ArticlePloS one2015
Inequality in diabetes-related hospital admissions in England by socioeconomic deprivation and ethnicity: facility-based cross-sectional analysis.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of 30-day unplanned hospital readmission among adult patients with diabetes mellitus: a systematic review with meta-analysis.BMJ open diabetes research & care · 2020Pooled it
- Disparities in Antiemetic Prophylaxis Care Processes Predicted by Patient Neighborhood: Retrospective Cohort and Geospatial Analysis.JMIR public health and surveillance · 2026Article
- Analysis and prediction of the trends in diabetes mellitus mortality in Chinese residents from 2008 to 2021.Archives of public health = Archives belges de sante publique · 2026Article
- Impact of patient ethnicity, socioeconomic deprivation, and comorbidities on length of stay after cranial meningioma resections: A public healthcare perspective.Surgical neurology international · 2025Article
- Social Deprivation, Healthcare Access and Diabetic Foot Ulcer: A Narrative Review.Journal of clinical medicine · 2022Review
- Article
- Socioeconomic deprivation and genetic ancestry interact to modify type 2 diabetes ethnic disparities in the United Kingdom.EClinicalMedicine · 2021Article
- Social Determinants of Diabetes-Related Preventable Hospitalization in Taiwan: A Spatial Analysis.International journal of environmental research and public health · 2021Article
- Global trend of diabetes mortality attributed to vascular complications, 2000-2016.Cardiovascular diabetology · 2020Article
- Causes and predictors of mortality among Ghanaians hospitalised with endocrine disorders.International health · 2020Article
- Association of Pediatric Inpatient Socioeconomic Status With Hospital Efficiency and Financial Balance.JAMA network open · 2019Article
- Disparities in glycaemic control, monitoring, and treatment of type 2 diabetes in England: A retrospective cohort analysis.PLoS medicine · 2019Observational
- Are Ethnic Disparities in HbA1c Levels Explained by Mental Wellbeing? Analysis of Population-Based Data from the Health Survey for England.Journal of racial and ethnic health disparities · 2018Article
- Building Bridges for Innovation in Ageing: Synergies between Action Groups of the EIP on AHA.The journal of nutrition, health & aging · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the effect of social deprivation and ethnicity on inpatient admissions due to diabetes in England.
designFacility-based cross-sectional analysis.
settingNational Health Service (NHS) trusts in England reporting inpatient admissions with better than 80% data reporting quality from 2010-2011 (355 facilities).
participantsNon-obstetric patients over 16 years old in all NHS facilities in England. The sample size after exclusions was 5,147,859 all-cause admissions.
main outcome measuresThe relative risk of inpatient admissions and readmissions due to diabetes adjusted for confounders.
resultsThere were 445,504 diabetes-related hospital admissions in England in 2010, giving a directly (age-sex) standardized rate of 1049.0 per 100,000 population (95% confidence interval (CI): 1046.0-1052.1). The relative risk of inpatient admission in the most deprived quintile was 2.08 times higher than that of the least deprived quintile (95% CI: 2.02-2.14), and the effect of deprivation varied across ethnicities. About 30.1% of patients admitted due to diabetes were readmitted at least once due to diabetes. South Asians showed 2.62 times (95% CI: 2.51-2.74) higher admission risk. Readmission risk increased with IMD among white British but not other ethnicities. South Asians showed slightly lower risk of readmission than white British (0.86, 95% CI: 0.80-0.94).
conclusionsMore deprived areas had higher rates of inpatient admissions and readmissions due to diabetes. South Asian British showed higher admission risk and lower readmission risk than white British. However, there was almost no difference by ethnicity in readmission due to diabetes. Higher rates of admission among deprived people may not necessarily reflect higher prevalence, but higher admission rates in south Asian British may be explained by their higher prevalence because their lower readmission risk suggests no inequality in primary care to prevent readmission. Better interventions in poorer areas, are needed to reduce these inequalities.
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