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# Unemployed and unmarried Danes start cardioprotective diabetes drugs less often
- URL: https://www.coios.me/unemployed-and-unmarried-danes-start-cardioprotective/
- Published: 2026-09-26T09:36:17.000Z
- Updated: 2026-09-26T10:14:17.000Z
- Description: Among 81,361 Danes with newly diagnosed type 2 diabetes and cardiovascular disease, initiation of SGLT2 inhibitors and GLP-1 receptor agonists was 23% lower in unemployed men and 19% lower in unemployed women than in the employed, while the educational gradient vanished after adjustment.
- Author: Daniel Ryan
- Tags: Healthcare today, Obesity, diabetes and GLP-1, Health funding and inequalities, Denmark, #peer-reviewed, #refines, #item, #source-2026-09

Danish health registries were used to follow 81,361 people with newly diagnosed concurrent type 2 diabetes and cardiovascular disease from 2015 to 2022, measuring initiation of SGLT2 inhibitors and GLP-1 receptor agonists. The crude gradient by education disappeared after multivariable adjustment (IRR 0.95 for women, 1.00 for men), but occupational and marital status did not - unemployed men had an IRR of 0.77 and unemployed women 0.81 against the employed, with retired, divorced, widowed and unmarried individuals also initiating less. Non-initiation was therefore patterned by work and partnership rather than by schooling.

*Why it is interesting: In a system with universal coverage, the differential in who starts guideline-recommended cardioprotective drugs tracks employment and marital status rather than education.*

Source

[Diabetes, Obesity and Metabolism, 20 September 2026](https://doi.org/10.1111/dom.71334?ref=coios.me)

DOI

10.1111/dom.71334

Type

Peer-reviewed article

Design

Danish nationwide registry cohort, 81,361 adults with new concurrent type 2 diabetes and cardiovascular disease, 2015-2022

Verdict

Refines prior evidence

Driver

[Obesity, diabetes and GLP-1](https://www.coios.me/d-obesity-diabetes/)

Driver

[Health funding and inequalities](https://www.coios.me/d-health-inequality/)