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Table 2 Oaxaca Multivariate Decomposition of Language-related Disparities in the Presence of Type-2 Diabetes and Its Ocular Complications

From: Language barrier and its relationship to diabetes and diabetic retinopathy

 

Presence of Type-2 Diabetes

Presence of DR among those with diabetes

Presence of VTDR among those with diabetes

Presence of VI among those with diabetes

 

Prediction (95%CI)

Prediction (95%CI)

Prediction (95%CI)

Prediction (95%CI)

Prevalence in English-speaking Indians

35.0% (33.0 to 36.9%)

30.1% (26.8 to 33.3%)

6.3% (4.6 to 8.0%)

16.7% (14.1 to 19.4%)

Prevalence in Tamil-speaking Indians

46.5% (43.2 to 49.9%)

36.1% (31.3 to 41.0%)

11.1% (8.1 to 14.2%)

33.7% (28.8 to 38.4%)

Difference

−11.6% (−15.5 to −7.6%)

−6.1% (−11.9 to −0.3%)

−4.9% (−8.4 to −1.3%)

−17.0% (−22.4 to −11.4%)

  Explained

−8.4% (−11.3 to −5.7%)

−3.1% (−7.1 to −1.0%)

−1.2% (−3.3 to −0.9%)

−8.3% (−12.2 to −5.1%)

  Unexplained

−3.2% (−7.7 to −1.4%)

−3.0% (−9.2 to −3.2%)

−3.7% (−7.5 to −0.2%)

−8.7% (−14.7 to −1.8%)

Contribution of separate factors in explaining the explained proportion

Demographic factors

    

  Age (year)

−3.4% (−5.1 to −1.6%)

7.3% (2.2 to 12.3%)

2.6% (0.06 to 5.3%)

−4.0% (−6.9 to −0.9%)

  Gender (female vs. male)

1.9% (0.9 to 2.9%)

3.7% (1.0 to 6.3%)

0.9% (−0.3 to 2.1%)

1.2% (−1.2 to 3.0%)

Systemic biological factors

    

  BMI (kg/m2)

−0.6% (−1.2 to 0.03%)

0.01% (−0.3 to 0.4%)

0.01% (−0.1 to 0.1%)

0.01% (−0.2 to 0.2%)

  SBP (mmHg)

−3.5% (−4.7 to −2.2%)

−3.1% (−5.1 to −1.1%)

−0.6% (−1.4 to 0.1%)

−0.2% (−0.7 to 1.3%)

  DBP (mmHg)

−0.8% (−1.4 to −0.2%)

−1.5% (−2.8 to −0.2%)

−0.5% (−1.1 to 0.1%)

−0.5% (−1.1 to 0.4%)

  HDL (mmol/l)

0.3% (−0.02 to 0.6%)

−0.6% (−1.4 to 0.2%)

−0.1% (−0.5 to 0.2%)

−0.6% (−1.2 to 0.1%)

  LDL (mmol/l)

−1.4% (−2.2 to −0.6%)

−0.4% (−1.0 to 0.2%)

0.1% (−0.2 to 0.2%)

0.3% (−0.2 to 0.8%)

  Triglyceride (mmol/l)

0.7% (0.2 to 1.1%)

−0.1% (−0.9 to 0.7%)

0.1% (−0.4 to 0.5%)

0.2% (−0.4 to 0.9%)

  Hba1c (%)

-

0.9% (−0.3 to 2.2%)

0.2% (−0.01 to 0.6%)

0.2% (−0.1 to 0.7%)

  Duration of diabetes (year)

-

−5.1% (−7.5 to −2.7%)

−1.7% (−3.1 to −0.3%)

−0.5% (−1.2 to 0.2%)

Health related behaviors

    

  Smoking

−0.3% (−0.6 to 0.04%)

−0.2% (−0.5 to 0.2%)

−0.1% (−0.4 to 0.1)

0.01% (−0.2 to 0.3%)

  Alcohol

−0.01% (−1.2 to 1.0%)

0.2% (−0.6 to 1.1%)

−0.1% (−0.4 to 0.2)

−0.3% (−0.9 to 0.5%)

Acculturation factors

    

  Country of birth

2.1% (0.4 to 3.7%)

−0.5% (−2.5 to 1.4%)

0.1% (−0.9 to 0.9%)

−0.1% (−2.6 to 1.1%)

  Duration of residency (year)

−1.9% (−4.0 to 0.01%)

−0.3% (−1.3 to 0.8%)

0.1% (−0.4 to 0.6%)

−0.2% (−1.1 to 0.7%)

Socioeconomic factors

    

  Reading literacy

0.4% (−0.4 to 1.4%)

−0.9% (−2.5 to 0.7%)

−0.2% (−0.7 to 0.6%)

−2.0% (−3.3 to −0.7%)

  Education

−0.9% (−2.5 to 1.0%)

1.3% (−1.7 to 4.3%)

0.3% (−1.1 to 1.9%)

−1.1% (−4.0 to 1.3%)

  Income

−0.4% (−2.0 to 0.9%)

−2.2% (−4.7 to −0.2%)

−1.4% (−3.0 to −0.2%)

−0.6% (−5.8 to −0.1%)

  Housing type

−0.5% (−1.3 to 0.4%)

−1.7% (−3.2 to −0.01%)

−1.0% (−1.8 to −0.2%)

−0.3% (−2.2 to 0.7%)

  1. 95% CI = 95% confidence interval; DR = diabetic retinopathy; VTDR = vision-threatening diabetic retinopathy; VI = visual impairment; BMI = body mass index; SBP = systolic blood pressure; DBP = diastolic blood pressure; HDL = high-density lipoprotein; LDL = low-density lipoprotein; Hba1c = hemoglobin A1C. Bold font highlights statistical significance (P < 0.05). Smoking category: 0 = current; 1 = never; Alcohol category: 0 = current; 1 = never; Country of birth category: 0 = foreign-born, 1 = Singapore-born; Reading literacy category” 0 = adequate, 1 = inadequate; Education category: 0 = secondary education or higher, 1 = formal education or lower; Income category: 0 = lower than SGD$1,000, 1 = SGD$1,000 or more; Housing type category: 0 = 5-room flat or bigger, 1 = 4-room flat or smaller.