ArticleBMJ open2022
Area-based inequalities and distribution of healthcare resources for managing diabetes in South Korea: a cross-sectional multilevel analysis.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Travel Time to Healthcare and Type 2 Diabetes Mellitus Management in Korea: A Nationwide Retrospective Study.Journal of Korean medical science · 2026Article
- Article
- Regional-level spatial accessibility and diabetes management in South Korea: a multilevel analysis using national longitudinal data.BMC public health · 2026Article
- Socioeconomic inequalities in healthcare access among patients with type 2 diabetes in Iran: a cross-sectional study.BMJ open · 2026Article
- Spatial Accessibility to Emergency Departments and Surgical Treatment for Patients with Acute Appendicitis in South Korea.Yonsei medical journal · 2025Article
- Prevalence of Mortality and Vascular Complications in Older Patients with Diabetes in Korea.Endocrinology and metabolism (Seoul, Korea) · 2025Article
- Socioeconomic Status, Modifiable Factors, and Risk of Microvascular Complications in Individuals With Type 2 Diabetes: A Cohort Study From the UK Biobank.Journal of diabetes · 2025Article
- Patients' knowledge, attitude, and practice toward stroke rehabilitation: a web-based cross-sectional study.Frontiers in public health · 2025Article
- Effects of Socioeconomic Status and Residence Areas on Long-Term Survival in Patients With Early-Onset Dementia: The Korean National Health Insurance Service Database Study.Journal of Korean medical science · 2022Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to identify area-based socioeconomic inequalities in diabetes management and to examine whether the distribution of healthcare resources could explain area-based inequalities in diabetes management.
designCross-sectional multilevel analysis from national survey data. SETTING AND
participantsData were derived from the 2018 Korean Community Health Survey. Study subjects included 23 760 participants aged 30 years or older with diabetes diagnosed by a doctor.
main outcome measuresThe dependent variables were self-reported good glycaemic control, haemoglobin A1c (HbA1c) testing, recognition of the term HbA1c, and diabetic complications testing. Area Deprivation Index was used as an area-based measure of socioeconomic position. Factors related to regional healthcare resources-the coefficient of variation (CV) value of clinics and the number of physicians per 1000-were considered as potential mediating variables in explaining the association between diabetes management and area deprivation. A multilevel logistic regression analysis was used.
resultsCompared with the least deprived quintile, the likelihoods of not taking HbA1c tests, not recognising the term HbA1c, and not taking diabetic complication tests in the most deprived quintile were approximately 1.5 times (95% CI 1.25 to 1.80), 2.6 times (95% CI 1.97 to 3.45) and two times (95% CI 1.67 to 2.48) higher, respectively. In the most deprived quintile, CV value of clinics was the highest and the number of doctors was the lowest. Regional healthcare resource factors explained inequalities in managing diabetes by 14%-18%, especially in the most deprived quintile.
conclusionsThe results in this study suggest that socioeconomic inequalities in diabetes management may be explained by regional healthcare resource disparities. Policy interventions for a more even distribution of healthcare resources would likely reduce the magnitude of regional socioeconomic inequalities in diabetes management.
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