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Social inequality and diabetes in Russia| 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.