ArticleBMC health services research2020
Changes in health inequalities for patients with diabetes among middle-aged and elderly in China from 2011 to 2015.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 17 citations in OpenAlex.
- Multidimensional health poverty among diabetic adults in China: evidence from the China Kadoorie Biobank.Archives of public health = Archives belges de sante publique · 2026Article
- Measuring and decomposing inequalities in intrinsic capacity among older adults in china: from an urban-rural divide perspective.Aging clinical and experimental research · 2025Article
- Trends in income-related concentration and inequality in health in Japan: evidence from population-based National surveys from 2001 to 2022.Population health metrics · 2025Article
- Socioeconomic inequalities in type 2 diabetes mellitus: a study based on a population-based survey in Iran.BMC public health · 2024Observational
- The urban-rural disparities and factors associated with the utilization of public health services among diabetes patients in China.BMC public health · 2023Article
- Trends in the distribution of socioeconomic inequalities in smoking and cessation: evidence among adults aged 18 ~ 59 from China Family Panel Studies data.International journal for equity in health · 2023Article
- Inequalities in the prevalence, diagnosis awareness, treatment coverage and effective control of diabetes: a small area estimation analysis in Iran.BMC endocrine disorders · 2023Article
- Development and validation of the diabetic self-management scale based on information-motivation-behavioral skills theory.Frontiers in public health · 2023Review
- Incidence and risk factors of diabetes mellitus in the Chinese population: a dynamic cohort study.BMJ open · 2022Article
- Spatiotemporal Analysis and Risk Assessment Model Research of Diabetes among People over 45 Years Old in China.International journal of environmental research and public health · 2022Article
- Predicting the Risk of Incident Type 2 Diabetes Mellitus in Chinese Elderly Using Machine Learning Techniques.Journal of personalized medicine · 2022Article
- Prevalence and potential risk factors of self-reported diabetes among elderly people in China: A national cross-sectional study of 224,142 adults.Frontiers in public health · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe purpose of this paper is to measure income-related health inequality among middle-aged and elderly patients with diabetes in China from 2011 to 2015 and to investigate factors that might be related to this inequality.
methodsThe data for this study were obtained from the China Health and Retirement Longitudinal Study that was carried out in 2011, 2013 and 2015. In total, 48,519 Chinese middle-aged and elderly population were included (15,457 in 2011, 16,576 in 2013 and 16,486 in 2015). A principal component analysis was performed to measure asset-based economic status. The concentration index was used to measure income-related inequality in patients with diabetes. Additionally, by used generalized linear model, we decomposed the concentration index to identify factors that explained wealth-related inequality in patients with diabetes.
resultsThe prevalence of self-reported diabetes among middle-aged and elderly Chinese was 5.61, 7.49 and 8.99% in 2011, 2013 and 2015, respectively. The concentration indices and 95% confidence intervals for diabetes were 0.1359 (0.0525-0.0597), 0.1207 (0.0709-0.0789), 0.1021 (0.0855-0.0942) in 2011, 2013, and 2015, respectively, which are indicative of inequality that favors the rich. The decomposition of the concentration index showed that residence (39.38%), BMI (31.16%), education (7.28%), and region (6.09%) had positive contributions to the measured inequality in diabetes in China in 2015. Age (- 29.93%) had a negative contribution to inequality.
conclusionThe findings confirm a health inequality in diabetes that favor the rich. Furthermore, the inequality declined from 2011 to 2015. We suggest that policy and intervention strategies should be developed to alleviate this health inequality, such as narrow the gap between urban and rural areas by improving the urban-rural medical insurance scheme, implementing strategies to enhance hygiene health education, control obesity rate.
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