Influence of educational level on test and treatment for incident hypothyroidism

Objective The incidence of hypothyroidism is not expected to differ by socioeconomic factors. However, the decision test and initiate treatment may differ. We aimed examine whether educational level influences probability thyroid stimulation hormone (TSH)-measurement initiation levothyroxine treatment. Design Citizens in greater Copenhagen Area during 2001-2015 were included. Individual-level data on level, diagnoses, GP-contact, TSH-measurement medication derived from administrative healthcare registers. relative risks (RR) between levels annual following a analysed Poisson regression models with generalized estimation equations. Results A was performed 19% 9,390,052 person years. higher short (RR 1.16 [95% CI 1.15–1.16]) medium 1.11 1.06–1.12]) compared long education. Treatment initiated after 0.8% 2,049,888 TSH-measurements. For TSH < 5 mIU/L, RR for ranged 0.47 (95%CI 0.39–0.57) 0.78 0.67–0.91) 5–10 there no statistically significant difference. > 10 1.07 (95% 1.02–1.12) 1.08 1.03–1.13) Conclusion shorter education, mIU/L marginally short-medium education that incongruous guidelines, substantially persons