomic-inequalities-in-type-2-diabetes-mediation-through-status-anxiety\/","title":{"rendered":"Socioeconomic Inequalities in Type 2 Diabetes: Mediation Through Status Anxiety?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Objectives:<\/strong>\u00a0While status anxiety has received attention as a potential mechanism generating health inequalities, empirical evidence is still limited. Studies have been ecological and have largely focused on mental and not physical health outcomes.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Methods:<\/strong>\u00a0We conducted individual-level analyses to assess status anxiety (feelings of inferiority resulting from social comparisons) and resources (financial difficulties) as mediators of the relationship between socioeconomic status (SES) (education\/occupation\/employment status) and type 2 diabetes (T2D). We used cross-sectional data of 21,150 participants (aged 18-70 years) from the Amsterdam-based HELIUS study. We estimated associations using logistic regression models and estimated mediated proportions using natural effect modelling.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Results:<\/strong>\u00a0Odds of status anxiety were higher among participants with a low SES [e.g., OR = 2.66 (95% CI: 2.06-3.45) for elementary versus academic occupation]. Odds of T2D were 1.49 (95% CI: 1.12-1.97) times higher among participants experiencing status anxiety. Proportion of the SES-T2D relationship mediated was 3.2% (95% CI: 1.5%-7.0%) through status anxiety and 10.9% (95% CI: 6.6%-18.0%) through financial difficulties.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conclusion:<\/strong>\u00a0Status anxiety and financial difficulties played small but consistent mediating roles. These individual-level analyses underline status anxiety&#8217;s importance and imply that status anxiety requires attention in efforts to reduce health inequalities.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives:\u00a0While status anxiety has received attention as a potential mechanism generating health inequalities, empirical evidence is still limited. Studies have been ecological and have largely focused on mental and not physical health outcomes.\u00a0 Methods:\u00a0We conducted individual-level analyses to assess status anxiety (feelings of inferiority resulting from social comparisons) and resources (financial difficulties) as mediators of [&hellip;]<\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":true},"publications_year":[22],"thema":[42],"class_list":["post-1638","publicatie","type-publicatie","status-publish","hentry","publications_year-22","thema-cardiovascular-disease"],"acf":[],"_links":{"self":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie\/1638","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publicatie"}],"about":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/types\/publicatie"}],"wp:attachment":[{"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/media?parent=1638"}],"wp:term":[{"taxonomy":"publications_year","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/publications_year?post=1638"},{"taxonomy":"thema","embeddable":true,"href":"https:\/\/heliusstudy.nl\/tr\/wp-json\/wp\/v2\/thema?post=1638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}