Socioeconomic measures and CKD in the United States and The Netherlands

Priya Vart, Ron T. Gansevoort, Josef Coresh, Sijmen A. Reijneveld, Ute Bültmann

Research output: Contribution to journalArticle

Abstract

Background and objectives According to the cost of health care utilization systems, there may be regional differences in the relative strength of association of income and education-based socioeconomic status measures with CKD. This study investigated the relative strength of the association of income and education with CKD in a United States and a Dutch population. Design, setting, participants, & measurements This cross-sectional study examined individuals who participated in the 1999-2002 National Health and Nutritional Examination Survey (NHANES) and in Prevention of Renal and Vascular End-stage Disease (PREVEND 1997-1998), general population-based cohorts in the United States and The Netherlands, respectively. The main outcome was CKD, defined as estimated GFR 2 (using creatinine) or albuminuria ≥30 mg/24 hours or albumin-to-creatinine ratio ≥30 mg/g. Results In NHANES (n=6428), income was strongly associated with CKD (adjusted odds ratio, 2.34 [95% confidence interval (CI), 1.68 to 3.27]; P for trend≤0.001) but education was not (adjusted odds ratio, 1.62 [95% CI, 0.87 to 2.25]; P for trend=0.05]. In contrast, in PREVEND (n=7983), low income was weakly associated with CKD whereas low education had a strong association. The fit of the logistic regression model estimating association of income and education with CKD was significantly improved only after income was added in NHANES (P

Original languageEnglish (US)
Pages (from-to)1685-1693
Number of pages9
JournalClinical Journal of the American Society of Nephrology
Volume8
Issue number10
DOIs
StatePublished - Oct 7 2013

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Netherlands
Nutrition Surveys
Education
Creatinine
Health
Logistic Models
Odds Ratio
Patient Acceptance of Health Care
Confidence Intervals
Albuminuria
Social Class
Population
Chronic Kidney Failure
Blood Vessels
Albumins
Cross-Sectional Studies
Delivery of Health Care
Costs and Cost Analysis

ASJC Scopus subject areas

  • Nephrology
  • Transplantation
  • Epidemiology
  • Critical Care and Intensive Care Medicine

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Socioeconomic measures and CKD in the United States and The Netherlands. / Vart, Priya; Gansevoort, Ron T.; Coresh, Josef; Reijneveld, Sijmen A.; Bültmann, Ute.

In: Clinical Journal of the American Society of Nephrology, Vol. 8, No. 10, 07.10.2013, p. 1685-1693.

Research output: Contribution to journalArticle

Vart, Priya ; Gansevoort, Ron T. ; Coresh, Josef ; Reijneveld, Sijmen A. ; Bültmann, Ute. / Socioeconomic measures and CKD in the United States and The Netherlands. In: Clinical Journal of the American Society of Nephrology. 2013 ; Vol. 8, No. 10. pp. 1685-1693.
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