Al-Hanawi Mohammed Khaled, Chirwa Gowokani Chijere, Pulok Mohammad Habibullah
Department of Health Services and Hospital Administration, Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia.
Centre for Health Economics, University of York, York, United Kingdom.
Int J Health Plann Manage. 2020 Jan;35(1):233-246. doi: 10.1002/hpm.2899. Epub 2019 Aug 28.
Rising prevalence of non-communicable diseases, including diabetes in the Middle East, is a major public health concern of the 21st century. However, there is a paucity of literature to understand and measure socio-economic inequalities in diabetes prevalence in this region, including the Kingdom of Saudi Arabia (KSA).
This study investigated socio-economic inequalities in diabetes prevalence in the KSA using data from the Saudi Arabia Health Interview Survey. Concentration curve, concentration index, and multivariate logistic regression were used to measure and examine income- and education-related inequalities in diabetes prevalence.
The results showed significant socio-economic inequalities in the prevalence of diabetes through analysing a nationally representative sample of the KSA population. Diabetes prevalence was concentrated among the poor and among people with less education. In addition, education-related inequality was higher than income-related inequality.
The findings of this study are important for policymakers to combat both the increasing prevalence of and socio-economic inequalities in diabetes. The government should promote health education programmes and increase the level of public awareness of diabetes management, especially among the lower educated population in the KSA.
包括中东地区糖尿病在内的非传染性疾病患病率不断上升,是21世纪主要的公共卫生问题。然而,在该地区,包括沙特阿拉伯王国(KSA),了解和衡量糖尿病患病率方面的社会经济不平等的文献却很匮乏。
本研究利用沙特阿拉伯健康访谈调查的数据,调查了沙特阿拉伯王国糖尿病患病率方面的社会经济不平等情况。采用集中曲线、集中指数和多变量逻辑回归来衡量和检验糖尿病患病率方面与收入和教育相关的不平等情况。
通过分析沙特阿拉伯王国具有全国代表性的人口样本,结果显示糖尿病患病率存在显著的社会经济不平等。糖尿病患病率集中在贫困人口和受教育程度较低的人群中。此外,与教育相关的不平等高于与收入相关的不平等。
本研究结果对政策制定者应对糖尿病患病率上升和社会经济不平等问题具有重要意义。政府应推广健康教育项目,提高公众对糖尿病管理的认识水平,特别是在沙特阿拉伯王国受教育程度较低的人群中。