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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

The incidence risk of type 2 diabetes mellitus in female nurses: a nationwide matched cohort study

Authors: Hsiu-Ling Huang, Cheng-Chin Pan, Shun-Mu Wang, Pei-Tseng Kung, Wen-Yu Chou, Wen-Chen Tsai

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Diabetes is one of the most common chronic illnesses worldwide. This study was to assess whether the incidence risk of type 2 diabetes mellitus between female nurses and female non-nurses.

Methods

Study data were obtained from the Longitudinal Health Insurance Research Database, and nurses were sampled from the Registry for medical personnel. Nurses and non-nurses with similar traits and health conditions were selected via 1:1 propensity score matching. A total of 111,670 subjects were selected (55,835 nurses and 55,835 non-nurses). Stages of diabetes development were monitored until December 31, 2009. The Cox proportional hazards model was used to discuss risks and influencing factors related to diabetes. Poisson distribution methods were used to examine the incidence rate of diabetes per 1,000 person-years.

Results

The propensity matching results show that on average, female nurses who were diagnosed with diabetes were younger compared with the non-nurses (46.98 ± 10.80 vs. 48.31 ± 10.43, p <0.05). However, the results of the Cox proportional hazards model show that the nurses showed a lower risk of developing diabetes compared with the non-nurses (Adj. HR = 0.84, 95 % CI: 0.79–0.90). Factors influencing diabetes development risks among the nurses include advanced age and high Charlson Comorbidity Index levels.

Conclusion

The low degree of diabetes development among the nurses may be attributable to the fact that nurses possess substantial knowledge on health care and on healthy behaviors. The results of this study can be used as a reference to assess occupational risks facing nursing staff, to prevent diabetes development, and to promote health education.
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Metadata
Title
The incidence risk of type 2 diabetes mellitus in female nurses: a nationwide matched cohort study
Authors
Hsiu-Ling Huang
Cheng-Chin Pan
Shun-Mu Wang
Pei-Tseng Kung
Wen-Yu Chou
Wen-Chen Tsai
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3113-y

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