Sex and income inequalities in preventive services in diabetes.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Sara Ares-Blanco, Juan A López-Rodríguez, Mario Fontán Vela, Elena Polentinos-Castro, Isabel Del Cura-González
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引用次数: 0

Abstract

Background: Cancer preventive services (gynaecological cancer screening, colon cancer screening) and cardiometabolic screening are recommended by guidelines to individuals. People with diabetes were less likely to receive them than those without diabetes in some studies.

Objectives: To analyse differences in the coverage of preventive services in people with diabetes compared to non-diabetic individuals and in people with diabetes according to sex and household income.

Methods: We analysed data collected from the European Health Interview Survey 2013-2015, including individuals aged 40-74 (n = 179,318), 15,172 with diabetes from 29 countries. The income of a household (HHI) was described in quintiles. The relationship between the coverage of preventive services (cardiometabolic, vaccination, cancer screening) and sociodemographic characteristics was analysed with multiple logistic regression.

Results: Women comprised 53.8% of the total and 40% were 60-74 years. People with diabetes compared to those without diabetes had higher reported coverage of cardiometabolic screening (98.4% vs. 90.0% in cholesterol measurement; 97.0% vs. 93.6% in blood pressure measurement), colorectal cancer screening (27.1% vs. 24.6%) but lower coverage of gynaecological cancer screening (mammography: 29.2% vs. 33.5%, pap smear test: 28.3% vs. 37.9%). Among diabetic patients, women were less likely to receive cholesterol screening (OR = 0.81; 95% CI: 0.72-0.91) and colon cancer screening (OR = 0.79; 95% CI: 0.73-0.86) compared to men. Being affluent was positively associated with receiving cardiometabolic screening and mammography in diabetic patients.

Conclusion: People with diabetes reported higher coverage of preventive services except gynaecological cancer screening. Disparities were found in diabetes among women and less affluent individuals.

糖尿病预防服务中的性别和收入不平等。
背景:癌症预防服务(妇科癌症筛查、癌症筛查)和心脏代谢筛查由指南推荐给个人。在一些研究中,糖尿病患者比非糖尿病患者接受治疗的可能性更小。目的:根据性别和家庭收入,分析糖尿病患者与非糖尿病患者以及糖尿病患者预防服务覆盖率的差异。方法:我们分析了2013-2015年欧洲健康访谈调查收集的数据,包括40-74岁的个体(n = 179318)、15172名糖尿病患者。家庭收入(HHI)以五分位数描述。采用多元逻辑回归分析了预防服务(心脏代谢、疫苗接种、癌症筛查)的覆盖率与社会人口学特征之间的关系。结果:女性占总人数的53.8%,60-74岁占40% 年。与未患糖尿病的人相比,糖尿病患者的心脏代谢筛查报告覆盖率较高(胆固醇测量为98.4%对90.0%;血压测量为97.0%对93.6%)、结直肠癌癌症筛查(27.1%对24.6%),但妇科癌症筛查覆盖率较低(乳房X光检查:29.2%对33.5%,巴氏涂片检查:28.3%对37.9%),与男性相比,女性接受胆固醇筛查(OR=0.81;95%CI:0.72-0.91)和结肠癌癌症筛查(OR=7.79;95%CI=0.73-0.86)的可能性较低。在糖尿病患者中,富裕与接受心脏代谢筛查和乳房X光检查呈正相关。结论:除妇科癌症筛查外,糖尿病患者的预防服务覆盖率较高。糖尿病在女性和不太富裕的人群中存在差异。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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