Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235 |
Resumo: | Introduction: Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014.Material and Methods: Data from the Health National Survey 2014 was analysed, n = 16 786. We estimated the prevalence of diabetes in the population and stratified by socioeconomic variables namely educational level and income. The extent of socioeconomic inequalities was assessed using concentration index and the relative index of inequality.Results: Diabetes was found to be concentrated among the people with lower educational levels (concentration index = -0.26) and lower income quintiles (concentration index = -0.14). Relative index of inequality also showed a lower degree of inequality among the most educated (0,20; CI 95% = [0,12; 0,32]) and with higher income (0,59; CI 95% = [0,48; 0,74]).Discussion: Distribution of diabetes is associated with education and income. Previous studies have shown that although income might reflect lifestyle patterns, education reflects better social factors that are important for establishing healthier behaviours. Also, the National Health Service, of universal coverage and free of charge, might have contributed to reduce inequalities in the access to health by those with the lowest income.Conclusion: Supporting ‘Health in All Policies’ might reduce inequalities, namely by improving population educational level and actions that promote health literacy. |
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Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014Diabetes: Desigualdades Socioeconómicas na População Portuguesa em 2014Diabetes MellitusHealthcare DisparitiesLiteracyPortugalSocioeconomic FactorsDiabetes MellitusDisparidades em Assistência à SaúdeFactores SocioeconómicosLiteraciaPortugalIntroduction: Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014.Material and Methods: Data from the Health National Survey 2014 was analysed, n = 16 786. We estimated the prevalence of diabetes in the population and stratified by socioeconomic variables namely educational level and income. The extent of socioeconomic inequalities was assessed using concentration index and the relative index of inequality.Results: Diabetes was found to be concentrated among the people with lower educational levels (concentration index = -0.26) and lower income quintiles (concentration index = -0.14). Relative index of inequality also showed a lower degree of inequality among the most educated (0,20; CI 95% = [0,12; 0,32]) and with higher income (0,59; CI 95% = [0,48; 0,74]).Discussion: Distribution of diabetes is associated with education and income. Previous studies have shown that although income might reflect lifestyle patterns, education reflects better social factors that are important for establishing healthier behaviours. Also, the National Health Service, of universal coverage and free of charge, might have contributed to reduce inequalities in the access to health by those with the lowest income.Conclusion: Supporting ‘Health in All Policies’ might reduce inequalities, namely by improving population educational level and actions that promote health literacy.Introdução: A diabetes é considerada um dos maiores problemas de saúde pública e está associada a fatores socioeconómicos. O objetivo deste estudo foi descrever as desigualdades socioeconómicas na distribuição da diabetes na população com idade igual ou superior a 25 anos, residente em Portugal em 2014.Material e Métodos: Foram analisados dados do Inquérito Nacional de Saúde de 2014, n = 16 786. Calcularam-se estimativas da prevalência da diabetes total e estratificada por variáveis de caracterização socioeconómica designadamente o nível de escolaridade e o rendimento. O grau de desigualdade socioeconómica foi estimado através do índice de concentração e do índice relativo de desigualdade.Resultados: A diabetes concentrou-se na população com menor nível de escolaridade (índice de concentração = -0,26) e nos quintis de menor rendimento (índice de concentração = -0,14). O índice relativo de desigualdade evidenciou menor desigualdade nos grupos com um maior nível de escolaridade (0,20; IC 95% = [0,12; 0,32]) e com maior rendimento (0,59; IC 95% = [0,48; 0,74]).Discussão: A distribuição da diabetes está associada ao nível educacional e ao rendimento. Estudos anteriores mostraram que, apesar do rendimento poder refletir o padrão de vida das pessoas, a educação reflete o contexto social imediato em que o individuo se integra e que contribui para adotar estilos de vida mais saudáveis. Ainda, o Serviço Nacional de Saúde, por ser universal e tendencialmente gratuito, pode ter contribuído para reduzir desigualdades no acesso à saúde por grupos de menor rendimento.Conclusão: Integrar a ‘Saúde em Todas as Políticas’ pode reduzir as desigualdades, nomeadamente através da melhoria do nível educacional da população e do desenvolvimento de ações que promovam a literacia em saúde.Ordem dos