{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T14:40:49Z","timestamp":1764859249352,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:00:00Z","timestamp":1605657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["17K19793","18H04071"],"award-info":[{"award-number":["17K19793","18H04071"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>Poverty is an important social determinant of diabetes. Poverty is a multidimensional concept including non\u2010financial difficulties, such as social isolation and exclusion from communities. Many countries provide financial social assistance programs for those in need. This study aimed to explore non\u2010financial social determinants of diabetes among public assistance recipients in Japan, by using linkage data of two municipal public assistance databases and medical assistance claim data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We carried out a retrospective cohort study. Public assistance is provided to households below the poverty line to ensure their income security. We extracted recipients\u2019 sociodemographic factors of January 2016 (household number and employment status as non\u2010financial social determinants of diabetes) and identified the incidence of diabetes diagnosis until December 2016 as the outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included the data of 2,698 younger individuals (aged &lt;65\u00a0years) and 3,019 older individuals (aged &gt;65\u00a0years). A multivariable Poisson regression, with a robust standard error estimator, showed that among 2,144 younger recipients at risk, unemployment and living alone were slightly associated with 1\u2010year cumulative incidence of diabetes diagnosis (adjusted incidence ratio 1.20, 95% confidence interval 0.93\u20131.54 and adjusted incidence ratio 1.15, 95% confidence interval 0.89\u20131.48, respectively). Among 2,181 older recipients at risk, there was no strong association between their sociodemographic factors and incidence of diabetes diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Unemployment and living alone might be additional risk factors for diabetes among younger public assistance recipients. Multidimensional supports assuring financial and non\u2010financial securities are required to prevent diabetes among people living in poverty.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.13435","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T03:39:40Z","timestamp":1602560380000},"page":"1104-1111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Non\u2010financial social determinants of diabetes among public assistance recipients in Japan: A cohort study"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3116-1195","authenticated-orcid":false,"given":"Daisuke","family":"Nishioka","sequence":"first","affiliation":[{"name":"Department of Health and Social Behavior Graduate School of Medicine The University of Tokyo Tokyo Japan"},{"name":"Department of Social Epidemiology Graduate School of Medicine and School of Public Health Kyoto University Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Saito","sequence":"additional","affiliation":[{"name":"Behavioral Science Division Behavioral Sciences and Survivorship Research Group Center for Public Health Sciences National Cancer Center Japan Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Health and Social Behavior Graduate School of Medicine The University of Tokyo Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6425-6844","authenticated-orcid":false,"given":"Naoki","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Health and Social Behavior Graduate School of Medicine The University of Tokyo Tokyo Japan"},{"name":"Department of Social Epidemiology Graduate School of Medicine and School of Public Health Kyoto University Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61690-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)74234-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301806"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-2052"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr029"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20170206"},{"key":"e_1_2_7_8_1","unstructured":"World Health Organization.A conceptual framework for action on the social determinants of health 2010. 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