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dc.contributor.authorEmmanuela Gakidouen_US
dc.contributor.authorLeslie Mallingeren_US
dc.contributor.authorJesse Abbott-Klafteren_US
dc.contributor.authorRamiro Guerreroen_US
dc.contributor.authorSalvador Villalpandoen_US
dc.contributor.authorRuy Lopez Ridauraen_US
dc.contributor.authorWichai Aekplakornen_US
dc.contributor.authorMohsen Naghavien_US
dc.contributor.authorStephen Limen_US
dc.contributor.authorRafael Lozanoen_US
dc.contributor.authorChristopher J.L. Murrayen_US
dc.contributor.otherInstitute for Health Metrics and Evaluationen_US
dc.contributor.otherUCSF School of Medicineen_US
dc.contributor.otherPROESAen_US
dc.contributor.otherInstituto Nacional de Salud Publicaen_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2018-05-03T08:35:16Z-
dc.date.available2018-05-03T08:35:16Z-
dc.date.issued2011-03-01en_US
dc.identifier.citationBulletin of the World Health Organization. Vol.89, No.3 (2011), 172-183en_US
dc.identifier.issn15640604en_US
dc.identifier.issn00429686en_US
dc.identifier.other2-s2.0-79952338226en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79952338226&origin=inwarden_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/12625-
dc.description.abstractObjective To examine the effectiveness of the health system response to the challenge of diabetes across different settings and explore the inequalities in diabetes care that are attributable to socioeconomic factors. Methods We used nationally representative health examination surveys from Colombia, England, the Islamic Republic of Iran, Mexico, Scotland, Thailand and the United States of America to obtain data on diagnosis, treatment and control of hyperglycaemia, arterial hypertension and hypercholesterolaemia among individuals with diabetes. Using logistic regression, we explored the socioeconomic determinants of diagnosis and effective case management. Findings A substantial proportion of individuals with diabetes remain undiagnosed and untreated, both in developed and developing countries. The figures range from 24% of the women in Scotland and the USA to 62% of the men in Thailand. The proportion of individuals with diabetes reaching treatment targets for blood glucose, arterial blood pressure and serum cholesterol was very low, ranging from 1% of male patients in Mexico to about 12% in the United States. Income and education were not found to be significantly related to the rates of diagnosis and treatment anywhere except in Thailand, but in the three countries with available data insurance status was a strong predictor of diagnosis and effective management, especially in the United States. Conclusion There are many missed opportunities to reduce the burden of diabetes through improved control of blood glucose levels and improved diagnosis and treatment of arterial hypertension and hypercholesterolaemia. While no large socioeconomic inequalities were noted in the management of individuals with diabetes, financial access to care was a strong predictor of diagnosis and management.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79952338226&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleManagement of diabetes and associated cardiovascular risk factors in seven countries: A comparison of data from national health examination surveysen_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
dc.identifier.doi10.2471/BLT.10.080820en_US
Appears in Collections:Scopus 2011-2015

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