The escalating diabetes epidemic: determinants of prevalence disparity between country income groups
AuthorWefuan, Fatimatou Kuhmbou
Rationale: Nowadays, diabetes mellitus is continuing to be an increasing international health burden. But greatest increases of this burden are seen particularly in low- and middle-income countries. This thesis attempts to account for the factors associated with the increasing prevalence of diabetes and the disparity in this prevalence across country income groups. Method: An analytic ecological study was performed using 183 WHO Member States grouped into low-, lower middle-, upper middle- and high-income countries. Linear regression analyses were used to determine possible associations between diabetes mellitus prevalence and health expenditure for diabetes plus other health indicators (that is, life expectancy at birth, prevalence of tuberculosis, population living in urban areas, out-of-pocket health expenditure, adults aged ≥ 20 years who are obese, alcohol consumption among adult aged ≥ 15 years), both in the 183 WHO Member States and within each WHO country income group. Results: The prevalence of diabetes mellitus is associated with health expenditure for diabetes, life expectancy, tuberculosis prevalence, urban population, out-of-pocket expenditure, adults aged ≥ 20 years who are obese, and alcohol consumption among adults ≥ 15 years. The association between diabetes mellitus and these factors vary depending on the different country income groups. Conclusion: These findings suggest that since diabetes mellitus prevalence is associated with several factors which vary according to country income groups, strategies for diabetes prevention should not only be person-centered but also income group-specific.
PublisherUniversitetet i Tromsø
University of Tromsø
The following license file are associated with this item:
Showing items related by title, author, creator and subject.
Advancing alcohol Research in low-income and middle-income countries: a global alcohol environment framework Walls, Helen; Cook, Sarah Anne; Matzopolous, Richard; London, Leslie (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-04-16)Alcohol-related harm has gained increased attention in high-income countries (HICs) in recent years which, alongside government regulation, has effected a reduction in alcohol consumption. The alcohol industry has turned its attention to low-income and middle-income country (LMIC) markets as a new source of growth and profit, prompting increased consumption in LMICS. Alcohol use in LMICs is also ...
Is the mediating effect of psychosocial stress on the income–health relationship moderated by income inequality? Svalestuen, Sigbjørn (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-06)Background - There now exists a rich body of literature on the relationship between income, income inequality, and health. The discussion about the impact of income and income inequality on health includes psychosocial mechanisms, such as long-term perceptions of inferiority and social positioning, material advantage from income, and the structural conditions that define what people can do with their ...
Acharibasam, Jeremiah; Wynn, Rolf (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-11-01)<p><i>Introduction</i>: The rising incidence of mental illness and its impact on individuals, families, and societies is becoming a major public health concern, especially in resource-constrained countries. Consequently, there is an increasing demand for mental health services in many middle- and low-income countries (LMIC). Challenges such as inequality in access, lack of staff and hospital beds, ...