ArticlePloS one2019
Lifestyle and socio-economic inequalities in diabetes prevalence in South Africa: A decomposition analysis.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unmasking the silent epidemic: a comprehensive systematic review and meta-analysis of undiagnosed diabetes in Ethiopian adults.Frontiers in endocrinology · 2024Pooled it
- Trends in self-reported current diabetes care use, socioeconomic inequalities, and associated factors in Japan: evidence from the Comprehensive Survey of Living Conditions (1986-2022).BMJ open diabetes research & care · 2026Article
- Water-Energy-Food Security and Health in South Africa: A Scoping Review.JAMA network open · 2026Article
- Socioeconomic inequalities in healthcare access among patients with type 2 diabetes in Iran: a cross-sectional study.BMJ open · 2026Article
- Decomposing wealth-based inequalities in ideal cardiovascular health in Kenya.Communications medicine · 2025Article
- Examining the unfair concentration of non-institutional deliveries among poor households in India: a study of predictors and wealth-based inequality.BMC women's health · 2025Article
- Prevalence and socioeconomic factors of diabetes: a population-based cross-sectional analysis from Jordan.Journal of global health · 2025Article
- Prevalence and Determinants of Household Self-Reported Diabetes Mellitus in Gauteng, South Africa.International journal of environmental research and public health · 2024Article
- Modelling the potential impact of a tax on fruit juice in South Africa: implications for the primary prevention of type 2 diabetes and health financing.BMC nutrition · 2024Article
- Health disparities and inequalities in prevalence of diabetes in the Kingdom of Saudi Arabia.International journal for equity in health · 2024Article
- Extended cost-effectiveness analysis of interventions to improve uptake of diabetes services in South Africa.Health policy and planning · 2024Article
- Diabetes is affecting everyone everywhere.World journal of diabetes · 2024Article
- Socioeconomic inequality and urban-rural disparity of antenatal care visits in Bangladesh: A trend and decomposition analysis.PloS one · 2024Article
- Prevalence of Diabetes and the Relationship Between Wealth and Social Demographic Characteristics Across 6 Low-and-Middle Income Countries.Global journal of health science · 2024Article
- Knowledge, attitude and practice toward diabetes among the public in the Kingdom of Saudi Arabia: a cross-sectional study.Frontiers in public health · 2024Article
- Article
- Awareness, treatment, and control among adults living with arterial hypertension or diabetes mellitus in two rural districts in Lesotho.PLOS global public health · 2024Article
- Examining the potential impacts of intensive blood pressure treatment on the socioeconomic inequity in hypertension prevalence in China: a nationally representative cross-sectional study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Antidiabetic Activity, Molecular Docking, and ADMET Properties of Compounds Isolated from Bioactive Ethyl Acetate Fraction ofMolecules (Basel, Switzerland) · 2023Article
- Accessibility and utilization of healthcare services among diabetic patients: Is diabetes a poor man's ailment?World journal of diabetes · 2023Review
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Authors and funding
5 authors.
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Abstract
backgroundInequalities in diabetes are widespread and are exacerbated by differences in lifestyle. Many studies that have estimated inequalities in diabetes make use of self-reported diabetes which is often biased by differences in access to health care and diabetes awareness. This study adds to this literature by making use of a more objective standardised measure of diabetes in South Africa. The study estimates socio-economic inequalities in undiagnosed diabetes, diagnosed diabetes (self-reported), as well as total diabetes (undiagnosed diabetics + diagnosed diabetics). The study also examines the contribution of lifestyle factors to diabetes inequalities in South Africa.
methodsThis cross sectional study uses data from the 2012 South African National Health and Nutrition Examination Survey (SANHANES-1) and applies the Erreygers Concentration Indices to assess socio-economic inequalities in diabetes. Contributions of lifestyle factors to inequalities in diabetes are assessed using a decomposition method.
resultsSelf-reported diabetes and total diabetes (undiagnosed diabetics + diagnosed diabetics) were significantly concentrated amongst the rich (CI = 0.0746; p < 0.05 and CI = 0.0859; p < 0.05). The concentration index for undiagnosed diabetes was insignificant but pro-poor. The decomposition showed that lifestyle factors contributed 22% and 35% to socioeconomic inequalities in self-reported and total diabetes, respectively.
conclusionDiabetes in South Africa is more concentrated amongst higher socio-economic groups when measured using self-reported diabetes or clinical data. Our findings also show that the extent of inequality is worse in the total diabetes outcome (undiagnosed diabetics + diagnosed diabetics) when compared to the self-reported diabetes outcome. Although in comparison to other determinants, the contribution of lifestyle factors was modest, these contributions are important in the development of policies that address socio-economic inequalities in the prevalence of diabetes.
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