| Titre : | Social environment, morbidity and use of health care among people with diabetes mellitus in Trinidad. (1997) |
| Auteurs : | Martin-C Gulliford ; S.M. ARIYANAYAGAM-BAKSH ; L. BICKRAM ; D. MAHABIR ; D. PICOU ; Prince Edward Island. Department of Health and Social Services. Charlottetown. PE. CAN |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 26, n° 3, 1997) |
| Pagination : | 620-627 |
| Langues: | Anglais |
| Mots-clés : | Diabète ; Facteur socioéconomique ; Niveau enseignement ; Activité professionnelle ; Service soins & consultation ; Utilisation service ; Epidémiologie ; Facteur risque ; Morbidité ; Homme ; Espagne ; Europe ; Glande endocrine [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST i74BeR0x. Diffusion soumise à autorisation]. Background. This study aimed to identify social characteristics associated with higher levels of morbidity from diabetes and their relationship to health care utilization. Methods. During a 6-month period 1149/1447 (79%) subjects admitted to Port of Spain Hospital, Trinidad with diabetes responded to a structured interview. Data collection included social factors, diabetes-related morbidity and health care utilization. Analyses were adjusted for age, sex, ethnic group and self-reported diabetes duration. Results. Of 12 indicators of morbidity, nine were more frequent in subjects with no schooling compared with those with secondary education. At ages 15-59 years, nine morbidity indicators were less frequent among subjects in full-time jobs compared with those not in employment. The association of educational attainment was explained by confounding with age, sex, ethnic group and diabetes duration but five morbidity indicators were associated with employment status after adjusting for confounding. The type of water supply in the home was generally not associated with morbidity. Each of the indicators of lower socioeconomic status was associated with less use of private doctors and with more use of government health centres. Conclusions. Morbidity from diabetes was greater in groups with lower socioeconomic status. (...) |
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