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A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus
Abstract
Background: As socioeconomic inequalities are key factors in access and utilization of type 2 diabetes (T2D) services, the purpose of this scoping review was to identify solutions for decreasing socioeconomic inequalities in T2D. Methods: A scoping review of scientific articles from 2000 and later was conducted using PubMed, Web of Science (WOS), Scopus, Embase, and ProQuest databases. Using the Arksey and O’Malley framework for scoping review, articles were extracted, meticulously read, and thematically analyzed. Results: A total of 7204 articles were identified from the reviewed databases. After removing duplicate and nonrelevant articles, 117 articles were finally included and analyzed. A number of solutions and passways were extracted from the final articles. Solutions for decreasing socioeconomic inequalities in T2D were categorized into 12 main solutions and 63 passways. Conclusions: Applying identified solutions in diabetes policies and interventions would be recommended for decreasing socioeconomic inequalities in T2D. Also, the passways could be addressed as entry points to help better implementation of diabetic policies.
International Journal of Preventive Medicine 15():5, January 2024. | DOI: 10.4103/ijpvm.ijpvm_374_22
Corresponding Author: Dr. Mostafa Amini‑Rarani
E‑mail: m.amini@mng.mui.ac.ir
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GBD 2017 Disease and Injury Incidence and Prevalence
Collaborators. Global, regional, and national incidence, prevalence,
and years lived with disability for 354 diseases and injuries for 195
countries and territories, 1990‑2017: A systematic analysis for the global burden of disease study 2017. Lancet 2018;392:1789‑858.
World Health Organization. The top 10 causes of death.
Accessible at: https://www.who.int/news‑room/fact‑sheets/detail/
the‑top‑10‑causes‑of‑death
Qiao J, Lin X, Wu Y, Huang X, Pan X, Xu J, et al. Global
burden of non‑communicable diseases attributable to dietary
risks in 1990‑2019. J Hum Nutr Diet 2022;35:202‑13.
Tatulashvili S, Fagherazzi G, Dow C, Cohen R, Fosse S, Bihan H.
Socioeconomic inequalities and type 2 diabetes complications:
A systematic review. Diabetes Metab 2020;46:89‑99.
Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K,
Duncan BB, et al. IDF Diabetes Atlas: Global, regional and
country‑level diabetes prevalence estimates for 2021 and
projections for 2045. Diabetes research and clinical practice
;183:109119.
Safieddine B, Sperlich S, Beller J, Lange K, Epping J, Tetzlaff J,
et al. Socioeconomic inequalities in type 2 diabetes in employed
individuals, nonworking spouses and pensioners. SSM Popul
Health 2020;11:100596.
Agardh E, Allebeck P, Hallqvist J, Moradi T, Sidorchuk A. Type 2
diabetes incidence and socio‑economic position: A systematic
review and meta‑analysis. Int J Epidemiol 2011;40:804‑18.
Kim SH, Lee SY, Kim CW, Suh YJ, Hong S, Ahn SH, et al.
Impact of socioeconomic status on health behaviors, metabolic
control, and chronic complications in type 2 diabetes mellitus.
Diabetes Metab J 2018;42:380‑93.
Rawshani A, Svensson AM, Zethelius B, Eliasson B,
Rosengren A, Gudbjörnsdottir S. Association between
socioeconomic status and mortality, cardiovascular disease,
and cancer in patients with type 2 diabetes. JAMA Intern Med
;176:1146‑54.
Al‑Rubeaan KA, Al‑Manaa HA, Khoja TA, Al‑Sharqawi AH,
Aburisheh KH, Youssef AM, et al. Health care services provided
to type 1 and type 2 diabetic patients in Saudi Arabia. Saudi
Med J 2015;36:1216‑25.
Krishnan P, Nagarajan S. Socio‑Economic Factors Influencing
the Diabetic Patients Choice of Healthcare Services in Vellore,
Tamil Nadu. Int J Cur Res Rev 2021;13:46‑50.
