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T.M.Maximova,V.B.Belov

N.A.Semashko Institute for Research on Social Hygiene, Public Health, Economics and Management of the Russian Academy of Medical Sciences

Social inequality and diabetes in Russia

Background: In our study the prevalence of diabetes among different groups of the population was analysed, based on self-assessed material conditions of families.
Methods: In 1999 the survey was conducted in four regions of Russia (2830 adults), using questionnaires.
Results: The prevalence of diabetes among the working-age population ( 20 - 59 years ) was 2,2 %, among persons 60 years and over 13,9%.
Among those with diabetes, only around 1% were without any other pathological conditions. The cases of comorbidities: diabetics with cardiovasculas diseases - 74,6%; including patients with diabetes and hypertensive disease - 82,9%.
In the age group 20-59 years 50,8% of patients with diabetes also had hypertensive disease, among persons 60 years and over 67,6%.
The prevalence of diabetes was studied in connection with the social status of patients. The obtained outcomes are represented in the table.
Peculiarities of diabetes prevalence in different population groups (%)
 

  Age groups

Matherial well being is

20-29 60 & higher Total
middle 1.6* 10.6 2.4*
low middle 3.3* 13.6 5.0*
poor 4.0* 16.9 7.7*

*statistical significance t

None of the diabetics indicated the material well-being of their family as rich.
The important conditions in correction of diabetes are the nutrition and medical treatment. 50,3 % - 64 % of the people with lower level material conditions of families indicate a disadvantage in their nutrition of vegetables, fruit, meats, milk. 23 % of patients with this level have no opportunity to buy medicines.
Conclusion: People who indicated the level of material conditions of their families as middle prosperity or poor more often suffer from diabetes.

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