The association between resilience and diabetic neuropathy by socioeconomic position: Cross-sectional findings from the KORA-Age study

We investigated whether older adults with diabetes mellitus and lower resilience have an increased risk of diabetic neuropathy as compared to older adults with higher resilience, and whether this association varies by socioeconomic position. In total, 3942 individuals took part in a health survey in...

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Published in:Journal of health psychology Vol. 20; no. 9; pp. 1222 - 1228
Main Authors: Perna, Laura, Mielck, Andreas, Lacruz, Maria E, Emeny, Rebecca T, von Eisenhart Rothe, Alexander, Meisinger, Christa, Ladwig, Karl-Heinz
Format: Journal Article
Language:English
Published: London, England SAGE Publications 01.09.2015
Subjects:
Aged
Aged, 80 and over
Cross-Sectional Studies
Diabetic Neuropathies - epidemiology
Diabetic Neuropathies - psychology
Female
Follow-Up Studies
Germany - epidemiology
Humans
Male
Middle Aged
Resilience, Psychological
Social Class
Germany
health education
health promotion
risk
elder
socioeconomic status
ISSN:1359-1053, 1461-7277, 1461-7277
Online Access:Get full text
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Summary:We investigated whether older adults with diabetes mellitus and lower resilience have an increased risk of diabetic neuropathy as compared to older adults with higher resilience, and whether this association varies by socioeconomic position. In total, 3942 individuals took part in a health survey in Augsburg, Germany, in 2008–2010 (KORA-Age study). We found that among participants with low socioeconomic position, those with higher resilience had a lower probability of suffering from neuropathy as compared to participants with lower resilience (absolute risk reduction = 10%). Adjusted odds ratio with 95% confidence intervals for the outcome diabetic neuropathy also showed that lower resilience scores had an independent effect in increasing the risk of diabetic neuropathy among elderly individuals with a low socioeconomic position (odds ratio: 1.83; confidence interval: 1.09–3.08). Health-promoting strategies focussing on resilience should be further explored.
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ISSN:1359-1053
1461-7277
1461-7277
DOI:10.1177/1359105313510334