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Different socioeconomic inequalities exist in terms of the prevention, diagnosis and control of diabetes

Authors
 Hoo-Yeon Lee  ;  Myung-Il Hahm  ;  Kui Son Choi  ;  Jae Kwan Jun  ;  Mina Suh  ;  Chung Mo Nam  ;  Eun-Cheol Park 
Citation
 EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol.25(6) : 961-965, 2015 
Journal Title
 EUROPEAN JOURNAL OF PUBLIC HEALTH 
ISSN
 1101-1262 
Issue Date
2015
MeSH
Adult ; Aged ; Alcohol Drinking/epidemiology ; Awareness* ; Blood Glucose ; Diabetes Mellitus, Type 2/diagnosis* ; Diabetes Mellitus, Type 2/drug therapy* ; Diabetes Mellitus, Type 2/prevention & control ; Female ; Glycated Hemoglobin A ; Health Behavior ; Health Knowledge, Attitudes, Practice* ; Humans ; Hypoglycemic Agents/therapeutic use* ; Male ; Middle Aged ; Prevalence ; Republic of Korea ; Smoking/epidemiology ; Socioeconomic Factors ; Universal Coverage
Abstract
OBJECTIVE: To evaluate socioeconomic disadvantage in prevalence, awareness and control of diabetes in universal coverage healthcare system. METHODS: Data from the fifth KNHNES (2010-12) were analyzed. The sample included 10,208 individuals with diabetes aged ≥30 years. Diabetes was defined by (i) a self-reported previous diagnosis of diabetes made by a physician, (ii) the current use of oral hypoglycaemic agents and/or insulin or (iii) fasting plasma glucose ≥126 mg/dl. Subjects who were first diagnosed by the survey were classified as 'undiagnosed'. Inadequate control was defined as HbA1c ≥6.5%. RESULTS: It was estimated that 26.4% of subjects with diabetes were not aware of their condition and 73.1% of cases of diabetes were not adequately controlled. Inequalities in socioeconomic status were related to the diabetes prevalence in both men and women. Educational level was not predictive of diagnosis or control in men or women, whereas lower household income level was associated with diagnosis in men only. CONCLUSIONS: This widespread lack of awareness and inadequate control underscore the need for intensive efforts in these domains. Monitoring is expected to highlight the gaps in the preventive and care services offered to the most vulnerable individuals and it may induce governments and practitioners to address these issues.
DOI
10.1093/eurpub/ckv021
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Nam, Chung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156816
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