Evidence map›Paper›PMID 29600352›Full record

ArticleJournal of racial and ethnic health disparities2018

Ethnic Disparity in Annual Healthcare Expenditures for Type 2 Diabetes Mellitus in Ningxia, China.

Xian Sun, Tippawan Liabsuetrakul, Xiaomin Xie, Ping Liu, Yuhong Zhang, Zhizhong Wang

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Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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2citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Xian SunDepartment of Epidemiology and Health Statistics, Faculty of Public Health and Management, Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Tippawan LiabsuetrakulEpidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand. ltippawa@yahoo.com.ORCID 0000-0001-7687-5629
Xiaomin XieEndocrinology Department, First People's Hospital of Yinchuan, Yinchuan, 750010, Ningxia, China.
Ping LiuEndocrinology Department, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Yuhong ZhangDepartment of Epidemiology and Health Statistics, Faculty of Public Health and Management, Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Zhizhong WangDepartment of Epidemiology and Health Statistics, Faculty of Public Health and Management, Ningxia Medical University, Yinchuan, 750004, Ningxia, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of type 2 diabetes mellitus (T2DM) and its complications has been increasing worldwide with an increasing provision of long-term medications and health services. This study aimed to assess the healthcare costs for T2DM patients for vulnerable ethnic minority.

methodsA cross-sectional study was conducted from October 13, 2016, to June 19, 2017, in two public hospitals in Ningxia, China. Eligible Hui and Han inpatients were recruited and interviewed. Ethnic disparities in annual healthcare expenditures for T2DM measured from a societal perspective and its associations of expenditures with other factors were analyzed by linear and quantile regressions.

resultsEthnic disparities in annual healthcare expenditures for T2DM were demonstrated, mainly reflecting differences in the cost of productivity loss. The quantile of annual healthcare expenditure showed significant ethnic disparities in T2DM patients with complications. At the 10th to 50th quantiles of healthcare expenditures, Hui patients had significantly lower expenditures than Han patients in both unadjusted and adjusted models. Non-significant difference in expenditures between Hui and Han patients was found at the 90th quantile of expenditure in the unadjusted model, but significantly higher expenditures for Hui patients were shown when adjusted for socioeconomic and clinical factors.

conclusionT2DM Hui patients faced significantly higher expenditures than Han patients when the costs of healthcare were high. Appropriate national policy considering the issue of ethnic minority should be further explored to improve health and subsidize economic burden for T2DM patients.

Indexed as

AgedChinaDiabetes Mellitus, Type 2EfficiencyEthnicityFemaleHealthcare DisparitiesHealth ExpendituresHumansLinear ModelsMaleMiddle AgedAnnual healthcare expendituresEthnic disparityQuantile regressionType 2 diabetes mellitus

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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.