Association between Socioeconomic Status and Diabetes Mellitus: The National Socioeconomics Survey, 2010 and 2012

Suwannaphant, Kritkantorn; Laohasiriwong, Wongsa; Puttanapong, Nattapong; Saengsuwan, Jiamjit; Phajan, Teerasak

doi:10.7860/jcdr/2017/28221.10286

Cited by 42 publications

(39 citation statements)

References 34 publications

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“…Many women with diabetes‐complicated pregnancies may benefit from referral to an ESC like the one described in this program evaluation to lower risks for complications and poor maternal and neonatal outcomes. Consistent with reports of risk factors associated with diabetes in pregnancy, most pregnant women at the ESC had several risk factors for diabetes such as obesity, Black or Hispanic race/ethnicity, low income, and low education level (Suwannaphant, Laohasiriwong, Puttanapong, Saengsuwan, & Phajan, 2017). Furthermore, the women in this ESC program either received Medicaid or were uninsured.…”

Section: Discussionsupporting

confidence: 69%

A Florida public health‐based endocrine clinic for low‐income pregnant women with diabetes

LaManna

Quelly

Stahl

et al. 2020

Public Health Nursing

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Objectives To evaluate pregnancy outcomes of low‐income women with diabetes‐complicated pregnancies who received care from an embedded, public health‐based endocrine specialty clinic (ESC) in Florida. Design This program evaluation used retrospective chart data to analyze client characteristics, pre‐program and during‐program glycemic control, and pregnancy outcomes of women enrolled in a prenatal ESC. Sample Ninety‐two low‐income, pregnant women with type 1/type 2 diabetes or gestational diabetes (GDM) comprised this racially/ethnically diverse sample. Variables/Analysis Neonatal outcomes included frequencies of prematurity, hypoglycemia, hyperbilirubinemia, and birth weight‐for‐gestational‐age categories. Differences in maternal HbA1C at program entry and mean HbA1C during ESC care were determined by a Wilcoxon and paired sample t test. Results HbA1C levels during ESC care (6.9 ± 1.4) were less than program entry HbA1C levels (7.9 ± 1.8) for women with pregestational diabetes (Z = −3.364, p = .001). Among women with GDM, mean HbA1C values during ESC care (5.5 ± 0.4) did not significantly differ (t(51) = −0.532, p > .05) from program entry HbA1C levels (5.5 ± 0.5), suggestive of glycemic goal achievement. No neonatal hypoglycemia or hyperbilirubinemia cases were observed in both groups. Approximately 11% of births were preterm, and 16% of neonates were large‐for‐gestational‐age. Conclusions A public health‐based ESC for low‐income pregnant women with diabetes may positively affect pregnancy outcomes.

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Section: Discussionsupporting

confidence: 69%

A Florida public health‐based endocrine clinic for low‐income pregnant women with diabetes

LaManna

Quelly

Stahl

et al. 2020

Public Health Nursing

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“…In another study, patients who belonged to low social economic status were linked to have more T2DM complications [19]. Similar findings were shown in a study in Thailand, where patients with low socio economic status were associated with complications of diabetes mellitus [20]. However, the patient individual income was found not to determine the diabetic complications in China where there was no association between patient's economic status and development of diabetic complications [21].…”

Section: Discussionsupporting

confidence: 69%

Social Cultural and Economic Factors Affecting the Practice of Secondary Prevention among Patients with Type 2 Diabetes Mellitus at Consolata Nkubu and Meru Level Five Hospital in Meru County

