Evidence map›Paper›PMID 27493919›Full record

ArticleMedical journal of the Islamic Republic of Iran2016

Is the status of diabetes socioeconomic inequality changing in Kurdistan province, west of Iran? A comparison of two surveys.

Ghobad Moradi, Reza Majdzadeh, Kazem Mohammad, Hossein Malekafzali, Saeede Jafari, Kourosh Holakouie-Naieni

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Article in Medical journal of the Islamic Republic of Iran, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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10citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ghobad MoradiMD, PhD, Assistant Professor of Epidemiology, Social Determinants of Health Research Center, Department of Epidemiology and Biostatistics, Kurdistan University of Medical Sciences, Sanandaj, Iran. moradi_gh@yahoo.com.
Reza MajdzadehPhD, Professor of Epidemiology, Knowledge Utilization Research Center (KURC), Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. rezamajd@tums.ac.ir.
Kazem MohammadPhD, Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. mohamadk@tums.ac.ir.
Hossein MalekafzaliMD, PhD, Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. malek179@gmail.com.
Saeede JafariMSc Student of Epidemiology, Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. jafari.313333@yahoo.com.
Kourosh Holakouie-NaieniPhD, Professor of Epidemiology, Iranian Epidemiological Association, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. holakoik@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout 80% of deaths in 350 million cases of diabetes in the world occur in low and middle income countries. The aim of this study was to determine the status of diabetes socioeconomic inequality and the share of determinants of inequalities in Kurdistan Province, West of Iran, using two surveys in 2005 and 2009.

methodsData were collected from non-communicable disease surveillance surveys in Kurdistan in 2005 and 2009. In this study, the socioeconomic status (SES) of the participants was determined based on the residential area and assets using principal component analysis statistical method. We used concentration index and logistic regression to determine inequality. Decomposition analysis was used to determine the share of each determinant of inequality.

resultsThe prevalence of diabetes expressed by individuals changed from 0.9% (95% CI: 0.6-1.3) in 2005 to 3.1% (95% CI: 2-4) in 2009. Diabetes Concentration Index changed from -0.163 (95% CI: -0.301- -0.024) in 2005 to 0.273 (95% CI: 0.101-0.445) in 2009. The results of decomposition analysis revealed that in 2009, 67% of the inequality was due to low socioeconomic status and 16% to area of residence; i.e., living in rural areas.

conclusionThe prevalence of diabetes significantly increased, and the diabetes inequality shifted from the poor people to groups with better SES. Increased prevalence of diabetes among the high SES individuals may be due to their better responses to diabetes control and awareness programs or due to the type of services they were provided during these years.

Indexed as

Concentration IndexDecompositionDiabetesInequalityIranSES

Identifiers

PMID27493919
PMCPMC4972065

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