Socioeconomic Inequalities in the Prevalence of Diabetes in Argentina: A Repeated Cross-Sectional Study in Urban Women and Men
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Date
2022-07-22Author(s)
Rojas-Roque , Carlos
Hernández-Vásquez, Akram
Azañedo, Diego
Bendezu-Quispe, Guido
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“This study measured the socioeconomic inequalities in the prevalence of diabetes between
2005 and 2018 in an urban Argentinian population. Data were obtained from the repeated crosssectional surveys “National Survey of Risk Factors” (ENFR is its acronym in Spanish). From 2005 to
2018, four rounds of ENFR were administered to men and women over 18 years of age. Concentration
curves (CC) and the Erreygers concentration index (ECI) were used to describe the socioeconomic
inequalities in diabetes’ prevalence. A decomposition analysis was performed to determine the
contribution of each variable to inequality in diabetes’ prevalence. Data from 41,219 (2005), 34,583
(2009), 32,232 (2013), and 29,094 (2018) individuals were analyzed. Women reported a greater
prevalence of diabetes compared with men for all the years included. According to the CC and ECI,
we found no evidence of inequality in men throughout all study years. For women, throughout
all years, the CCs were above the line of equity, and the ECIs during all the years were negative
and different from zero (p < 0.01). For women, we found no evidence of a reduction in inequalities
between 2005 and 2018 (p = 0.475). The socioeconomic inequality for women was largely driven by
public insurance, primary and secondary education, and employment. Diabetes’ prevalence was
not associated with socioeconomic status in men, while the prevalence of diabetes in women was
more concentrated among poorer women. During the 13 years, there was no evidence of a reduction
of inequality in women, noting that interventions must prioritize and should focus on the main
contribution of inequalities, such as education and employment.“
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