Socioeconomic status in Danish women with polycystic ovary syndrome: A register‐based cohort study

摘要

Abstract Introduction Low socioeconomic status ( SES ) may be associated with increased risk of polycystic ovary syndrome ( PCOS ) and vice versa. Possible associations between SES , obesity and ethnicity in PCOS are undetermined. Material and methods National register‐based study including women with PCOS aged 25?years or above ( PCOS Denmark and an embedded cohort; PCOS Odense University Hospital [ OUH ]) and one control population. PCOS Denmark (n?=?13?891) included women with PCOS in the Danish National Patient Register. Women in PCOS OUH underwent clinical examination (n?=?814). Three age‐matched controls were included per patient (n?=?41?584). The main outcome measure was SES (personal income, occupational status and education). Results The median (Q1; Q3) age of women in PCOS Denmark and controls was 33 (29; 39)?years. Women with personal income in the lower tertile had a higher probability of a PCOS diagnosis than women in the high‐income tertile (adjusted odds ratio [a OR ] 1.5, 95% confidence interval [CI] 1.4‐1.6). Women who were unemployed or on welfare payment (aOR 1.5, 95% CI 1.4‐1.6), or who retired early ( OR 1.8, 95% CI 1.7‐2.0) had a higher probability of a PCOS diagnosis than women affiliated to the labor market. Women originating from the Middle East more often had PCOS (aOR 3.2, 95% CI 2.8‐3.7) compared with women originating from Europe. In PCOS OUH , SES was lower in obese than in normal weight women. Conclusions A diagnosis of PCOS was associated with lower SES . In PCOS , women of foreign origin and women with obesity more often had low SES .