| Prevalence of treated diabetes: Geographical variations at the small-area level and their association with area-level characteristics. A multilevel analysis in Southeastern France. | |
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MedLine Citation:
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PMID: 20980182 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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AIM: This study estimated geographical variations in the prevalence of treated diabetes (TD) at the small-area level in Southeastern France to determine whether or not the characteristics of these areas (in particular, socioeconomic status or "SES") are associated with TD independent of person-level factors. METHODS: The study used drug reimbursement data for 2008 from the General Health Insurance Scheme in Southeastern France for beneficiaries aged 18 years or over. TD patients were defined as those to whom oral antidiabetic drugs or insulin had been dispensed at least three times within the year. Area (canton) characteristics associated with the prevalence of TD were studied using multilevel Poisson regression. RESULTS: In 2008, the crude prevalence of TD in adults in Southeastern France was 5.14%. In addition, TD prevalence was significantly higher in the more deprived and population-dense cantons independent of person-level factors (age, gender, low SES). CONCLUSION: This study found a positive association between area deprivation and TD, and adds further evidence to the scanty data so far available on this topic. This finding should contribute to pinpointing priority action areas for programmes of diabetes prevention. However, more research is needed to further elucidate the mechanism(s) linking area deprivation and diabetes. |
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Authors:
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A Bocquier; S Cortaredona; S Nauleau; M Jardin; P Verger |
Publication Detail:
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Type: Journal Article Date: 2010-10-25 |
Journal Detail:
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Title: Diabetes & metabolism Volume: 37 ISSN: 1878-1780 ISO Abbreviation: Diabetes Metab. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9607599 Medline TA: Diabetes Metab Country: France |
Other Details:
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Languages: eng Pagination: 39-46 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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ORS PACA, Southeastern Health Regional Observatory, 23, rue Stanislas-Torrents, 13006 Marseille, France; Inserm, U912 "Economic & Social Sciences, Health Systems & Societies" (SE4S), 13006 Marseille, France; Université Aix Marseille, IRD, UMR-S912, 13006 Marseille, France. |
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