Ali MK, McKeever Bullard K, Imperatore G, Benoit SR,
Rolka DB, Albright AL, et al. Reach and use of diabetes
prevention services in the United States, 2016‑2017. JAMA
Netw Open 2019;2:e193160.
Canedo JR, Miller ST, Schlundt D, Fadden MK, Sanderson M.
Racial/ethnic disparities in diabetes quality of care: The role of
healthcare access and socioeconomic status. J Racial Ethn Health
Disparities 2018;5:7‑14.
Gregg EW, Hora I, Benoit SR. Resurgence in diabetes‑related
complications. JAMA 2019;321:1867‑8.
Saydah S, Lochner K. Socioeconomic status and risk of
diabetes‑related mortality in the US. Public Health Rep
;125:377‑88.
Hill‑Briggs F, Adler NE, Berkowitz SA, Chin MH,
Gary‑Webb TL, Navas‑Acien A, et al. Social determinants
of health and diabetes: A scientific review. Diabetes Care
;44:258‑79.
Arksey H, O’Malley L. Scoping studies: Towards a
methodological framework. International Journal of Social
Research Methodology 2005;8:19‑32.
Crooks VA, Kingsbury P, Snyder J, Johnston R. What is known
about the patient’s experience of medical tourism? a scoping
review. BMC Health Serv Res 2010;10:266.
Braun V, Clarke V. Using thematic analysis in psychology.
Qualitative Research in Psychology 2006;3:77‑101.
Wang Z, Li X, Chen M. Socioeconomic factors and inequality in
the prevalence and treatment of diabetes among middle‑aged and
elderly adults in China. J Diabetes Res 2018;2018:1471808.
Le C, Rong S, Dingyun Y, Wenlong C. Socioeconomic disparities
in type 2 diabetes mellitus prevalence and self‑management
behaviors in rural southwest China. Diabetes Res Clin Pract
;121:9‑16.
Chatzi G, Mason T, Chandola T, Whittaker W, Howarth E,
Cotterill S, et al. Sociodemographic disparities in non‑diabetic
hyperglycaemia and the transition to type 2 diabetes: Evidence
from the English longitudinal study of ageing. Diabet Med
;37:1536‑44.
Baruah MP, Pathak A, Kalra S, Das AK, Zargar AH, Bajaj S,
et al. A revisit to prevailing care and challenges of managing
diabetes in India: Focus on regional disparities. Indian J
Endocrinol Metab 2014;18:254‑63.
Piper CN, Polite‑Middleton T, Chalakalal S, Sebastion N,
Martin F. Race, socioeconomic status, and rurality influences on
type 2 diabetes management among north Carolina adults. Ethn
Dis 2015;25:46‑51.
Katzmarzyk PT, Staiano AE. New race and ethnicity standards:
Elucidating health disparities in diabetes. BMC Med 2012;10:42.
Attridge M, Creamer J, Ramsden M, Cannings‑John R,
Hawthorne K. Culturally appropriate health education for people
in ethnic minority groups with type 2 diabetes mellitus. Cochrane
Database Syst Rev 2014;:CD006424.
Burge MR, Lucero S, Rassam AG, Schade DS. What are the
barriers to medical care for patients with newly diagnosed
diabetes mellitus?. Diabetes Obes Metab 2000;2:351‑4.
Garn SD, Glümer C, Villadsen SF, Malling GMH, Christensen U.
Understanding the mechanisms generating outcomes in a
Danish peer support intervention for socially vulnerable people
with type 2‑diabetes: A realist evaluation. Arch Public Health
;79:160.
Wu H, Jackson CA, Wild SH, Jian W, Dong J, Gasevic D.
Socioeconomic status and self‑reported, screen‑detected and
total diabetes prevalence in Chinese men and women in
‑2012: A nationwide cross‑sectional study. J Glob Health
;8:020501.
Asadi‑Lari M, Khosravi A, Nedjat S, Mansournia MA,
Majdzadeh R, Mohammad K, et al. Socioeconomic status
and prevalence of self‑reported diabetes among adults in
Tehran: Results from a large population‑based cross‑sectional
study (Urban HEART‑2). J Endocrinol Invest 2016;39:515‑22.
