Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019.
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0270027 |
| _version_ | 1818048503972102144 |
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| author | Rosália Garcia Neves Mirelle de Oliveira Saes Suele Manjourany Silva Duro Thaynã Ramos Flores Elaine Tomasi |
| author_facet | Rosália Garcia Neves Mirelle de Oliveira Saes Suele Manjourany Silva Duro Thaynã Ramos Flores Elaine Tomasi |
| author_sort | Rosália Garcia Neves |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T10:22:44Z |
| format | Article |
| id | doaj.art-c9a28da5b58f484ea9e6cdaef31276d6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T10:22:44Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-c9a28da5b58f484ea9e6cdaef31276d62022-12-22T01:52:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e027002710.1371/journal.pone.0270027Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019.Rosália Garcia NevesMirelle de Oliveira SaesSuele Manjourany Silva DuroThaynã Ramos FloresElaine TomasiThe 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.https://doi.org/10.1371/journal.pone.0270027 |
| spellingShingle | Rosália Garcia Neves Mirelle de Oliveira Saes Suele Manjourany Silva Duro Thaynã Ramos Flores Elaine Tomasi Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. PLoS ONE |
| title | Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. |
| title_full | Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. |
| title_fullStr | Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. |
| title_full_unstemmed | Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. |
| title_short | Inequalities in care for the people with diabetes in Brazil: A nationwide study, 2019. |
| title_sort | inequalities in care for the people with diabetes in brazil a nationwide study 2019 |
| url | https://doi.org/10.1371/journal.pone.0270027 |
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