BEGIN:VCALENDAR
PRODID:-//Columba Systems Ltd//NONSGML CPNG/SpringViewer/ICal Output/3.3-
 M3//EN
VERSION:2.0
CALSCALE:GREGORIAN
METHOD:PUBLISH
BEGIN:VEVENT
DTSTAMP:20190418T130027Z
DTSTART:20190423T120000Z
DTEND:20190423T130000Z
SUMMARY:Centre for Primary Care Seminar – Hearing Health Inequalities & N
 HS Diabetes Prevention Programme 
UID:{http://www.columbasystems.com/customers/uom/gpp/eventid/}q1ez-jumd6r
 pw-tm8hbl
DESCRIPTION:Speaker 1: Dalia Tsimpida - Socioeconomic inequalities and he
 aring health in England\n\nMain topics include:\na)    The construction 
 of a Conceptual Model for the emerging research area of hearing health i
 nequalities\, which depicts the modifiable factors for hearing loss duri
 ng the life-course and the mechanisms between socioeconomic inequalities
  and hearing health. \nThe Hearing Health Inequalities Model (HHI Model)
  could be used as a tool for prevention\, identification and management 
 of hearing health inequalities and for policy formulation aimed at heari
 ng loss risk reduction. \nb)   The findings of the first study in hearin
 g loss research that examines the effects of four different indicators o
 f socioeconomic position (education\, occupation\, income\, wealth) to t
 he objectively measured hearing loss in older adults\, and explores how 
 major lifestyle factors (such as smoking\, high BMI\, insufficient physi
 cal activity and excessive alcohol consumption) account for the variance
  in hearing loss\, using data from the English Longitudinal Study of Age
 ing (ELSA). \nc)   Preliminary findings from a study regarding the diagn
 osis of hearing loss in primary care\, which offers an explanation why t
 hose of a lower socioeconomic position use specialist health services le
 ss frequently\, in spite of the financial support of the treatment and h
 earing aid provision through the NHS in the UK.\n\nSpeaker 2: Dr Rathi R
 avindrarajah - NHS Diabetes Prevention Programme\n\nBackground \nIndivid
 uals with higher than normal glucose levels are termed as having Non dia
 betic Hyperglycaemia (NDH) or prediabetes. It is known that they are at 
 increased risk of developing type-2 diabetes (T2DM). \nMethods Electroni
 c health records identified 14\,272 participants with NDH\, from 2000 to
  2015. Baseline characteristics and conversion trends from NDH to T2DM w
 ere explored. Cox proportional-hazards models evaluated predictors of co
 nversion.\nFindings Crude conversion was 4% within 6 months of NDH diagn
 osis\, 7% annually\, 13% within 2 years\, 17% within 3 years and 23% wit
 hin 5 years. However\, 1-year conversion fell from 8% in 2000 to 4% in 2
 014. Individuals aged 45-54 were at the highest risk of developing T2DM 
 (HR= 1.20\; 95% CI: 1.15\, 1.25 – compared to those aged 18-44)\, and th
 e risk reduced with older age. A BMI above 30 was strongly associated wi
 th conversion (HR=2.02\; 95% CI: 1.92\, 2.13 – compared to those with a 
 normal BMI). Depression (HR=1.10\; 95% CI: 1.07\, 1.13)\, smoking (HR=1.
 07\; 95% CI: 1.03\, 1.11 – compared to non-smokers) or residing in the m
 ost deprived areas (HR=1.17\; 95% CI: 1.11\, 1.24 – compared to resident
 s of the most affluent areas) was modestly associated with conversion.  
 \n\nInterpretation\nAlthough the rate of conversion from NDH to T2DM fel
 l between 2010 and 2015\, this is likely due to changes over time in the
  cut-off points for defining NDH\, and more people of lower diabetes ris
 k being diagnosed with NDH over time. People aged 45-54\, smokers\, depr
 essed\, with high BMI\, and more deprived are at increased risk of conve
 rsion to T2DM. \n\n
STATUS:TENTATIVE
TRANSP:TRANSPARENT
CLASS:PUBLIC
LOCATION:Fifth floor seminar room\, Williamson Building\, Manchester
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