Diabetes: Socioeconomic Inequalities in the Portuguese Population in 2014

Introduction: Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014.Material and Methods: Data from the Health National Survey 2014 was analysed, n = 16 786. We estimated the prevalence of diabetes in the population and stratified by socioeconomic variables namely educational level and income. The extent of socioeconomic inequalities was assessed using concentration index and the relative index of inequality.Results: Diabetes was found to be concentrated among the people with lower educational levels (concentration index = -0.26) and lower income quintiles (concentration index = -0.14). Relative index of inequality also showed a lower degree of inequality among the most educated (0,20; CI 95% = [0,12; 0,32]) and with higher income (0,59; CI 95% = [0,48; 0,74]).Discussion: Distribution of diabetes is associated with education and income. Previous studies have shown that although income might reflect lifestyle patterns, education reflects better social factors that are important for establishing healthier behaviours. Also, the National Health Service, of universal coverage and free of charge, might have contributed to reduce inequalities in the access to health by those with the lowest income.Conclusion: Supporting ‘Health in All Policies’ might reduce inequalities, namely by improving population educational level and actions that promote health literacy.

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Predictive risk factors towards liver fluke infection among the people in Kamalasai District, Kalasin Province, Thailand

SAGE Open Medicine ◽

10.1177/2050312119840201 ◽

2019 ◽

Vol 7 ◽

pp. 205031211984020 ◽

Cited By ~ 1

Author(s):

Woragon Wichaiyo ◽

Wirat Parnsila ◽

Wisit Chaveepojnkamjorn ◽

Banchob Sripa

Keyword(s):

Risk Factors ◽

Liver Fluke ◽

Public Health Problem ◽

Major Public Health Problem ◽

Cross Sectional ◽

The People ◽

Fluke Infection ◽

Raw Fish ◽

Predictive Risk ◽

Liver Fluke Infection

Background: Liver fluke disease caused by Opisthorchis viverrini remains a major public health problem with its crucial risk factors caused by some individual habits or false beliefs among the people in northeastern Thailand concerning the consumption of raw fish meat dishes. Objectives: This study explores the predictive risk factors for the infection of liver fluke disease. Methods: The sample consisted of 400 people aged 30 years and above in Thanya sub-district, Kamalasai district, Kalasin province. A cross-sectional analytic study, using the χ2 test, odds ratio and 95% confidence interval, was used to find the influence of each variable, along with the use of multiple logistic regression (p = 0.05). A questionnaire form was used as the research instrument. Results: Factors found in the results are as follows: households with a cat were 7.00 times more at risk than households without a cat; eating raw fish dishes prepared by themselves increases the risk of infection by 2.58 times; eating raw fish dishes prepared by family members increases the risk by 4.74 times; and raw fish dishes bought from a community market increases the risk by 2.33 times. Conclusion: A campaign should be launched to educate people not to eat raw or undercooked fish dishes, but to fully cook fish dishes before eating, as the food is still delicious, but also safe, healthy, and free from liver fluke infection.

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Anaemia among Egyptian adolescents: prevalence and determinants

Eastern Mediterranean Health Journal ◽

10.26719/2000.6.5-6.1017 ◽

2000 ◽

Vol 6 (5-6) ◽

pp. 1017-1025

Author(s):

F. El Sahn ◽

S. Sallam ◽

A. Mandif ◽

O. Galal

Keyword(s):

Public Health ◽

Rural Areas ◽

Educational Level ◽

Inverse Relationship ◽

Public Health Problem ◽

Public Health Education ◽

Major Public Health Problem ◽

Socioeconomic Level ◽

Cross Sectional ◽

Wide Scale

We aimed to estimate the nationwide prevalence of anaemia among adolescents in Egypt and to study possible risk factors. A cross-sectional approach was used. Blood samples were collected from 1980 adolescents for haemoglobin estimation. The overall prevalence of anaemia was 46.6%, most of which was mild or moderate, with severe cases in less than 1.0% of the sample. Gender difference was almost nonexistent. A significant inverse relationship was observed between the level of anaemia and age [especially among boys], socioeconomic level and educational level. Anaemia was more prevalent in rural areas and in Upper [southern] Egypt. Anaemia is a major public health problem among Egyptian adolescents and wide-scale public health education is warranted.

