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당뇨병 환자의 사회경제적 수준과 안질환 및 신장질환 합병증 검사와의 관계

An association between socioeconomic status and preventive screening for diabetic eye and kidney complications among individuals with type 2 diabetes

황종남|손창우
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2023.12|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제40권 제5호|pp. 27-42|DOI 10.14367/kjhep.2023.40.5.27

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참고문헌

키워드

socioeconomic statusdiabetic complicationsdiabetic eye screeningdiabetic kidney screening
주제분류예방의학/직업환경의학

초록

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.

Abstract

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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