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- Title
Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019.
- Authors
Neves, Rosália Garcia; Saes, Mirelle de Oliveira; Duro, Suele Manjourany Silva; Flores, Thaynã Ramos; Tomasi, Elaine
- Abstract
The purpose of this paper is to evaluate inequalities in care for people with diabetes in Brazil. This cross-sectional population-based study was carried out in 2019 and evaluated care provided by receiving advice, requesting laboratory tests, and performing examinations. We used the slope index of inequality and concentration index to assess inequalities according to educational level and Poisson regression to estimate prevalence ratios for each outcome in the education category. We assessed a total of 6317 people with diabetes, 41.8% had their eyes checked, and 36.1% had their feet examined in the previous year. Prevalence for both examinations was 2.45 times higher in those from the highest level of education compared to those from the lowest level. The largest absolute differences (in percentage points) between the lowest and highest education levels in care indicators were the following: request for glycated hemoglobin test (39.0), glucose curve test (31.4), and eyes checked in the previous year (29.7). There were notable inequalities in the prevalence ratios of care provided to people with diabetes in Brazil. Requests for glycated hemoglobin tests, glucose curve tests, eye and feet examinations should be emphasized, especially for people from lower educational levels.
- Subjects
BRAZIL; PEOPLE with diabetes; CARE of people; POISSON regression; EDUCATIONAL outcomes; FOOT movements; EYE examination
- Publication
PLoS ONE, 2022, Vol 17, Issue 6, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0270027