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Trends in socioeconomic inequalities in the prevalence of functional dentition among older people in Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00202017 ◽

2018 ◽

Vol 34 (10) ◽

Cited By ~ 3

Author(s):

Fabiola Bof de Andrade ◽

Jose Leopoldo Ferreira Antunes

Keyword(s):

Older Adults ◽

Cross Sectional Study ◽

Socioeconomic Inequalities ◽

Community Dwelling ◽

Cross Sectional ◽

Relative Index ◽

Functional Dentition ◽

Natural Teeth ◽

Index Of Inequality ◽

Position Measure

The objective of this research was to evaluate trends in socioeconomic inequalities in the prevalence of functional dentition among community-dwelling older adults in Brazil. This was a cross-sectional study with data from the last two SBBrasil Project surveys conducted in 2003 and 2010. Functional dentition was defined as the presence of 20 or more natural teeth and was assessed during the clinical examination of dentition status. Schooling was used as the socioeconomic position measure. Socioeconomic inequality was measured using two complex measures; the slope index of inequality (SII) and the relative index of inequality (RII). The prevalence of functional dentition was 10.8% (95%CI: 8.1-14.2) in 2003 and 13.6% (95%CI: 11.1-16.5) in 2010. The prevalence of functional dentition increased significantly over the educational rank in both years. Absolute inequalities were significant for both years and remained unaltered between 2003 and 2010. Significant relative inequality in the prevalence of functional dentition was found in both years of the survey. Socioeconomic inequalities in the prevalence of functional dentition among older adults in Brazil persisted significantly between both national oral health surveys.

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Plasmodium sp. infection among the people of Suleja, Niger State, Nigeria.

International Journal of Bioassays ◽

10.21746/ijbio.2016.03.008 ◽

2016 ◽

Vol 5 (03) ◽

pp. 4885

Author(s):

Mogba Emmanuel O. ◽

Olanrewaju Comfort A.* ◽

Malann Yoila D.

Keyword(s):

Infection Rate ◽

Private Hospital ◽

Public Health Problem ◽

Major Public Health Problem ◽

Public Places ◽

The People ◽

Significant Difference ◽

The Status ◽

The Government ◽

And Control

Malaria infection is a major public health problem in the sub-Sahara Africa. A study on the status of malaria parasite infection was carried out on patients visiting the Government General Hospital and Citizen Hospital (a private hospital) in Suleja Local Government Area, Niger State, Nigeria from the month of January to April, 2014. A total of 500 persons were examined, 250 persons from each of the two hospitals and grouped according to their ages, zones, occupation and sexes. The private hospital recorded the highest infection rate of 75.2% while the government hospital recorded a lower rate (41.6%) and the overall prevalence of the study was 58.4%. Madalla zone which is nearer to the centre of the town recorded the highest rate (97.5%), age group 0-10 years had the highest infection rate of 66.9%. Among the different occupations examined in this study, students had the highest prevalence of 79.7%. However, there were no significant differences in the rate of infections in these categories (P>0.05). In relation to sex, females were more infected (62.8%) than the males (53.1%) with a significant difference (P< 0.05). It is suggested that health education on the transmission, prevention and control of Plasmodium infection in schools, market and public places should be intensified.

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Occupational class and educational level inequalities in major cardiovascular risk factors in Turkey: 2008–2016

Journal of Public Health ◽

10.1093/pubmed/fdaa073 ◽

2020 ◽

Author(s):