Sortsø C, Lauridsen J, Emneus M, Green A, Jensen PB.
Socioeconomic inequality of diabetes patients’ health care
utilization in denmark. Health Econ Rev 2017;7:21.
Mulyanto J, Kringos DS, Kunst AE. Socioeconomic inequalities
in the utilisation of hypertension and type 2 diabetes management
services in Indonesia. Trop Med Int Health 2019;24:1301‑10.
Shrivastava U, Misra A, Gupta R, Viswanathan V. Socioeconomic
factors relating to diabetes and its management in India.
J Diabetes 2016;8:12‑23.
Berkowitz SA, Karter AJ, Lyles CR, Liu JY, Schillinger D,
Adler NE, et al. Low socioeconomic status is associated with
increased risk for hypoglycemia in diabetes patients: The
diabetes study of Northern California (DISTANCE). J Health
Care Poor Underserved 2014;25:478‑90.
De Silva AP, De Silva SHP, Haniffa R, Liyanage IK,
Jayasinghe S, Katulanda P, et al. Inequalities in the prevalence
of diabetes mellitus and its risk factors in Sri Lanka: A lower
middle income country. Int J Equity Health 2018;17:45.
White RO, Beech BM, Miller S. Health care disparities and diabetes care: Practical considerations for primary care providers.
Clin Diabetes 2009;27:105‑12.
Santos J, Kislaya I, Antunes L, Santos AJ, Rodrigues APP,
Neto M, et al. [Diabetes: Socioeconomic inequalities in the
Portuguese Population in 2014]. Acta Med Port 2017;30:561‑67.
Liu M, Wang J, He Y, Jiang B, Wu L, Wang Y, et al. Awareness,
treatment and control of type 2 diabetes among chinese elderly
and its changing trend for past decade. BMC Public Health
;16:278.
Al‑Hanawi MK, Chirwa GC, Pulok MH. Socio‑economic
inequalities in diabetes prevalence in the kingdom of Saudi
Arabia. Int J Health Plann Manage 2020;35:233‑46.
Taylor YJ, Spencer MD, Mahabaleshwarkar R, Ludden T.
Racial/ethnic differences in healthcare use among patients
with uncontrolled and controlled diabetes. Ethn Health
;24:245‑56.
Renfrew MR, Taing E, Cohen MJ, Betancourt JR, Pasinski R,
Green AR. Barriers to care for Cambodian patients with diabetes:
Results from a qualitative study. J Health Care Poor Underserved
;24:633‑55.
Espelt A, Borrell C, Roskam AJ, Rodríguez‑Sanz M, Stirbu I,
Dalmau‑Bueno A, et al. Socioeconomic inequalities in diabetes
mellitus across Europe at the beginning of the 21st century.
Diabetologia 2008;51:1971‑9.
Barnard‑Kelly KD, Cherñavvsky D. Social inequality and
diabetes: A commentary. Diabetes Ther 2020;11:803‑11.
Aekplakorn W, Chariyalertsak S, Kessomboon P,
Assanangkornchai S, Taneepanichskul S, Putwatana P. Prevalence
of diabetes and relationship with socioeconomic status in the
Thai population: National health examination survey, 2004‑2014.
J Diabetes Res 2018;2018:1654530.
Ryvicker M, Sridharan S. Neighborhood environment and
disparities in health care access among urban Medicare
beneficiaries with diabetes: A retrospective cohort study. Inquiry
;55:46958018771414.
Denova‑Gutiérrez E, Vargas‑Chanes D, Hernández S,
Muñoz‑Aguirre P, Napier D, Barquera S. Linking socioeconomic
inequalities and type 2 diabetes through obesity and lifestyle
factors among Mexican adults: A structural equations modeling
approach. Salud Publica Mex 2020;62:192‑202.
Moradi G, Majdzadeh R, Mohammad K, Malekafzali H,
Jafari S, Holakouie‑Naieni K. Is the status of diabetes
socioeconomic inequality changing in Kurdistan province, West
of Iran? a comparison of two surveys. Med J Islam Repub Iran
;30:375.
