Journal of Endocrinological Investigation

, Volume 39, Issue 5, pp 515–522 | Cite as

Socioeconomic status and prevalence of self-reported diabetes among adults in Tehran: results from a large population-based cross-sectional study (Urban HEART-2)

  • M. Asadi-Lari
  • A. Khosravi
  • S. Nedjat
  • M. A. Mansournia
  • R. Majdzadeh
  • K. Mohammad
  • M. R. Vaez-Mahdavi
  • S. Faghihzadeh
  • A. A. Haeri Mehrizi
  • B. CheraghianEmail author
Original Article



Diabetes mellitus is an important public health challenge worldwide. The prevalence of type 2 diabetes varies across countries. The aim of this study is to estimate the prevalence of type 2 diabetes and to determine related factors including socioeconomic factors in a large random sample of Tehran population in 2011.


In this cross-sectional study, 91,814 individuals aged over 20 years were selected randomly based on a multistage, cluster sampling. All participants were interviewed by trained personnel using standard questionnaires. Prevalence and Townsend deprivation indexes were calculated. Principal component analysis (PCA) was used to construct wealth index. Logistic regression model was used in multivariate analysis.


The estimated prevalence of self-reported diabetes was 4.98 % overall, 4.76 %in men and 5.19 % in women (P < 0.003). In multivariate analysis, age, marital status (married and divorced/widow) and BMI were positively associated with the prevalence of self-reported diabetes. Of the socioeconomic variables, educational level and wealth status were negatively and Townsend Index was positively associated with diabetes.


Our study findings highlight low reported prevalence of diabetes among adults in Tehran. Subjects with low socioeconomic status (SES) had a higher prevalence of type 2 diabetes. Weight gain and obesity were the most important risk factors associated with type 2 diabetes. Wealth index and educational level were better socioeconomic indicators for presenting the inequality in diabetes prevalence in relation to Townsend deprivation index.


Diabetes Self-reporting Prevalence Socioeconomic status Tehran 


Compliance with ethical standards

Conflict of interest


Ethical approval

Our study had been approved by the Ethics Committee of Iran University of Medical Sciences, Tehran, Iran.

Informed consent

Informed consent was obtained from all participants included in the study.


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Copyright information

© Italian Society of Endocrinology (SIE) 2015

Authors and Affiliations

  • M. Asadi-Lari
    • 1
    • 2
  • A. Khosravi
    • 3
  • S. Nedjat
    • 4
  • M. A. Mansournia
    • 5
  • R. Majdzadeh
    • 5
  • K. Mohammad
    • 5
  • M. R. Vaez-Mahdavi
    • 6
  • S. Faghihzadeh
    • 7
  • A. A. Haeri Mehrizi
    • 8
  • B. Cheraghian
    • 9
    Email author
  1. 1.Department of Epidemiology, School of Public HealthIran University of Medical SciencesTehranIran
  2. 2.Oncopathology Research CentreIran University of Medical SciencesTehranIran
  3. 3.Center for Health Related Social and Behavioral ResearchShahroud University of Medical SciencesShahroudIran
  4. 4.Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research CenterTehran University of Medical SciencesTehranIran
  5. 5.Department of Epidemiology and Biostatistics, School of Public HealthTehran University of Medical SciencesTehranIran
  6. 6.Department of PhysiologyShahed UniversityTehranIran
  7. 7.Department of Social Medicine, Faculty of MedicineZanjan University of Medical SciencesZanjanIran
  8. 8.Health Education and Promotion Research Group, Health Metrics Research CenterIranian Institute for Health Sciences Research, ACECRTehranIran
  9. 9.Department of Epidemiology and Biostatistics, School of Public HealthAhvaz Jundishapur University of Medical SciencesAhvazIran

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