Erdem Erkoyun ◽

J P Mackenbach

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Educational Level ◽

Representative Sample ◽

Turkish Population ◽

Occupational Class ◽

Relative Index ◽

Index Of Inequality ◽

Interaction Term

Abstract Background We aimed to investigate the magnitude of occupational class (OC) and educational level (EL) inequalities in cardiovascular risk factors in Turkey from 2008 to 2016 and compare these inequalities with neighbouring European countries. Methods We used the Turkey Health Survey among a representative sample of the Turkish population. We estimated relative index of inequality (RII) for four cardiovascular risk factors (obesity/overweight, hypertension, diabetes, smoking) by OC/EL with an interaction term for survey year and compared selected results with neighbouring countries. Results Men with lower OC and EL smoked more (e.g. RII for EL = 1.40 [1.26–1.55]); however, the remaining risk factors were mostly lower in these groups. Women in lower socio-economic groups smoked less (e.g. RII for EL = 0.36 [0.29–0.44]), however, had higher prevalence of the remaining risk factors. Significant interactions with survey year were only found in a few cases. The pattern of inequalities in Turkey is largely similar to neighbouring countries. Conclusions Inequalities in cardiovascular risk factors are less systematic in Turkey than in most high-income countries, but ongoing trends suggest that this may change in the future.

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Trends in Socioeconomic Inequalities in Hypertension in Ontario, Canada, 2000-2012

International Journal for Population Data Science ◽

10.23889/ijpds.v3i4.1019 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Simran Shokar ◽

Laura Rosella ◽

Peter Smith ◽

Hong Chen ◽

Heather ChenManson ◽

...

Keyword(s):

Risk Factor ◽

Household Income ◽

Socioeconomic Inequalities ◽

Material Deprivation ◽

Discharge Abstract Database ◽

Ontario Health Insurance Plan ◽

Cross Sectional ◽

Study Objective ◽

Relative Index ◽

Index Of Inequality

IntroductionHypertension is leading risk factor for cardiovascular disease and mortality. Low socioeconomic position (e.g., income or high material deprivation) is an important risk factor for hypertension. However, there is limited evidence monitoring the extent to which socioeconomic inequalities in hypertension exist and are changing over time in Ontario. Objectives and ApproachThe study objective was to estimate socioeconomic trends in prevalent hypertension by household income and material deprivation in Ontario from 2000 to 2012. A pooled cross-sectional study was conducted using data from 6 Canadian Community Health Surveys linked to the Discharge Abstract Database and Ontario Health Insurance Plan data (n=121,390 over 35 years, 54\% female). Relative-weighted Poisson regression models were used to estimate hypertension rates (adjusted for age, sex, ethnicity and immigration) across quintiles of equivalized household income and area-level material deprivation. Socioeconomic inequalities were estimated using the slope index of inequality (SII) and relative index of inequality (RII). ResultsSocioeconomic inequalities in hypertension were observed across income quintiles on both absolute (SII: 1428 per 10,000, 95\%CI:1126,1730) and relative (RII:1.74, 95\%CI:1.53,1.94) scales in 2000, decreasing by 2012 (SII:297 per 10,000, 95%CI: -82,676; RII:1.19, 95%CI:0.93,1.45). A similar pattern was observed across material deprivation quintiles, however with smaller inequalities in 2000 (SII:595 per 10,000, 95%CI:306,884; RII:1.25, 95%CI:1.11,1.39) and 2012 (SII:389 per 10,000, 95%CI:17,761; RII:1.24, 95%CI:0.99,1.49). Conclusion/ImplicationsSocioeconomic inequalities in hypertension were observed in Ontario, with decreasing trends between 2000 and 2012. Area-level material deprivation underestimated individual-level socioeconomic inequalities in hypertension.

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Trends in socioeconomic inequalities in childhood BCG immunization coverage in Pakistan

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1127 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Zaheer ◽

S Kanwal ◽

K Shafique

Keyword(s):

Vaccination Coverage ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Socioeconomic Inequalities ◽