Tørslev MK, Andersen PT, Nielsen AV, Petri M, Termansen T,
Vardinghus‑Nielsen H, et al. Tingbjerg changing diabetes:
A protocol for a long‑term Supersetting initiative to promote
health and prevent type 2 diabetes among people living in an
ethnically and socioeconomically diverse neighbourhood in
Copenhagen, Denmark. BMJ Open 2021;11:e048846.
Siegel KR, Gregg EW, Duru OK, Shi L, Mangione CM,
Thornton PL, et al. Time to start addressing (and not just
describing) the social determinants of diabetes: Results from
the Next‑D 2.0 network. BMJ Open Diabetes Res Care
;9(Suppl 1):e002524.
Øversveen E. Stratified users and technologies of empowerment:
Theorising social inequalities in the use and perception of
diabetes self‑management technologies. Sociol Health Illn
;42:862‑76.
Li CY, Chuang YC, Chen PC, Chen MS, Lee MC, Ku LE,
et al. Social determinants of diabetes‑related preventable
hospitalization in Taiwan: A spatial analysis. Int J Environ Res
Public Health 2021;18:2146.
Ali N, Akram R, Sheikh N, Sarker AR, Sultana M. Sex‑specific
prevalence, inequality and associated predictors of hypertension,
diabetes, and comorbidity among Bangladeshi adults: Results
from a nationwide cross‑sectional demographic and health
survey. BMJ Open 2019;9:e029364.
Martens TW, Lima JS, Johnson EA, Conry JA, Hoppe JJ,
Bergenstal RM, et al. Trial of a new diabetes education model:
Closing the gap in health disparity for people with diabetes.
J Diabetes Sci Technol 2021;15:568‑74.
Lee TC, Glynn RJ, Peña JM, Paynter NP, Conen D, Ridker PM,
et al. Socioeconomic status and incident type 2 diabetes mellitus:
Data from the women’s health study. PLoS One 2011;6:e27670.
Bachmann MO, Eachus J, Hopper CD, Davey Smith G,
Propper C, Pearson NJ, et al. Socio‑economic inequalities in
diabetes complications, control, attitudes and health service use:
A cross‑sectional study. Diabet Med 2003;20:921‑9.
Chang J, Guy MC, Rosales C, de Zapien JG, Staten LK,
Fernandez ML, et al. Investigating social ecological
contributors to diabetes within Hispanics in an underserved U.
S. ‑Mexico border community. Int J Environ Res Public Health
;10:3217‑32.
Fuller D, Neudorf J, Lockhart S, Plante C, Roberts H,
Bandara T, et al. Individual‑ and area‑level socioeconomic
inequalities in diabetes mellitus in Saskatchewan between
and 2012: A cross‑sectional analysis. CMAJ Open
;7:E33‑9.
Tapager I, Olsen KR, Vrangbæk K. Exploring equity in accessing
diabetes management treatment: A healthcare gap analysis. Soc
Sci Med 2022;292:114550.
Kapur A. Economic analysis of diabetes care. Indian J Med Res
;125:473‑82.
Jacobs E, Tönnies T, Rathmann W, Brinks R, Hoyer A.
Association between regional deprivation and type 2 diabetes
incidence in Germany. BMJ Open Diabetes Res Care
;7:e000857.
Towne SD, Bolin J, Ferdinand A, Nicklett EJ, Smith ML,
Ory MG. Assessing diabetes and factors associated with
foregoing medical care among persons with diabetes: Disparities
facing American Indian/Alaska native, black, hispanic, low
income, and southern adults in the U.S. (2011‑2015). Int J
Environ Res Public Health 2017;14:464.
Maier W, Scheidt‑Nave C, Holle R, Kroll LE, Lampert T, Du Y,
et al. Area level deprivation is an independent determinant of
prevalent type 2 diabetes and obesity at the national level in
Germany. Results from the national telephone health interview
surveys ‘German Health Update’ GEDA 2009 and 2010. PLoS
One 2014;9:e89661.
