Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014

Detalhes bibliográficos
Autor(a) principal: Santos, Joana
Data de Publicação: 2017
Outros Autores: Kislaya, Irina, Antunes, Liliana, Santos, Ana João, Rodrigues, Ana Paula, Neto, Mariana, Dias, Carlos Matias
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.
id RCAP_92a4df67dc82fa1f082e56e503eca1e2
oai_identifier_str oai:ojs.www.actamedicaportuguesa.com:article/8235
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling 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
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8235
identifier_str_mv oai:ojs.www.actamedicaportuguesa.com:article/8235
dc.language.iso.fl_str_mv por
eng
language 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
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2017 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2017 Acta Médica Portuguesa
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
image/tiff
image/tiff
image/tiff
application/pdf
application/msword
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv 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
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799130646570860544