Socio-economic status, ethnicity and diabetes management: an analysis of time trends using the health survey for England.
BACKGROUND: The National Health Service (NHS) has invested substantially in recent years to reduce variations in health care for chronic conditions such as diabetes. We examined trends in the management of diabetes in England between socio-economic and ethnic groups from 1998 to 2004. METHODS: Secon...
| Publicado en: | Journal of Public Health Vol. 29; no. 4; pp. 413 - 420 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Nov2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105892335&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105892335 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Nov2007 vid: 29 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105892335 2009752913 10.1093/pubmed/fdm058 NLM17895256 105892335 ppf: 413 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Socio-economic status, ethnicity and diabetes management: an analysis of time trends using the health survey for England. aug: au: Millett C Saxena S Ng A Mainous A 3rd Majeed A affil: Department of Primary Care and Social Medicine, Imperial College, London W6 8RP, UK. sug: subj: Diabetes Mellitus Drug Therapy Hypoglycemic Agents Therapeutic Use Patient Compliance Ethnology Social Class Blood Glucose Analysis Blood Glucose Drug Effects Blood Pressure Drug Effects Cholesterol Blood Chronic Disease Diabetes Mellitus Economics Diabetes Mellitus Ethnology Disease Management England Middle Age National Health Programs Surveys Time Factors Human Middle Aged: 45-64 years ab: BACKGROUND: The National Health Service (NHS) has invested substantially in recent years to reduce variations in health care for chronic conditions such as diabetes. We examined trends in the management of diabetes in England between socio-economic and ethnic groups from 1998 to 2004. METHODS: Secondary analyses of Health Survey for England data comparing achievement of national treatment target for blood glucose, blood pressure and cholesterol and use of medications in survey respondents with diabetes. RESULTS: The proportion of respondents with diabetes achieving national treatment targets increased significantly between 1998 and 2004. There was a significantly lower increase in blood pressure control in the black group [13.9% (95% confidence interval (CI) 13.0-14.8%)] but higher increase in south Asian and white Irish groups when compared to the white British group [15.7% (95% CI 15.4-16.0%)]. Manual workers experienced lower improvements in blood pressure control [15.3% (95% CI 14.9-15.7%) versus 16.7% (95% CI 16.2-17.2%)] but higher improvements in cholesterol control [10.3% (95% CI 9.7-10.9%) versus 7.4% (95% CI 6.8-8.0%)] when compared to non-manual workers. CONCLUSION: There were considerable improvements in the management of diabetes in England during a period of sustained investment in health care quality but these were not distributed uniformly across ethnic and socio-economic groups. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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