Maggini M, Minardi V, Possenti V, Bertozzi N, Carrozzi G,
Sampaolo L, et al. Socioeconomic inequalities in the prevalence
of diabetes in Italy. InDIABETOLOGIA 233 SPRING ST, NEW
YORK, NY 10013 USA: SPRINGER.2012;55:S134‑5.
Lieb DC, Snow RE, DeBoer MD. Socioeconomic factors in the
development of childhood obesity and diabetes. Clin Sports Med
;28:349‑78.
Andersen MB, Bjørkman AD, Pedersen M, Ekholm O,
Molsted S. Social inequality in lifestyle, motivation to change
lifestyle and received health advice in individuals with diabetes:
A nationwide study. Scand J Public Health 2020;48:847‑54.
Ortiz MS, Cabieses B, Repetto P. Type 2 diabetes in young
people: Adding socioeconomic inequality to the discussion.
Diabetes Res Clin Pract 2019;156:107795.
Smalls BL, Gregory CM, Zoller JS, Egede LE. Assessing the relationship between neighborhood factors and diabetes related
health outcomes and self‑care behaviors. BMC Health Serv Res
;15:445.
Hasan MM, Tasnim F, Tariqujjaman M, Ahmed S. Socioeconomic
inequalities of undiagnosed diabetes in a resource‑poor setting:
Insights from the cross‑sectional Bangladesh demographic and
health survey 2011. Int J Environ Res Public Health 2019;16:115.
Thomas C, Nightingale CM, Donin AS, Rudnicka AR,
Owen CG, Sattar N, et al. Socio‑economic position and type 2
diabetes risk factors: Patterns in UK children of South Asian,
Black African‑Caribbean and White European Origin. PLoS One
;7:e32619.
Lee HW, Song M, Yang JJ, Kang D. Determinants of poor
self‑rated health in Korean adults with diabetes. J Prev Med
Public Health 2015;48:287‑300.
Beltrán‑Sánchez H, Drumond‑Andrade FC, Riosmena F.
Contribution of socioeconomic factors and health care access to
the awareness and treatment of diabetes and hypertension among
older Mexican adults. Salud Publica Mex 2015;57(Suppl 1):S6‑14.
Stringhini S, Tabak AG, Akbaraly TN, Sabia S, Shipley MJ,
Marmot MG, et al. Contribution of modifiable risk factors to
social inequalities in type 2 diabetes: Prospective Whitehall II
cohort study. BMJ 2012;345:e5452.
Ruiz PL, Hopstock LA, Eggen AE, Njølstad I, Grimnes G,
Stene LC, et al. Undiagnosed diabetes based on HbA(1c) by
socioeconomic status and healthcare consumption in the Tromsø
study 1994‑2016. BMJ Open Diabetes Res Care 2021;9:e002423.
Catherine JP, Russell MV, Peter CH. The impact of race and
socioeconomic factors on paediatric diabetes. EClinicalMedicine
;42:101186.
Olsen KR, Laudicella M. Health care inequality in free access
health systems: The impact of non‑pecuniary incentives on
diabetic patients in Danish general practices. Soc Sci Med
;230:174‑83.
Owens MD, Beckles GL, Ho KK, Gorrell P, Brady J,
Kaftarian JS. Women with diagnosed diabetes across the life
stages: Underuse of recommended preventive care services.
J Womens Health (Larchmt) 2008;17:1415‑23.
Grundmann N, Mielck A, Siegel M, Maier W. Area deprivation
and the prevalence of type 2 diabetes and obesity: Analysis
at the municipality level in Germany. BMC Public Health
;14:1264.
Calman NS, Hauser D, Schussler L, Crump C. A risk‑based
intervention approach to eliminate diabetes health disparities.
Prim Health Care Res Dev 2018;19:518‑22.
Sikiö M, Tykkyläinen M, Tirkkonen H, Kekäläinen P, Dunbar J,
Laatikainen T. Type 2 diabetes care in north Karelia Finland:
Do area‑level socio‑economic factors affect processes and
outcomes?. Diabetes Res Clin Pract 2014;106:496‑503.