Reproductive Age ◽

Demographic And Health Surveys ◽

High Burden ◽

Relative Index ◽

Bcg Vaccination ◽

Index Of Inequality

Abstract Background Although, WHO notes that there has been 'tremendous progress' towards controlling spread of Tuberculosis (TB) by 2015, situation in endemic countries like Pakistan need global attention. Pakistan currently ranks fifth among TB-high burden countries and it accounts for 61% of the TB burden in the WHO Eastern Mediterranean Region. We aim to explore the trends in relative and absolute socioeconomic inequalities in BCG vaccination coverage. Methods Data from Pakistan Demographic and Health Surveys (PDHS) 2006-7 (n = 9177 data used 8442), and 20012-13 (n = 13558, used n = 6982) were used. Information was collected from all mothers in reproductive age group, regarding BCG vaccination of their children aged < 5 years. Wealth index and education were used to assess socioeconomic position. Socioeconomic inequalities for BCG vaccination coverage were assessed by calculating Relative Index of Inequality (RII) and Absolute Index of Inequality (SII). Results Although reported frequency of not getting the child BCG vaccinated has decreased over the decade (25% in 2006, 18% in 2013). Nevertheless, socioeconomic inequalities in BCG vaccination have significantly widened over the last decade. Education related inequalities [2006-7 Urban: SII=-1.34 (-0.91, -1.76); 2012-13 Urban: SII=-1.88 (-1.43, -2.32)]; [2006-7 Rural: SII=-1.31 (-0.96, -1.65); 2012-13 Rural: SII=-1.54 (-1.13, -1.94)] have increased. Similarly, wealth related inequalities [2006-7 Urban: SII=-1.27 (-0.91, -1.62); 2012-13 Urban: SII=-1.75 (-1.37, -2.12)]; [2006-7 Rural: SII=-1.19 (-0.98, -1.39); 2012-13 Rural: SII=-1.72 (-1.43, -2.00)] have increased. Conclusions Widening absolute inequalities in BCG vaccination coverage among children over the last decade in a TB-high burden country gives rise to global concern, at a time when world aims for tuberculosis free future. The results warrant the essential public health efforts to avoid further widening in TB related socioeconomic inequalities in Pakistan. Key messages The results warrant the need to continue monitoring of TB control at population level. Study findings may help to improved TB management programs to initiate evidence-based guidelines for maternal and child health.

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Trends in socioeconomic inequalities in smoking in Turkey from 2008 to 2016

BMC Public Health ◽

10.1186/s12889-021-12200-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Hur Hassoy ◽

Isil Ergin ◽

Gorkem Yararbas

Keyword(s):

Older Women ◽

Epidemic Model ◽

Early Stage ◽

Age Groups ◽

Socioeconomic Inequalities ◽

Cross Sectional ◽

Relative Index ◽

Younger Women ◽

Index Of Inequality ◽

Wealth Inequalities

Abstract Background Smoking inequalities in Turkey were previously demonstrated in an early stage of the smoking epidemic model. This paper aimed to assess the trends for socioeconomic inequalities in smoking in Turkey over the years in the context of the smoking epidemic model using data from the Global Adult Tobacco Survey (GATS) Turkey 2008–2012-2016. Methods Cross-sectional data were analyzed to calculate the association of smoking with, wealth, education, occupation and place of residence using age-standardized prevalence rates, odds ratios, relative index of inequality (RII) and slope index of inequality (SII). The analysis was performed separately for age groups (younger: 20–39 years/older: 40 and above years) and sex. Results Younger women with higher wealth and older women with higher wealth and education smoked more. For both age groups, smoking was increased for working class and urban women. Relative wealth inequalities in smoking narrowed and then showed a reversal for younger women (RII2008 = 3.37; 95% CI:1.64–3.40; RII2012 = 2.19; 95% CI:1.48–3.24; RII2016 = 0.80; 95% CI:0.58–1.10, p-for trend < 0.0001). Relative educational inequalities in smoking for older women also showed a narrowing (RII2008 = 21.45; 95% CI:11.74–39.19; RII2012 = 15.25; 95% CI:9.10–25.55; and RII2016 = 5.48; 95% CI:3.86–7.78, p-for trend < 0.0001). For older women, a similar narrowing was observed for wealth (RII2008 = 3.94; 95% CI:2.38–6.53; RII2012 = 2.79; 95% CI:1.80–4.32; and RII2016 = 1.34; 95% CI:0.94–1.91, p-for trend = 0.0001). The only significant trend for absolute inequalities was for younger women by wealth. This trend showed a narrowing and then a reversal (SII2008 = 0.14; 95% CI:0.09–1.20; SII2012 = 0.12; 95% CI:0.06–0.18; and SII2016 = -0.05; 95% CI:-0.12–0.02, p-for trend = 0.0001). Unlike women, smoking in men showed inverse associations for wealth and education, although not statistically confirmed for all years. Smoking was increased in working classes and unemployed men in 2012 and 2016. Inequalities did not show a trend in relative and absolute terms for men. Conclusions For smoking inequalities in Turkey, a transition to the next stage was observed, although the previously defined Southern European pattern also existed. Low socioeconomic women deserve special attention as well as stressors at work and drivers of smoking at urban settings.

