Economic Impact of Diabetes in South Asia: the Magnitude of the Problem

Singh, Kavita; Narayan, K.M. Venkat; Eggleston, Karen

doi:10.1007/s11892-019-1146-1

Cited by 18 publications

(13 citation statements)

References 77 publications

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“…A study by Jing et al 11 in China found that the incidence of CHE among patients with type 2 diabetes mellitus at the 40% of nonfood expenditure threshold of household is about 14%. Singh et al 38 investigated the economic impact of diabetes in South Asia and indicated that total costs for diabetic care in South Asia vary from $483 to $2637 per patient, and on average, 5.8% of patients with diabetes suffer from catastrophic spending at the 40% of CTP household. They also demonstrated that the mean direct costs per patient are positively associated with a country's gross domestic product per capita.…”

Section: Discussionmentioning

confidence: 99%

<p>Incidence and Intensity of Catastrophic Health-care Expenditure for Type 2 Diabetes Mellitus Care in Iran: Determinants and Inequality</p>

Piroozi

Mohamadi-Bolbanabad

Moradi

et al. 2020

DMSO

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Background: The present study aimed to assess the prevalence and intensity of catastrophic health-care expenditures (CHE) relating to type 2 diabetes mellitus care and inequality in facing such expenditures in Iran. Methods: A total of 1065 type 2 diabetes patients were included in this cross-sectional study. A multistage sampling method was used to select the samples. Data on sociodemographic characteristics, economic status, health and diabetic costs were collected using a selfconstructed questionnaire. We used capacity to pay (CTP) of households to calculate the incidence of CHE due to diabetic care at four different thresholds. The mean positive overshoot (MPO) and overshoot were used to assess the intensity of CHE. The relative concentration index and slope index of inequality (SII) were used to measure socioeconomicrelated inequalities in incidences of CHE. In addition, decomposition methods were used to identify the main factors affecting observed inequality in CHE. Results: The incidence of CHE at the 10, 20, 30, and 40% of CTP thresholds for type 2 diabetes mellitus care was 57.5, 28.9, 16.5, and 11.4%, respectively. The results of CI and SII indices for CHE due to diabetic care indicated that the incidence of CHE was more prevalent among patients with lower socioeconomic groups. The decomposition analysis showed that the socioeconomic status, marital status and gender of patients were the main factors contributing to socioeconomic inequality in incidence of CHE among the poor. Conclusion: Our study demonstrated that the incidence and intensity of CHE due to diabetic care were relatively high, particularly among socioeconomically disadvantaged patients. Modification to the present health care financing strategies is recommended in order to protect lower socioeconomic groups against the financial burden of diabetic care.

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Section: Discussionmentioning

confidence: 99%

<p>Incidence and Intensity of Catastrophic Health-care Expenditure for Type 2 Diabetes Mellitus Care in Iran: Determinants and Inequality</p>

Piroozi

Mohamadi-Bolbanabad

Moradi

et al. 2020

DMSO

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“…Modified instrument to assess diabetic care activities by [32] was used to assess knowledge of self-care activities while Level of adherence to self-care practice scale by [33] was used to assess patients' level of adherence to diabetes self-care. The instrument was divided into five (5) sections and the data gathering tools were;…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…DM is associated with high mortality, morbidity, and disability, high economic costs, and loss of quality of life, this often creates a significant burden on the individual and family [1]. In addition to the health burden, diabetes-related expenditures incur heavy costs on individuals, health care systems and governments [3][4][5][6]. The prevalence of diabetes is linked to factors including unhealthy lifestyle, sedentary lifestyle, lack of physical exercise, unhealthy eating habits, and unhealthy weight gain [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Adherence to Self-Care Practices Among Diabetes Patients in a Selected Tertiary Hospital, Osun State

