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Diabetes prevalence and income: Results of the Canadian Community Health Survey

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  • Dinca-Panaitescu, Serban
  • Dinca-Panaitescu, Mihaela
  • Bryant, Toba
  • Daiski, Isolde
  • Pilkington, Beryl
  • Raphael, Dennis

Abstract

This paper contributes to a growing body of literature indicating the importance of income as a key socioeconomic status marker in accounting for the increased prevalence of type 2 diabetes (T2DM).Methods We analyzed data from the Canadian Community Health Survey cycle 3.1 conducted by Statistics Canada. Descriptive statistics on the prevalence of self-reported diabetes were computed. Multiple logistic regression was used to examine the association between income and prevalence of T2DM.Results In 2005 an estimated 1.3 million Canadians (4.9%) reported having diabetes. The prevalence of T2DM in the lowest income group is 4.14 times higher than in the highest income group. Prevalence of diabetes decreases steadily as income goes up. The likelihood of diabetes was significantly higher for low-income groups even after adjusting for socio-demographic status, housing, BMI and physical activity. There is a graded association between income and diabetes with odds ratios almost double for men (OR 1.94, 95% CI 1.57-2.39) and almost triple for women (OR 2.75 95% CI 2.24-3.37) in the lowest income compared to those in highest income.Conclusion These findings suggest that strategies for diabetes prevention should combine person-centered approaches generally recommended in the diabetes literature research with public policy approaches that acknowledge the role of socioeconomic position in shaping T2DM prevalence/incidence.

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  • Dinca-Panaitescu, Serban & Dinca-Panaitescu, Mihaela & Bryant, Toba & Daiski, Isolde & Pilkington, Beryl & Raphael, Dennis, 2011. "Diabetes prevalence and income: Results of the Canadian Community Health Survey," Health Policy, Elsevier, vol. 99(2), pages 116-123, February.
    • Handle: RePEc:eee:hepoli:v:99:y:2011:i:2:p:116-123
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    1. Lynch, J. W. & Kaplan, G. A. & Salonen, J. T., 1997. "Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse," Social Science & Medicine, Elsevier, vol. 44(6), pages 809-819, March.
    2. Linda A. Wray & Duane F. Alwin & Ryan J. McCammon & Timothy Manning & Latrica E. Best, 2006. "Social Status, Risky Health Behaviors, and Diabetes in Middle-Aged and Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(6), pages 290-298.
    3. James P. Smith, 2007. "The Impact of Socioeconomic Status on Health over the Life-Course," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
    4. Maty, S.C. & James, S.A. & Kaplan, G.A., 2010. "Life-course socioeconomic position and incidence of diabetes mellitus among blacks and whites: The Alameda County Study, 1965-1999," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 137-145.
    5. Robbins, J.M. & Vaccarino, V. & Zhang, H. & Kasl, S.V., 2001. "Socioeconomic status and type 2 diabetes in African American and non-Hispanic White women and men: Evidence from the Third National Health and Nutrition Examination Survey," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 76-83.
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    2. Weaver, Robert R. & Lemonde, Manon & Payman, Naghmeh & Goodman, William M., 2014. "Health capabilities and diabetes self-management: The impact of economic, social, and cultural resources," Social Science & Medicine, Elsevier, vol. 102(C), pages 58-68.
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    5. Misuzu Fujita & Yasunori Sato & Kengo Nagashima & Sho Takahashi & Akira Hata, 2016. "Income Related Inequality of Health Care Access in Japan: A Retrospective Cohort Study," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-19, March.
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    7. Chaufan, Claudia & Saliba, Daniel, 2019. "The global diabetes epidemic and the nonprofit state corporate complex: Equity implications of discourses, research agendas, and policy recommendations of diabetes nonprofit organizations," Social Science & Medicine, Elsevier, vol. 223(C), pages 77-88.

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