Chandler RF, Monnat SM. Racial/ethnic differences in use of
health care services for diabetes management. Health Educ
Behav 2015;42:783‑92.
Aweko J, De Man J, Absetz P, Östenson CG, Swartling Peterson S,
Mölsted Alvesson H, et al. Patient and provider dilemmas
of type 2 diabetes self‑management: A qualitative study in
socioeconomically disadvantaged communities in Stockholm. Int
J Environ Res Public Health 2018;15:1810.
Correa‑de‑Araujo R, McDermott K, Moy E. Gender differences
across racial and ethnic groups in the quality of care for diabetes.
Womens Health Issues 2006;16:56‑65.
O’Neil A, Williams ED, Browne JL, Horne R, Pouwer F,
Speight J. Associations between economic hardship and
markers of self‑management in adults with type 2 diabetes:
Results from diabetes miles‑Australia. Aust N Z J Public Health
;38:466‑72.
Li CY, Chuang YC, Chen PC, Chen MS, Lee MC, Ku LE,
et al. Social determinants of diabetes‑related preventable
hospitalization in Taiwan: A spatial analysis. Int J Environ Res
Public Health 2021;18:2146.
Deladoëy J, Henderson M, Geoffroy L. Linear association
between household income and metabolic control in children
with insulin‑dependent diabetes mellitus despite free access to
health care. J Clin Endocrinol Metab 2013;98:E882‑5.
Mutyambizi C, Pavlova M, Hongoro C, Booysen F, Groot W.
Incidence, socio‑economic inequalities and determinants of
catastrophic health expenditure and impoverishment for diabetes
care in south Africa: A study at two public hospitals in Tshwane.
Int J Equity Health 2019;18:73.
Kolling M, Winkley K, von Deden M. “for someone who’s
rich, it’s not a problem”. Insights from Tanzania on diabetes
health‑seeking and medical pluralism among Dar es salaam’s
urban poor. Global Health 2010;6:8.
Hwang J. Decomposing socioeconomic inequalities in the use
of preventive eye screening services among individuals with
diabetes in Korea. Int J Public Health 2016;61:613‑20.
Qi Y, Koster A, van Boxtel M, Köhler S, Schram M, Schaper N,
et al. Adulthood socioeconomic position and type 2 diabetes
mellitus‑a comparison of education, occupation, income, and
material deprivation: The Maastricht study. Int J Environ Res
Public Health 2019;16:1435.
Druică E, Goschin Z, Băicuș C. Regional socio‑economic factors
influencing diabetes incidence: The case of Romania. Eastern
Journal of European Studies. 2018;9:87‑109.
Hwang J, Rudnisky C, Bowen S, Johnson JA. Measuring
socioeconomic inequalities in eye care services among patients
with diabetes in Alberta, Canada, 1995‑2009. Diabetes Res Clin
Pract 2017;127:205‑11.
Lee K, Palacio C, Alexandraki I, Stewart E, Mooradian AD.
Increasing access to health care providers through medical home
model may abolish racial disparity in diabetes care: Evidence
from a cross‑sectional study. J Natl Med Assoc 2011;103:250‑6.
Toivakka M, Pihlapuro A, Tykkyläinen M, Mehtätalo L,
Laatikainen T. The usefulness of small‑area‑based socioeconomic
characteristics in assessing the treatment outcomes of type 2
diabetes patients: A register‑based mixed‑effect study. BMC
Public Health 2018;18:1258.
Gudlavalleti MV, John N, Allagh K, Sagar J, Kamalakannan S,
Ramachandra SS, et al. Access to health care and employment
status of people with disabilities in South India, the side (South
India Disability Evidence) study. BMC Public Health 2014;14:1125.
Hwang J, Rudnisky C, Bowen S, Johnson JA. Income‑related
inequalities in visual impairment and eye screening services
in patients with type 2 diabetes. J Public Health (Oxf)
;38:e571‑9.
