國家衛生研究院 NHRI:Item 3990099045/6717
English  |  正體中文  |  简体中文  |  Items with full text/Total items : 12145/12927 (94%)
Visitors : 915389      Online Users : 1307
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
    •  Adv. Search
    Home ‧ Login ‧ Upload ‧ Help ‧ About ‧ Administer Goto mobile version


    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/6717


    Title: Poverty increases type 2 diabetes incidence and inequality of care despite universal health coverage
    Authors: Hsu, CC;Lee, CH;Wahlqvist, ML;Huang, HL;Chang, HY;Chen, L;Shih, SF;Shin, SJ;Tsai, WC;Chen, T;Huang, CT;Cheng, JS
    Contributors: Division of Health Services and Preventive Medicine
    Abstract: OBJECTIVE The discrepancy of diabetes incidence and care between socioeconomic statuses has seldom been studied concurrently in nations with universal health coverage. We aimed to delineate whether income disparity is associated with diabetes incidence and inequality of care under a national health insurance (NHI) program in Asia.RESEARCH DESIGN AND METHODS From the Taiwan NHI database in 2000, a representative cohort aged ?20 years and free of diabetes (n = 600,662) were followed up until 2005. We regarded individuals exempt from paying the NHI premium as being poor. Adjusted hazard ratios (HRs) were used to discover any excess risk of diabetes in the poor population. The indicators used to evaluate quality of diabetes care included the proportion of diabetic patients identified through hospitalization, visits to diabetes clinics, and completion of recommended diabetes tests.RESULTS The incidence of type 2 diabetes in the poor population was 20.4 per 1,000 person-years (HR, 1.5; 95% CI, 1.3–1.7). Compared with their middle-income counterparts, the adjusted odds ratio (OR) for the poor population incidentally identified as having diabetes through hospitalization was 2.2 (P < 0.001). Poor persons with diabetes were less likely to visit any diabetes clinic (OR, 0.4; P < 0.001). The ORs for the poor population with diabetes to receive tests for glycated hemoglobin, low-density lipoprotein cholesterol, triglycerides, and retinopathy were 0.6 (0.4– 0.9), 0.4 (0.2–0.7), 0.5 (0.4–0.8), and 0.4 (0.2–0.9), respectively.CONCLUSIONS Poverty is associated not only with higher diabetes incidence but also with inequality of diabetes care in a northeast Asian population, despite universal health coverage.
    Date: 2012-11
    Relation: Diabetes Care. 2012 Nov;35(11):2286-2292.
    Link to: http://dx.doi.org/10.2337/dc11-2052
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0149-5992&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000311424100032
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84868131353
    Appears in Collections:[Li-Kwang Chen] Periodical Articles
    [Hsing-Yi Chang] Periodical Articles
    [Chih-Cheng Hsu] Periodical Articles
    [MARK LAWRENCE WAHLQVIST(2008-2012)] Periodical Articles

    Files in This Item:

    File Description SizeFormat
    PB2012082204.pdf751KbAdobe PDF542View/Open


    All items in NHRI are protected by copyright, with all rights reserved.

    Related Items in TAIR

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback