Social environment, morbidity and use of health care among people with diabetes mellitus in Trinidad
Int J Epidemiol
; 26(3): 620-7, Jun., 1997.
Artigo
em Inglês
| MedCarib
| ID: med-1954
Biblioteca responsável:
JM3.1
Localização: JM3.1
ABSTRACT
BACKGROUND:
This study aimed to identify social characteristics associated with higher levels of morbidity from diabetes and their relationship to health care utilization.METHODS:
During a 6-month period 1149/1447 (79 percent) subjects admitted to Port of Spain Hospital, Trinidad with diabetes responded to a structured interview. Data collection included social factors, diabetes-related morbidity and health care utilization. Analyses were adjusted for age, sex, ethnic group and self-reported diabetes duration.RESULTS:
Of 12 indicators of morbidity, nine were more frequently in subjects with no schooling compared with those with secondary education. At ages 15-59 years, nine morbidity indicators were less frequently among subjects in full-time jobs compared with those not in employment. The association of educational attainment was explained by confounding with age, sex, ethnic group and diabetes duration but five morbidity indicators were associated with employment status after adjusting for confounding. The type of water supply in the home was generally not associated with morbidity. Each of the indicators of lower socioeconomic status was associated with less use of private doctors and with more use of government health centres.CONCLUSIONS:
Morbidity from diabetes was greater in groups with lower socioeconomic status. While morbidity associated with lower educational attainment was mostly explained by older age; the results suggested the possibility that diabetes may contribute to unemployment of those in the labour force. Private care was less accessible to social groups with higher levels of morbidity and the availabiltiy of government funded health services was important for reducing inequalities in health care utilization.(AU)
Buscar no Google
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.9 Reduzir as mortes por produtos químicos y contaminação do ar, água e solo
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Água, Saneamento e Higiene
/
Meta 3.9: Reduzir o número de mortes por produtos químicos perigosos e contaminação do ar e água do solo
Base de dados:
MedCarib
Assunto principal:
Classe Social
/
Diabetes Mellitus
/
Serviços de Saúde
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
Aspecto:
Determinantes sociais da saúde
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
África
/
Caribe Inglês
/
Trinidad e Tobago
Idioma:
Inglês
Revista:
Int J Epidemiol
Ano de publicação:
1997
Tipo de documento:
Artigo