Piroozi B, Mohamadi‑Bolbanabad A, Moradi G, Safari H,
Ghafoori S, Zarezade Y, et al. Incidence and intensity of
catastrophic health‑care expenditure for type 2 diabetes mellitus
care in Iran: Determinants and inequality. Diabetes Metab Syndr
Obes 2020;13:2865‑76.
Angier H, Ezekiel‑Herrera D, Marino M, Hoopes M, Jacobs EA,
DeVoe JE, et al. Racial/ethnic disparities in health insurance and
differences in visit type for a population of patients with diabetes
after Medicaid expansion. J Health Care Poor Underserved
;30:116‑30.
Marcondes FO, Cheng D, Alegria M, Haas JS. Are racial/ethnic
minorities recently diagnosed with diabetes less likely than white individuals to receive guideline‑directed diabetes preventive
care?. BMC Health Serv Res 2021;21:1150.
Espelt A, Kunst AE, Palència L, Gnavi R, Borrell C. Twenty
years of socio‑economic inequalities in type 2 diabetes
mellitus prevalence in Spain, 1987‑2006. Eur J Public Health
;22:765‑71.
Taylor YJ, Davis ME, Mohanan S, Robertson S, Robinson MD.
Awareness of racial disparities in diabetes among primary care
residents and preparedness to discuss disparities with patients.
J Racial Ethn Health Disparities 2019;6:237‑44.
Sheon AR, Bolen SD, Callahan B, Shick S, Perzynski AT.
Addressing disparities in diabetes management through novel
approaches to encourage technology adoption and use. JMIR
Diabetes 2017;2:e16.
Dagogo‑Jack S. Ethnic disparities in type 2 diabetes:
Pathophysiology and implications for prevention and
management. J Natl Med Assoc 2003;95:774, 779‑89.
Chan KS, Gaskin DJ, Dinwiddie GY, McCleary R. Do diabetic
patients living in racially segregated neighborhoods experience
different access and quality of care?. Med Care 2012;50:692‑9.
Chung GK, Lai FTT, Yeoh EK, Chung RY. Gender‑specific
trends of educational inequality in diagnosed diabetes from 1999
to 2014 in Hong Kong: A serial cross‑sectional study of 97,481
community‑dwelling Chinese adults. Popul Health Metr 2021;19:37.
Thorlby R, Jorgensen S, Ayanian JZ, Sequist TD. Clinicians’
views of an intervention to reduce racial disparities in diabetes
outcomes. J Natl Med Assoc 2011;103:968‑77.
Shekelle PG. Socioeconomic inequalities in indicator
scores for diabetes: Poor quality or poor measures?. BMJ
;329:1269‑70.
Michou M, Panagiotakos DB, Lionis C, Costarelli V.
Socioeconomic inequalities in relation to health and nutrition
literacy in Greece. Int J Food Sci Nutr 2019;70:1007‑13.
King AC, Odunitan‑Wayas FA, Chaudhury M, Rubio MA,
Baiocchi M, Kolbe‑Alexander T, et al. Community‑based
approaches to reducing health inequities and fostering
environmental justice through global youth‑engaged citizen
science. Int J Environ Res Public Health 2021;18:892.
Petrovic D, de Mestral C, Bochud M, Bartley M,
Kivimäki M, Vineis P, et al. The contribution of health behaviors
to socioeconomic inequalities in health: A systematic review.
Prev Med 2018;113:15‑31.
Larsen IK, Myklebust TÅ, Babigumira R, Vinberg E,
Møller B, Ursin G. Education, income and risk of cancer:
Results from a Norwegian registry‑based study. Acta Oncol
;59:1300‑7.
Lockyer S, Spiro A. Socio‐economic inequalities in childhood
obesity: Can community level interventions help to reduce the
gap?: Wiley Online Library 2019;44:381‑93.
Feller A, Schmidlin K, Bordoni A, Bouchardy C, Bulliard JL,
Camey B, et al. Socioeconomic and demographic inequalities in
stage at diagnosis and survival among colorectal cancer patients:
Evidence from a Swiss population‑based study. Cancer Med
;7:1498‑510.
