Chih?Cheng Hsu|Cheng Hua Lee|Mark L. Wahlqvist|Hui-Ling Huang|Hsing?Yi Chang|Likwang Chen|Shu?Fang Shih|Shyi Jang Shin|Wen?Chen Tsai|Ted Chen|Chih?Cheng Huang|J.S. Cheng
Poverty Increases Type 2 Diabetes Incidence and Inequality of Care Despite Universal Health Coverage
National Health Research Institutes|China Medical University|China Medical University Hospital|National Health Research Institutes|Kaohsiung Medical University|National Health Research Institutes|National Health Research Institutes|National Taiwan Normal University|Ministry of Health and Welfare|Kaohsiung Medical University|Kaohsiung Medical University Chung-Ho Memorial Hospital|China Medical University Hospital|China Medical University|Tulane University|National Health Research Institutes|Chang Gung University
discrepancy diabetes incidence care socioeconomic statuses seldom studied concurrently nations universal health coverage aimed delineate whether income disparity associated diabetes incidence inequality care national health insurance nhi program asiafrom taiwan nhi database 2000 representative cohort aged 20 years free diabetes n 600662 followed 2005 regarded individuals exempt paying nhi premium poor adjusted hazard ratios hrs used discover excess risk diabetes poor population indicators used evaluate quality diabetes care included proportion diabetic patients identified hospitalization visits diabetes clinics completion recommended diabetes teststhe incidence type 2 diabetes poor population 204 per 1000 personyears hr 15 95 ci 1317 compared middleincome counterparts adjusted odds ratio poor population incidentally identified diabetes hospitalization 22 p 0001 poor persons diabetes less likely visit diabetes clinic 04 p 0001 ors poor population diabetes receive tests glycated hemoglobin lowdensity lipoprotein cholesterol triglycerides retinopathy 06 0409 04 0207 05 0408 04 0209 respectivelypoverty associated higher diabetes incidence also inequality diabetes care northeast asian population despite universal health coverage