Ngari¹,

Mbisi²,

Njogu³

2020

OJCD

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Diabetes is chronic metabolic disorder characterized by states of hyperglycemia with disturbances of carbohydrates, fat and protein metabolism. Diabetes affects millions of people globally every day and the prevalence of the disease is on the rise due to unhealthy diet and lifestyle. The disorder usually results to chronic complications including cardiovascular diseases, diabetic nephropathy, diabetic neuropathy, foot ulcers and diabetic eye diseases that are all preventable through secondary preventive measures. Once an individual has been diagnosed with T 2 DM, secondary preventive approaches are essential in preventing the occurrence of chronic complications. However, lack of awareness of these measures has been cited as the common reasons for the development of complications. The study aimed to assess the effect of social cultural and economic factors on the practice of secondary diabetes prevention among patients with Type 2 Diabetes Mellitus (T2DM) at Consolata Hospital Nkubu and Meru Level Five Hospital between March and April 2019. A descriptive correlational study design was adopted to collect data from 357 purposively sampled participants with T 2 DM using questionnaires and Focus Group Discussion Guide. Quantitative data were analyzed using SPSS version 25 at 95% confidence interval and a significance level p ≤ 0.05. Most respondents attended Meru Teaching and Referral Hospital. Majority of the respondents were aged between 40-60 years. Most respondents 31.6% had secondary level of education and majority 67% was employed. Concerning secondary prevention, majority did foot examination on every visit 70.6% and BP monitoring 69.5% while 56.5% did annual eye screening. Level of income, affordability of services, health insurance cover of the patients, monthly cost How to cite this paper: Ngari, D.M., Mbisi, A.M. and Njogu, T.W.

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“…This study, however, only looked at vascular risk factors. Vascular risk factors are more prevalent amongst people with a lower SEP (42)(43)(44), so they may visit their physician more regularly for check-ups. Healthcare professionals are the best source of information on stroke (45) so therefore it's possible that these patients with a lower SEP could be increasing their knowledge during these visits.…”

Section: Discussionmentioning

confidence: 99%

Does Socioeconomic Position Affect Knowledge of the Risk Factors and Warning Signs of Stroke in the WHO European Region? A Systematic Literature Review

Stack

Robertson

Blackburn

2020

Preprint

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Background: Strokes are one of the leading causes of death worldwide. People with a lower socioeconomic position (SEP) (i.e. with regards to education, income and occupation) are at a higher risk of having a stroke and have worse clinical outcomes compared to the general population. Good knowledge levels about stroke risk factors and warning signs are key to prolonging life and reducing health issues caused by stroke. This systematic review examined differences in knowledge of stroke risk factors and warning signs with regards to SEP in the WHO European region. Methods: MEDLINE, Embase, Web of Science, PsycINFO and CINAHL were systematically searched using appropriate Medical Subject Headings (MeSH) terms and free text, combining search terms with Boolean operators. Two independent reviewers selected studies in two stages (title and abstract, and full-text), and screened reference lists of included studies. Only studies in English and based in the WHO European region were included. Results: Screening identified 2,118 records. In the final review, 20 articles were included, with 67,309 study participants between them. Out of 17 studies that looked at stroke risk factors, 11 found increasing knowledge to be associated with higher SEP, four found no difference by SEP, one showed a mixed pattern and one outlier study found increasing knowledge of risk factors to be associated with a lower SEP. Out of 19 studies that looked at stroke warning signs or symptoms, 15 found there to be better knowledge of warning signs with a higher SEP, three found there to be no difference, and the same outlier study found increasing knowledge of warning signs with a lower SEP. Studies that seemed to have a higher quality rating found increasing knowledge of stroke with a higher SEP. A meta-analysis was not possible due to heterogeneity of studies. Conclusions: In the WHO European region, better knowledge of stroke risk factors and warning signs is associated with a higher SEP. Public health campaigns and educational interventions aiming to increase stroke knowledge should be targeted at people with a lower SEP.

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Association between Socioeconomic Status and Diabetes Mellitus: The National Socioeconomics Survey, 2010 and 2012

Cited by 42 publications

References 34 publications

A Florida public health‐based endocrine clinic for low‐income pregnant women with diabetes

A Florida public health‐based endocrine clinic for low‐income pregnant women with diabetes

Social Cultural and Economic Factors Affecting the Practice of Secondary Prevention among Patients with Type 2 Diabetes Mellitus at Consolata Nkubu and Meru Level Five Hospital in Meru County

Does Socioeconomic Position Affect Knowledge of the Risk Factors and Warning Signs of Stroke in the WHO European Region? A Systematic Literature Review

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