Income-related inequalities in diagnosed diabetes prevalence among US adults, 2001-2018
The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. We esti...
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Published in | PloS one Vol. 18; no. 4; p. e0283450 |
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Abstract | The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors.
We estimated income-related inequalities in diagnosed diabetes during 2001-2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time.
Results showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001-2011 and then increased during 2011-2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time.
Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. |
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AbstractList | AimsThe overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors.MethodsWe estimated income-related inequalities in diagnosed diabetes during 2001-2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time.ResultsResults showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001-2011 and then increased during 2011-2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time.ConclusionsDiabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. Aims The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. Methods We estimated income-related inequalities in diagnosed diabetes during 2001−2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time. Results Results showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001−2011 and then increased during 2011−2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time. Conclusions Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. We estimated income-related inequalities in diagnosed diabetes during 2001-2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time. Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. Aims The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. Methods We estimated income-related inequalities in diagnosed diabetes during 2001-2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time. Results Results showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001-2011 and then increased during 2011-2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time. Conclusions Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. We estimated income-related inequalities in diagnosed diabetes during 2001-2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time. Results showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001-2011 and then increased during 2011-2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time. Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. Aims The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed to examine the trends in income-related inequalities in diabetes prevalence and to identify the contributions of determining factors. Methods We estimated income-related inequalities in diagnosed diabetes during 2001−2018 among US adults aged 18 years or older using data from the National Health Interview Survey (NHIS). The concentration index was used to measure income-related inequalities in diabetes and was decomposed into contributing factors. We then examined temporal changes in diabetes inequality and contributors to those changes over time. Results Results showed that income-related inequalities in diabetes, unfavorable to low-income groups, persisted throughout the study period. The income-related inequalities in diabetes decreased during 2001−2011 and then increased during 2011−2018. Decomposition analysis revealed that income, obesity, physical activity levels, and race/ethnicity were important contributors to inequalities in diabetes at almost all time points. Moreover, changes regarding age and income were identified as the main factors explaining changes in diabetes inequalities over time. Conclusions Diabetes was more prevalent in low-income populations. Our study contributes to understanding income-related diabetes inequalities and could help facilitate program development to prevent type 2 diabetes and address modifiable factors to reduce diabetes inequalities. |
Audience | Academic |
Author | Zhou, Xilin Imperatore, Giuseppina Chen, Yu Rolka, Deborah B Zhang, Ping Bullard, Kai McKeever |
AuthorAffiliation | Governors State University, UNITED STATES Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America |
AuthorAffiliation_xml | – name: Governors State University, UNITED STATES – name: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America |
Author_xml | – sequence: 1 givenname: Yu orcidid: 0000-0002-4888-7451 surname: Chen fullname: Chen, Yu organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America – sequence: 2 givenname: Xilin surname: Zhou fullname: Zhou, Xilin organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America – sequence: 3 givenname: Kai McKeever surname: Bullard fullname: Bullard, Kai McKeever organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America – sequence: 4 givenname: Ping surname: Zhang fullname: Zhang, Ping organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America – sequence: 5 givenname: Giuseppina surname: Imperatore fullname: Imperatore, Giuseppina organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America – sequence: 6 givenname: Deborah B surname: Rolka fullname: Rolka, Deborah B organization: Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, United States of America |
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CitedBy_id | crossref_primary_10_4239_wjd_v14_i10_1493 crossref_primary_10_1016_j_diabres_2023_111053 crossref_primary_10_1016_j_amepre_2023_07_009 |
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Snippet | The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We aimed... Aims The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We... Aims The overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We... AIMSThe overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We... AimsThe overall prevalence of diabetes has increased over the past two decades in the United States, disproportionately affecting low-income populations. We... |
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SubjectTerms | Adult Adults Age groups Biology and Life Sciences Decomposition Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - epidemiology Diagnosis Distribution Ethnicity Evaluation Exercise Health Status Disparities Hispanic people Humans Income Inequality Low income groups Medical care, Cost of Medicine and Health Sciences Minority & ethnic groups Obesity People and Places Physical activity Population Population studies Populations Poverty Prevalence Risk factors Social Sciences Socioeconomic Factors Trends |
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Title | Income-related inequalities in diagnosed diabetes prevalence among US adults, 2001-2018 |
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