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KMID : 0858820230400050027
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Journal of Korean Society for Health Education and Promotion
2023 Volume.40 No. 5 p.27 ~ p.42
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An association between socioeconomic status and preventive screening for diabetic eye and kidney complications among individuals with type 2 diabetes
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Shon Chang-Woo
Hwang Jong-Nam
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Abstract
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Objectives: This study aimed to explore the relationship between socioeconomic status (SES) and utilization of diabetic eye and kidney screening services to suggest policy interventions for preventing and managing diabetic retinopathy and diabetic nephropathy.
Methods: For the analyses, 24,674 residents over 30 years old who self-reported having diabetes in the Community Health Survey 2020 were included in the final analytic models.
Individuals self-reported utilization of diabetic complication screening was used to examine the impacts of SES on the utilization of diabetic eye and kidney screening services.
Results: The results indicated that individuals with a high education level of high school diploma were more likely to receive eye and kidney complication screenings.
For eye complication screening OR: 1.35, 95% CI: 1.26-1.44; OR: 1.54, 95%CI: 1.41-1.69; for kidney complication screening OR: 1.29, 95% CI: 1.20-1.38; OR: 1.46, 95% CI: 1.33-1.59. Furthermore, those in Q5 household income showed a greater likelihood of using diabetic complication screenings. For eye complication screening, OR: 1.29, 95% CI: 1.15-1.45; for kidney complication screening, OR: 1.28, 95% CI: 1.14-1.43.
Conclusions: There is a need to consider implementing health promotion policies addressing disparities in diabetic complication screenings, regardless of an individual’s SES and physical environment in their community. This could contribute to mitigating the gaps in the management of diabetic complications for individuals with diabetes.
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KEYWORD
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diabetic complications, diabetic eye screening, diabetic kidney screening, socioeconomic status
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