Evidence map›Paper›PMID 17018153›Full record

ArticleBMC health services research2006

Association of socio-economic status with diabetes prevalence and utilization of diabetes care services.

Doreen M Rabi, Alun L Edwards, Danielle A Southern, Lawrence W Svenson, Peter M Sargious, Peter Norton, Eric T Larsen, William A Ghali

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03083795 (Evaluating the Effectiveness of Social Relationships on Psychological Distress and Disease Progression in Patients With Diabetes), which is not on this map. Cited by 121 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03083795 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Evaluating the Effectiveness of Social Relationships on Psychological Distress and Disease Progression in Patients With Diabetes: A Randomized Controlled Trial

TypeinterventionalSponsorBCDiabetes.CaRan2017 to 2017Enrolled48ConditionsDiabetes Mellitus, Type 2, Psychological DistressArmsSocial relationships intervention
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Doreen M RabiDepartment of Medicine, University of Calgary, Calgary, Canada. doreen.rabi@calgaryhealthregion.ca
Alun L Edwards
Danielle A Southern
Lawrence W Svenson
Peter M Sargious
Peter Norton
Eric T Larsen
William A Ghali

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow income appears to be associated with a higher prevalence of diabetes and diabetes related complications, however, little is known about how income influences access to diabetes care. The objective of the present study was to determine whether income is associated with referral to a diabetes centre within a universal health care system.

methodsData on referral for diabetes care, diabetes prevalence and median household income were obtained from a regional Diabetes Education Centre (DEC) database, the Canadian National Diabetes Surveillance System (NDSS) and the 2001 Canadian Census respectively. Diabetes rate per capita, referral rate per capita and proportion with diabetes referred was determined for census dissemination areas. We used Chi square analyses to determine if diabetes prevalence or population rates of referral differed across income quintiles, and Poisson regression to model diabetes rate and referral rate in relation to income while controlling for education and age.

resultsThere was a significant gradient in both diabetes prevalence (chi2 = 743.72, p < 0.0005) and population rates of referral (chi2 = 168.435, p < 0.0005) across income quintiles, with the lowest income quintiles having the highest rates of diabetes and referral to the DEC. Referral rate among those with diabetes, however, was uniform across income quintiles. Controlling for age and education, Poisson regression models confirmed a significant socio-economic gradient in diabetes prevalence and population rates of referral.

conclusionLow income is associated with a higher prevalence of diabetes and a higher population rate of referral to this regional DEC. After accounting for diabetes prevalence, however, the equal proportions referred to the DEC across income groups suggest that there is no access bias based on income.

Indexed as

Single-Payer SystemSocial ClassAlbertaCensusesChi-Square DistributionDiabetes MellitusEducational StatusFemaleHealth ServicesHealth Services AccessibilityHumansIncomeMaleNational Health ProgramsPoisson DistributionPopulation Surveillance

Identifiers

PMID17018153
PMCPMC1618393

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.