Arogundade

Salawu

2021

JAMMR

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Aims: Diabetes is a chronic non-communicable disease with many irreversible complications that can be prevented by strict adherence to self-care practice. This study aims to investigate the factors influencing adherence to self-care practices among diabetes patients Study Design: This study adopted a descriptive research design carried out among diabetes patients attending outpatient endocrinology clinic of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State between July and September 2021. Methodology: Sample size was calculated using Cochran formula and total number of sample used were two hundred and eight (208) diabetes patients. Samples were selected using convenient sampling technique. A self-developed structured Questionnaire on knowledge of diabetes and factors influencing adherence to diabetes self-care practices with reliability index of 0.858 and 0.863 respectively. Two (2) adapted questionnaire; Diabetes self-care practices by Schmitt et al (2013) and Level of adherence to self-care practices scale by Morisky et al. (1986) with reliability index of 0.731 and 0.851 respectively were also used for data collection. Data collected were analyzed using descriptive statistics of frequency, percentage, mean and standard deviation while inferential statistics of Pearson product moment correlation and regression were used to test stated hypotheses at 0.05 level of significance. Results: The result from the study revealed good knowledge of diabetes mellitus and diabetes self-care practices among the respondents. The results also revealed high level of adherence to diabetes medication, diet, physical activity, blood glucose testing, follow-up and foot care. Factors influencing the level of adherence with diabetes self-care practices include cost of treatment, longer year of being diagnosed, good relationship between healthcare team, level of education, good family and social support. There is also a significant relationship between knowledge of diabetes mellitus and adherence with physical activity (r = 0.210; P = 0.02) and blood glucose testing (r = 0.203; P = 0.003). However, there is no significant relationship between knowledge of self-care practices and adherence to self-care practices; socio-demographic characteristics of age (r = -0.040; P = 0.568), education (r = 0.112; P = 0.107) and adherence to self-care practices. Conclusion: The study concluded that there was high level of knowledge about diabetes and diabetes self-care practices as well as adherence to diabetes self-care practices, therefore, health care providers should continue to monitor self-care practices among diabetes patients to achieve positive health outcome and reduce morbidity and mortality associated with diabetes mellitus.

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“…Reports from the World Health Organization (WHO) in 2017 show that there were 10.0 million deaths due to TB 1 . In the same year, there were 415 million cases and 5.0 million deaths due to DM [2][3][4][5] . DM patients have 3 times the risk of TB infection 6 and are more susceptible because of their immune status 7 .…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Pulmonary Tuberculosis Among Diabetes Mellitus Patients: A Case-Control Study in Dr. Kariadi General Hospital, Semarang, Indonesia

Fibriana

Azam

Maryuni

et al. 2020

MJPHM

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Diabetes mellitus (DM) is a well-known risk factor for tuberculosis (TB). Prevalence of TB among DM patients ranged from 1.7 % to 36 %. Limited information has been reported regarding TB among DM patients in Indonesia. This case-control study aimed to investigate prevalence and related factors of pulmonary TB among DM patients in Dr. Kariadi General Hospital. Cases of pulmonary TB were defined by a positive acid-fast bacilli smear or molecular rapid test and thorax x-ray. Data were presented as frequency and percentage comparing the case and control group. Chi-square continued by Binary logistic regression analyses were done to determine the relationship between the parameters and TB status performed by the SPSS 16. Prevalence of 8.02% or 72 patients were diagnosed as having pulmonary TB from 898 registered patients with DM. Of the 72 TB patients, 30 completed the data as case group, and 45 DM patients without TB determined as a control group. Comparison between the case and control group study found differences in household contact (63.3 % and 4.4 %, respectively), random plasma glucose (76.7 % and 33.3 %), duration of DM (40 % and 71 %), and treatment compliance (30 % and 68.9 %). The final model in Binary logistic regression involved household contact, random plasma glucose level, and treatment compliance. The prevalence of pulmonary TB among DM patients in Dr. Kariadi General Hospital was 8.02%. Risk factors that were associated with this occurrence were: household contact, high random plasma glucose level, and poor treatment compliance.

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Economic Impact of Diabetes in South Asia: the Magnitude of the Problem

Cited by 18 publications

References 77 publications

<p>Incidence and Intensity of Catastrophic Health-care Expenditure for Type 2 Diabetes Mellitus Care in Iran: Determinants and Inequality</p>

<p>Incidence and Intensity of Catastrophic Health-care Expenditure for Type 2 Diabetes Mellitus Care in Iran: Determinants and Inequality</p>

Factors Influencing Adherence to Self-Care Practices Among Diabetes Patients in a Selected Tertiary Hospital, Osun State

Risk Factors of Pulmonary Tuberculosis Among Diabetes Mellitus Patients: A Case-Control Study in Dr. Kariadi General Hospital, Semarang, Indonesia

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