Type 2 & other diabetes

Inequalities in healthcare utilisation among adults with type 2 diabetes

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

This study provides circumstantial evidence that co-payment can increase inequality in health care attendance, especially for dental attendance, and it further shows that there is significant sociodemographic inequality in healthcare utilisation among people with type 2 diabetes.

Study context

Population
People with T2D resident in the Central Denmark Region in 2019, identified through Danish registers using a prespecified diabetes algorithm
Participants
41,181 people
Outcome
Attendance at dentist, ophthalmologist and podiatrist
Follow-up
Preceding year
Methodological detailsregister-based, multiple logistic regression adjusted for sociodemographic and clinical factors
  • Register-based
  • Multiple logistic regression adjusted for sociodemographic and clinical factors

Main finding

As reported in the abstract

Attendance at least once in the preceding year

Ophthalmologist attendance

59.7 %

Dentist/dental hygienist attendance

46.5 %

Podiatrist attendance

34.2 %

Observational data: associations, not effects.

Further findings

Determinants of attendance

Disposable household income increased attendance significantly, with a clear gradient in the OR of attending the dentist
P < 0.001
Age significantly magnified the OR of podiatrist and ophthalmologist attendance
P < 0.001

Original publication

Inequalities in healthcare utilisation among adults with type 2 diabetes. Diabetes Res Clin Pract. Published 25 October 2023. doi:10.1016/j.diabres.2023.110982

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