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Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey

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  • Young-Hoon Lee

Abstract

We investigated the association between socioeconomic status (SES) and screening for diabetic retinopathy (DR) and diabetic nephropathy (DN) in community-dwelling diabetics. We analyzed data from 22,134 people with diabetes aged ≥19 years at the time of the nationwide 2015 Korean Community Health Survey. Multiple logistic regression analysis was used to explore the relationship between SES and screening for DR and DN both before and after adjustment for health behaviors, comorbidities, and educational level. Of all diabetic subjects, 33.9% and 38.1% underwent DR and DN screening, respectively. In the fully adjusted model, the extent of the DR and DN screening trended significantly lower as the educational level fell. Monthly household income was positively associated with DR screening, but a lower odds ratio (OR) for DN screening was evident only when the lowest and highest income groups were compared. Compared with managers/professionals, agricultural/forestry/fishery workers (OR 0.81, 95% confidence interval [CI] 0.69–0.96) and mechanical/manual laborers (OR 0.83, 95% CI 0.71–0.97) had lower ORs for DN screening. Residents in rural (compared with urban) areas and widows/widowers (compared with members of couples) were significantly less likely to undergo screening for DR and DN. Similar findings were obtained when the analysis was limited to those who had been educated about diabetes. In conclusion, socioeconomic inequalities were evident in terms of screening for DR and DN in community-dwelling Korean diabetics, regardless of whether they had reported receiving diabetes education. Tailored public health policies (and societal attention) are required to aid the socioeconomically disadvantaged.

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  • Young-Hoon Lee, 2018. "Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0191496
    DOI: 10.1371/journal.pone.0191496
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    References listed on IDEAS

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    1. Sang-Ho Byun & Seung Hyun Ma & Jae Kwan Jun & Kyu-Won Jung & Boyoung Park, 2013. "Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
    2. Mitsuhiko Funakoshi & Yasushi Azami & Hisashi Matsumoto & Akemi Ikota & Koichi Ito & Hisashi Okimoto & Nobuaki Shimizu & Fumihiro Tsujimura & Hiroshi Fukuda & Chozi Miyagi & Sayaka Osawa & Ryo Osawa &, 2017. "Socioeconomic status and type 2 diabetes complications among young adult patients in Japan," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-14, April.
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    1. Suk-Woong Kang & Ji-Hee Yang & Won-Chul Shin & Yoon-Ji Kim & Min-Hyeok Choi, 2021. "Influence of Residence Area and Basic Livelihood Conditions on the Prevalence and Diagnosis Experience of Osteoporosis in Postmenopausal Women Aged over 50 Years: Evaluation Using Korea National Healt," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    2. Hyeon Ji Lee & Jieun Jang & Sang Ah Lee & Sarah Soyeon Oh & Eun-Cheol Park, 2019. "Association between the Type of Diabetes Treatment and Depressive Symptoms among Patients with Diabetes: A Cross-Sectional Study of Korea Community Health Surveys Data, 2011–2016," IJERPH, MDPI, vol. 16(22), pages 1-13, November.
    3. Suk-Woong Kang & Chan-Kue Park & Seung-Hun Woo & Tae-Woo Kim & Min-Hui Moon & Ji-Hee Yang & Min-Hyeok Choi, 2022. "Factors Influencing the Size of a Non-Traumatic Full-Thickness Rotator Cuff Tear: Focusing on Socioeconomic Factors," IJERPH, MDPI, vol. 19(10), pages 1-11, May.

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