Hinde S, Bojke L, Harrison A, Doherty P. Improving cardiac
rehabilitation uptake: Potential health gains by socioeconomic
status. Eur J Prev Cardiol 2019;26:1816‑23.
Bilal U, Cainzos‑Achirica M, Cleries M, Santaeugènia S,
Corbella X, Comin‑Colet J, et al. Socioeconomic status, life
expectancy and mortality in a universal healthcare setting: An
individual‑level analysis of >6 million Catalan residents. Prev
Med 2019;123:91‑4.
Bray BD, Paley L, Hoffman A, James M, Gompertz P,
Wolfe CDA, et al. Socioeconomic disparities in first stroke
incidence, quality of care, and survival: A nationwide
registry‑based cohort study of 44 million adults in England.
Lancet Public Health 2018;3:e185‑93.
Griffith K, Evans L, Bor J. The affordable care act reduced
socioeconomic disparities in health care access. Health
Aff (Millwood) 2017;10.1377/hlthaff.2017.0083.
Erwin DJ, LaMaire C, Espana A, Eble TN, Dhar SU. Financial
barriers in a county genetics clinic: Problems and solutions.
J Genet Couns 2020;29:678‑88.
Chirwa GC, Suhrcke M, Moreno‑Serra R. Socioeconomic
inequality in premiums for a community‑based health insurance
scheme in Rwanda. Health Policy Plan 2021;36:14‑25.
Muhammad FM, Majdzadeh R, Nedjat S, Sajadi HS,
Parsaeian M. Socioeconomic inequality in intermittent preventive
treatment using sulphadoxine pyrimethamine among pregnant
women in Nigeria. BMC Public Health 2020;20:1860.
Rocha R, Atun R, Massuda A, Rache B, Spinola P, Nunes L,
et al. Effect of socioeconomic inequalities and vulnerabilities on
health‑system preparedness and response to covid‑19 in Brazil:
A comprehensive analysis. Lancet Glob Health 2021;9:e782‑92.
Wang J, Zhu H, Liu H, Wu K, Zhang X, Zhao M, et al. Can
the reform of integrating health insurance reduce inequity in
catastrophic health expenditure? evidence from China. Int J
Equity Health 2020;19:49.
Homaie Rad E, Kavosi Z, Arefnezhad M. Economic inequalities
in dental care utilizations in Iran: Evidence from an urban region.
Med J Islam Repub Iran 2016;30:383.
Moor I, Spallek J, Richter M. Explaining socioeconomic
inequalities in self‑rated health: A systematic review of the
relative contribution of material, psychosocial and behavioural
factors. J Epidemiol Community Health 2017;71:565‑75.
Jaffe DH, Lee L, Huynh S, Haskell TP. Health inequalities in the
use of telehealth in the united states in the lens of COVID‑19.
Popul Health Manag 2020;23:368‑77.
Qureshi S. Pandemics within the pandemic: Confronting
socio‑economic inequities in a datafied world. Information
Technology for Development 2021;27:151‑70.
Garzón‑Orjuela N, Samacá‑Samacá DF, Luque Angulo SC,
Mendes Abdala CV, Reveiz L, Eslava‑Schmalbach J. An
overview of reviews on strategies to reduce health inequalities.
Int J Equity Health 2020;19:192.
Lindley KJ, Aggarwal NR, Briller JE, Davis MB, Douglass P,
Epps KC, et al. Socioeconomic determinants of health and
cardiovascular outcomes in women: Jacc review topic of the
week. J Am Coll Cardiol 2021;78:1919‑29.
Balan N, Petrie BA, Chen KT. Racial disparities in colorectal
cancer care for black patients: Barriers and solutions. Am Surg
;88:2823‑30.
Machón M, Mosquera I, Larrañaga I, Martín U, Vergara I.
Socioeconomic inequalities in health among the elderly
population in Spain. Gaceta Sanitaria 2019;34:276‑88.
Yip WC, Hsiao W, Meng Q, Chen W, Sun X. Realignment
of incentives for health‑care providers in China. The Lancet
;375:1120‑30.