Médicos2017-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/tiffimage/tiffimage/tiffapplication/pdfapplication/mswordhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235oai:ojs.www.actamedicaportuguesa.com:article/8235Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 561-567Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 561-5671646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/5115https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/5369https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8773https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8774https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8775https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8872https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8963Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSantos, JoanaKislaya, IrinaAntunes, LilianaSantos, Ana JoãoRodrigues, Ana PaulaNeto, MarianaDias, Carlos Matias2022-12-20T11:05:27Zoai:ojs.www.actamedicaportuguesa.com:article/8235Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:33.881793Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 Diabetes: Desigualdades Socioeconómicas na População Portuguesa em 2014 |
title |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
spellingShingle |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 Santos, Joana Diabetes Mellitus Healthcare Disparities Literacy Portugal Socioeconomic Factors Diabetes Mellitus Disparidades em Assistência à Saúde Factores Socioeconómicos Literacia Portugal |
title_short |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
title_full |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
title_fullStr |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
title_full_unstemmed |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
title_sort |
Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014 |
author |
Santos, Joana |
author_facet |
Santos, Joana Kislaya, Irina Antunes, Liliana Santos, Ana João Rodrigues, Ana Paula Neto, Mariana Dias, Carlos Matias |
author_role |
author |
author2 |
Kislaya, Irina Antunes, Liliana Santos, Ana João Rodrigues, Ana Paula Neto, Mariana Dias, Carlos Matias |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Santos, Joana Kislaya, Irina Antunes, Liliana Santos, Ana João Rodrigues, Ana Paula Neto, Mariana Dias, Carlos Matias |
dc.subject.por.fl_str_mv |
Diabetes Mellitus Healthcare Disparities Literacy Portugal Socioeconomic Factors Diabetes Mellitus Disparidades em Assistência à Saúde Factores Socioeconómicos Literacia Portugal |
topic |
Diabetes Mellitus Healthcare Disparities Literacy Portugal Socioeconomic Factors Diabetes Mellitus Disparidades em Assistência à Saúde Factores Socioeconómicos Literacia Portugal |
description |
Introduction: Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014.Material and Methods: Data from the Health National Survey 2014 was analysed, n = 16 786. We estimated the prevalence of diabetes in the population and stratified by socioeconomic variables namely educational level and income. The extent of socioeconomic inequalities was assessed using concentration index and the relative index of inequality.Results: Diabetes was found to be concentrated among the people with lower educational levels (concentration index = -0.26) and lower income quintiles (concentration index = -0.14). Relative index of inequality also showed a lower degree of inequality among the most educated (0,20; CI 95% = [0,12; 0,32]) and with higher income (0,59; CI 95% = [0,48; 0,74]).Discussion: Distribution of diabetes is associated with education and income. Previous studies have shown that although income might reflect lifestyle patterns, education reflects better social factors that are important for establishing healthier behaviours. Also, the National Health Service, of universal coverage and free of charge, might have contributed to reduce inequalities in the access to health by those with the lowest income.Conclusion: Supporting ‘Health in All Policies’ might reduce inequalities, namely by improving population educational level and actions that promote health literacy. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235 oai:ojs.www.actamedicaportuguesa.com:article/8235 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235 |
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oai:ojs.www.actamedicaportuguesa.com:article/8235 |
dc.language.iso.fl_str_mv |
por eng |
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por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/5115 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/5369 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8773 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8774 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8775 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8872 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235/8963 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 7-8 (2017): July-August; 561-567 Acta Médica Portuguesa; Vol. 30 N.º 7-8 (2017): Julho-Agosto; 561-567 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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