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Education and income-based inequality in tooth loss among Brazilian adults: does the place you live make a difference?

10.21203/rs.2.18559/v1 ◽

2019 ◽

Author(s):

Raquel Ferreira ◽

Maria Inês Barreiros Senna ◽

Lorrany Gabriele Rodrigues ◽

Fernanda Lamounier Campos ◽

Andrea Maria Eleuterio de Barros Lima Martins ◽

...

Keyword(s):

Tooth Loss ◽

Education Level ◽

Socioeconomic Inequalities ◽

Socioeconomic Indicators ◽

Relative Index ◽

Individual Level ◽

Contextual Variation ◽

Index Of Inequality ◽

The Individual ◽

Municipal Level

Abstract Background: Socioeconomic inequalities in tooth loss might be minimized or potentialized by the characteristics of the context where people live. We examined whether there is contextual variation in socioeconomic inequalities in tooth loss across Brazilian municipalities. Methods: Data from the 2010 National Oral Health Survey of 9,979 adults living in 177 Brazilian municipalities were used. Education and household income were used as the individual socioeconomic indicators. At the municipal level, we used the Municipal Human Development Index as our contextual indicator of socioeconomic status (low:<0.699 versus high: >0.70). The Relative Index of Inequality (RII) and the Slope Index of Inequality (SII) were calculated to compare the magnitude of education and income-based inequalities among municipalities with low versus high HDI. Multilevel Poisson regression models with random intercepts and slopes were developed. Results: At the individual level, adults with lower education & income reported more tooth loss. The mean number of lost teeth was 9.62 (95%CI: 8.02-11.23) and 7.03 (95%CI: 6.52-7.55) in municipalities with low and high HDI, respectively. Municipalities with high HDI showed higher relative and absolute education-based inequality. For income-based inequalities, higher SII was observed in municipalities with lower HDI. A significant cross-level interaction indicated that high-education adults reported fewer lost teeth when they lived in municipalities with high HDI compared to adults with the same education level living in low HDI municipalities. For individuals with the lowest education level, there was no difference in the number of teeth between those from municipalities with high and low HDI. Conclusions: There was a social gradient in tooth loss by education and income. Living in disadvantaged municipalities cannot overcome the risk associated with low schooling. The protective effect of higher education can be reduced when people live in disadvantaged areas.

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Identification of Thalassemia Disorder using Active Contour

Indonesian Journal of Electrical Engineering and Computer Science ◽

10.11591/ijeecs.v6.i1.pp160-165 ◽

2017 ◽

Vol 6 (1) ◽

pp. 160 ◽

Cited By ~ 2

Author(s):

Nurhanis Izzati Binti Che Marzuki Izzati Binti Che Marzuki ◽

Nasrul Humaimi bin Mahmood Humaimi bin Mahmood ◽

Mohd Azhar bin Abdul Razak

Keyword(s):

Blood Cell ◽

Blood Cells ◽

Growth And Development ◽

Active Contour ◽

Blood Count ◽

Complete Blood Count ◽

Public Health Problem ◽

Major Public Health Problem ◽

The People ◽

Contour Technique

Thalassemia was known as the red blood cell (RBC) morphology disorder. This disease mostly affects the shape of the red blood cells. Thalassemia becomes the major public health problem when one of the people becomes the carrier of the disease. It can occur within a months after birth or even before birth and results in inappropriate growth and development of babies. Sometimes the affected babies will die shortly after birth. In order to screen thalassemia, there are a few tests need to be done. Firstly by performed Complete Blood Count (CBC) and secondly continued with hemoglobin electrophoresis test. This CBC test will identify the morphology of RBC. Hence, this paper will discuss the methods on identifying the morphology of thalassemia blood cells by using active contour technique. From the result of 16 normal and abnormal blood cell images, the active countour methods able to identifyThalassemia blood cells with accuracy of 90% from the abnormal cell images.

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