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Sex and income inequalities in preventive services in diabetes. | LitMetric

Sex and income inequalities in preventive services in diabetes.

Eur J Gen Pract

Medical Specialties and Public Health, School of Health Sciences, University Rey Juan Carlos, Alcorcón, Madrid, Spain.

Published: December 2023

AI Article Synopsis

  • People with diabetes generally receive more preventive health services compared to those without diabetes, except for gynaecological cancer screenings like mammograms and pap smears.
  • Women with diabetes have lower access to cholesterol and colon cancer screenings compared to their male counterparts.
  • Higher household income is linked to better access to cardiometabolic screenings and mammograms for people with diabetes, highlighting disparities based on sex and socioeconomic status.

Article Abstract

Background: Cancer preventive services (gynaecological cancer screening, colon cancer screening) and cardiometabolic screening are recommended by guidelines to individuals. People with diabetes were less likely to receive them than those without diabetes in some studies.

Objectives: To analyse differences in the coverage of preventive services in people with diabetes compared to non-diabetic individuals and in people with diabetes according to sex and household income.

Methods: We analysed data collected from the European Health Interview Survey 2013-2015, including individuals aged 40-74 ( = 179,318), 15,172 with diabetes from 29 countries. The income of a household (HHI) was described in quintiles. The relationship between the coverage of preventive services (cardiometabolic, vaccination, cancer screening) and sociodemographic characteristics was analysed with multiple logistic regression.

Results: Women comprised 53.8% of the total and 40% were 60-74 years. People with diabetes compared to those without diabetes had higher reported coverage of cardiometabolic screening (98.4% vs. 90.0% in cholesterol measurement; 97.0% vs. 93.6% in blood pressure measurement), colorectal cancer screening (27.1% vs. 24.6%) but lower coverage of gynaecological cancer screening (mammography: 29.2% vs. 33.5%, pap smear test: 28.3% vs. 37.9%). Among diabetic patients, women were less likely to receive cholesterol screening (OR = 0.81; 95% CI: 0.72-0.91) and colon cancer screening (OR = 0.79; 95% CI: 0.73-0.86) compared to men. Being affluent was positively associated with receiving cardiometabolic screening and mammography in diabetic patients.

Conclusion: People with diabetes reported higher coverage of preventive services except gynaecological cancer screening. Disparities were found in diabetes among women and less affluent individuals.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9870013PMC
http://dx.doi.org/10.1080/13814788.2022.2159941DOI Listing

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