TY - JOUR
T1 - Socioeconomic Inequalities in the Prevalence of Diabetes in Argentina
T2 - A Repeated Cross-Sectional Study in Urban Women and Men
AU - Rojas-Roque, Carlos
AU - Hernández-Vásquez, Akram
AU - Azañedo, Diego
AU - Bendezu-Quispe, Guido
N1 - Publisher Copyright:
© 2022 by the authors.
PY - 2022/7/22
Y1 - 2022/7/22
N2 - This study measured the socioeconomic inequalities in the prevalence of diabetes between 2005 and 2018 in an urban Argentinian population. Data were obtained from the repeated cross-sectional surveys “National Survey of Risk Factors” (ENFR is its acronym in Spanish). From 2005 to 2018, four rounds of ENFR were administered to men and women over 18 years of age. Concentration curves (CC) and the Erreygers concentration index (ECI) were used to describe the socioeconomic inequalities in diabetes’ prevalence. A decomposition analysis was performed to determine the contribution of each variable to inequality in diabetes’ prevalence. Data from 41,219 (2005), 34,583 (2009), 32,232 (2013), and 29,094 (2018) individuals were analyzed. Women reported a greater prevalence of diabetes compared with men for all the years included. According to the CC and ECI, we found no evidence of inequality in men throughout all study years. For women, throughout all years, the CCs were above the line of equity, and the ECIs during all the years were negative and different from zero (p < 0.01). For women, we found no evidence of a reduction in inequalities between 2005 and 2018 (p = 0.475). The socioeconomic inequality for women was largely driven by public insurance, primary and secondary education, and employment. Diabetes’ prevalence was not associated with socioeconomic status in men, while the prevalence of diabetes in women was more concentrated among poorer women. During the 13 years, there was no evidence of a reduction of inequality in women, noting that interventions must prioritize and should focus on the main contribution of inequalities, such as education and employment.
AB - This study measured the socioeconomic inequalities in the prevalence of diabetes between 2005 and 2018 in an urban Argentinian population. Data were obtained from the repeated cross-sectional surveys “National Survey of Risk Factors” (ENFR is its acronym in Spanish). From 2005 to 2018, four rounds of ENFR were administered to men and women over 18 years of age. Concentration curves (CC) and the Erreygers concentration index (ECI) were used to describe the socioeconomic inequalities in diabetes’ prevalence. A decomposition analysis was performed to determine the contribution of each variable to inequality in diabetes’ prevalence. Data from 41,219 (2005), 34,583 (2009), 32,232 (2013), and 29,094 (2018) individuals were analyzed. Women reported a greater prevalence of diabetes compared with men for all the years included. According to the CC and ECI, we found no evidence of inequality in men throughout all study years. For women, throughout all years, the CCs were above the line of equity, and the ECIs during all the years were negative and different from zero (p < 0.01). For women, we found no evidence of a reduction in inequalities between 2005 and 2018 (p = 0.475). The socioeconomic inequality for women was largely driven by public insurance, primary and secondary education, and employment. Diabetes’ prevalence was not associated with socioeconomic status in men, while the prevalence of diabetes in women was more concentrated among poorer women. During the 13 years, there was no evidence of a reduction of inequality in women, noting that interventions must prioritize and should focus on the main contribution of inequalities, such as education and employment.
KW - Argentina
KW - diabetes mellitus
KW - epidemiology
KW - healthcare disparities
KW - Diabetes Mellitus/epidemiology
KW - Prevalence
KW - Cross-Sectional Studies
KW - Health Status Disparities
KW - Humans
KW - Male
KW - Argentina/epidemiology
KW - Social Class
KW - Socioeconomic Factors
KW - Adolescent
KW - Adult
KW - Female
UR - http://www.scopus.com/inward/record.url?scp=85135381679&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/0f3da52d-5b4f-33ea-85cf-8fd858b6b61b/
U2 - 10.3390/ijerph19158888
DO - 10.3390/ijerph19158888
M3 - Artículo
C2 - 35897259
AN - SCOPUS:85135381679
SN - 1661-7827
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 15
M1 - 8888
ER -