IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0191496.html
   My bibliography  Save this article

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

Author

Listed:
  • 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.

Suggested Citation

  • 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
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191496
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0191496&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0191496?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daniel Kreft & Myra B McGuinness & Gabriele Doblhammer & Robert P Finger, 2018. "Diabetic retinopathy screening in incident diabetes mellitus type 2 in Germany between 2004 and 2013 - A prospective cohort study based on health claims data," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    2. Jongnam Hwang, 2016. "Decomposing socioeconomic inequalities in the use of preventive eye screening services among individuals with diabetes in Korea," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(5), pages 613-620, June.
    3. Emily L. Silverberg & Trevor W. Sterling & Tyler H. Williams & Grettel Castro & Pura Rodriguez de la Vega & Noël C. Barengo, 2021. "The Association between Social Determinants of Health and Self-Reported Diabetic Retinopathy: An Exploratory Analysis," IJERPH, MDPI, vol. 18(2), pages 1-12, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0191496. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.