The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia

Introduction The prevalence of non-communicable diseases (NCDs) in Malaysia shows a rising trend that influences the society in many respects. Country specific evidence is vital for effective intervention. The aims of this study were to identify the role of gender and urbanisation status on NCDs...

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Main Authors: Shamzaeffa Samsudin, Norehan Abdullah, Shri Dewi Applanaidu
Format: Article
Language:English
Published: Jabatan Kesihatan Masyarakat, Pusat Perubatan Universiti Kebangsaan Malaysia 2016
Online Access:http://journalarticle.ukm.my/11566/1/48-350-1-PB.pdf
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author Shamzaeffa Samsudin,
Norehan Abdullah,
Shri Dewi Applanaidu,
author_facet Shamzaeffa Samsudin,
Norehan Abdullah,
Shri Dewi Applanaidu,
author_sort Shamzaeffa Samsudin,
collection UKM
description Introduction The prevalence of non-communicable diseases (NCDs) in Malaysia shows a rising trend that influences the society in many respects. Country specific evidence is vital for effective intervention. The aims of this study were to identify the role of gender and urbanisation status on NCDs prevalence and its effect on health care demand, specifically doctor visits among elderly in Malaysia. We focused on two of the highest occurrence NCDs in the country – diabetes mellitus and hypertension. Methods A total of 1,414 respondents aged 60 years and above were selected using a multistage sampling for face-to-face interview. We started the analysis with descriptive analysis of the prevalence, taking the effect of gender and urbanisation status of residing area. We extended the study with parametric analysis to find the effect of these health problems on the likelihood of doctor visits as it reflects the equity for access and utilisation issues. Results Results showed that there were no significant difference of prevalence by gender and urbanisation for hypertension and diabetes mellitus. By utilising probit model, we found that those with diabetes mellitus or hypertension, controlling for other variables, were more likely to utilise doctor services. Conclusion This result implies that the prevalence of NCDs may further increase demand for health care, especially in the state with a high proportion of older age groups.
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spelling ukm.eprints-115662018-04-13T15:48:06Z http://journalarticle.ukm.my/11566/ The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia Shamzaeffa Samsudin, Norehan Abdullah, Shri Dewi Applanaidu, Introduction The prevalence of non-communicable diseases (NCDs) in Malaysia shows a rising trend that influences the society in many respects. Country specific evidence is vital for effective intervention. The aims of this study were to identify the role of gender and urbanisation status on NCDs prevalence and its effect on health care demand, specifically doctor visits among elderly in Malaysia. We focused on two of the highest occurrence NCDs in the country – diabetes mellitus and hypertension. Methods A total of 1,414 respondents aged 60 years and above were selected using a multistage sampling for face-to-face interview. We started the analysis with descriptive analysis of the prevalence, taking the effect of gender and urbanisation status of residing area. We extended the study with parametric analysis to find the effect of these health problems on the likelihood of doctor visits as it reflects the equity for access and utilisation issues. Results Results showed that there were no significant difference of prevalence by gender and urbanisation for hypertension and diabetes mellitus. By utilising probit model, we found that those with diabetes mellitus or hypertension, controlling for other variables, were more likely to utilise doctor services. Conclusion This result implies that the prevalence of NCDs may further increase demand for health care, especially in the state with a high proportion of older age groups. Jabatan Kesihatan Masyarakat, Pusat Perubatan Universiti Kebangsaan Malaysia 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/11566/1/48-350-1-PB.pdf Shamzaeffa Samsudin, and Norehan Abdullah, and Shri Dewi Applanaidu, (2016) The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia. International Journal of Public Health Research, 6 (2). pp. 741-749. ISSN 2232-0245 http://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/6
spellingShingle Shamzaeffa Samsudin,
Norehan Abdullah,
Shri Dewi Applanaidu,
The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title_full The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title_fullStr The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title_full_unstemmed The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title_short The prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in Malaysia
title_sort prevalence of diabetes mellitus and hypertension and its effects on healthcare demand among elderly in malaysia
url http://journalarticle.ukm.my/11566/1/48-350-1-PB.pdf
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